tag:blogger.com,1999:blog-68208322296962078892024-02-20T17:58:01.727-08:00kesehatanAnonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-6820832229696207889.post-39689619717096354912016-03-13T08:34:00.001-07:002016-03-13T08:34:21.227-07:00DHF<!--[if !mso]>
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<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;">Laporan Pendahuluan</span></b></div>
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<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;">DHF ( </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengue
haemorhagic fever</span></b><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> )</span></b></div>
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<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengue haemorhagic fever (DHF)
adalah penyakit yang terdapat pada anak dan orang dewasa dengan gejala utama
demam, nyeri otot dan nyeri sendi yang disertai ruam atau tanpa ruam. DHF
sejenis virus yang tergolong arbo virus dan masuk kedalam tubuh penderita melalui
gigitan nyamuk aedes aegypty (betina) <span lang="EN-US" style="mso-ansi-language: EN-US; mso-no-proof: yes;">(Resti, 2014)</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DHF adalah demam khusus yang dibawa
oleh aedes aegypty dan beberapa nyamuk lain yang menyebabkan terjadinya demam.
Biasanya dengan cepat menyebar secara efidemik. <span lang="EN-US" style="mso-ansi-language: EN-US; mso-no-proof: yes;">(PADILA, 2012)</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi
</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Virus dongue serotype 1, 2, 3, dan
4 yang ditularkan melalui vector nyamuk aedes aegypti. Nyamuk aedes albopictus,
aedes polynesiensis dan beberapa spesies lain merupakan vector yang kurang
berperan. Infeksi dengan salah satu serotype akan menimbulkan antibody seumur
hidup terhadap serotype bersangkutan tetapi tidak ada perlindungan terhadap
serotype lain. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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;"><span style="font-weight: normal; mso-no-proof: yes;">(Smeltzer & Suzanne, 2001)</span></span></b></div>
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<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klasifikasi</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi DHF berdasarkan kriteria menurut WHO yaitu
:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat I ( ringan )</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam mendadak dan sampai 7 hari di sertai dengan
adanya gejala yang tidak khas dan uji turniquet (+).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat II ( sedang )</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lebih berat dari derajat I oleh karena di temukan
pendarahan spontan pada kulit misal di temukan adanya petekie, ekimosis,
pendarahan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat III ( berat )</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya gagal sirkulasi di tandai dengan laju cepat
lembut kulit dngin gelisah tensi menurun manifestasi pendarahan lebih berat(
epistaksis, melena) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Derajat IV ( DIC )</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gagal sirkulasi yang berat pasien mengalami syok berat
tensi nadi tak teraba.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-no-proof: yes;">(Smeltzer & Suzanne, 2001)</span></span></div>
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<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Patofisiologi
</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Virus dongue yang pertama kali
masuk kedalam tubuh manusia melalui gigitan nyamuk aedes dan menginfeksi
pertama kali member gejala DF. Pasien akan mengalami gejala viremia, sakit
kepala, mual, nyei otot, pegal seluruh badan, hyperemia ditenggorokkan,
timbulnya ruam dan kelainan yang mungkin terjadi pasa RES seperti pembesaran
kelenjar getah bening, hati dan limfa. Reaksi yang berbeda Nampak bila
seseorang mendapatkan infeksi berulang dengan tipe virus yang berlainan.
Berdasarkan hal itu timbullah the secondary heterologous infection atau
sequential infection of hypothesis. Re- infeksi akan menyebabkan suatu reaksi anamnetik
antibody, sehingga menimbulkan konsentrasi kompleks antigen antibody (kompleks
virus antibody) yang tinggi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdapatnya kompleks virus antibody
dalam sirkulasi darah mengakibatkan hal sebagai berikut:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<br />
<ol>
<li><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kompleks virus antibody akan
mengaktivasi system komplemen, yang berakibat dilepasnya anafilatoksin C3a dan
C5a. C5a menyebabkan meningginya permeabilitas dinding pembuluh darah dan
menghilangnya plasma melalui endotel dinding tersebut, suatu keadaan yang
sangat berperan terjadinya renjatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></li>
<li><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Timbulnya agregasi trombosit yang
melepas ADP akan mengalami metamorphosis. Trombosit yang mengalami kerusakan
metamorphosis akan dimusnahkan oleh system retikuloendotelial dengan akibat
trombositopenia hebat dan perdarahan. Pada keadaan agregasi, trombosit akan melepaskan
vasokoaktif (histamine dan serotonin) yang bersifat meningkatkan permeabilitas
kapiler dan melepaskan trombosit factor III yang merangsang koagulasi
intravascular.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></li>
<li><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadinya aktivasi factor hegamen
(factor XII) dengan akibat kahir terjadinya pembentukan plasmin yang berperan
dalam pembentukan anafilatoksin dan penghancuran fibrin menjadi fibrinogen
degradation product. Disamping itu aktivasi akan merangsang system kinin yang
berperan dalam proses meningginya permeabilitas dindin pembuluh darah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></li>
</ol>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-no-proof: yes;">(PADILA, 2012)</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Manifestasi</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
klinis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnose penyakit DBD dapat dilihat
berdasarkan criteria diagnosa klinis dan laboratories. Berikut ini tanda dan
gejala penyakit DBD dengan diagnose klinis dan laboratories:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnose
klinis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Demam tinggi 2 sampai 7 hari (38-40̊ C)</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi perdarahan dengan bentuk:
uji tourniquet positif, petekie (bintik merah pada kulit), purpura (perdarahan
kecil di dalam kulit), ekimosis, perdarahan konjungtiva (perdarahan pada mata),
epitaksis (perdarahan hidung), perdarahan gusi, hematemesis (muntah darah),
melena (BAB darah) dan hematusi (adanya darah dalam urin).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan pada hidung</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rasa sakit pada otot dan persendian,
timbul bintik-bintik merah pada kulit akibat pecahnya pembuluh darah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembesaran hati (hepatomegali)</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rejan (syok), tekanan nadi menurun
menjadi 20mmHg atau kurang, tekanan sistolik sampai 80mmHg atau lebih rendah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala klinik lainnya yang sering
menyertai yaitu anoreksia (hilangnya nafsu makan), lemah, mual, muntah, sakit
perut, diare dan sakit kepala.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnose
laboratories</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trombositopeni pada hari ke-3 sampai
ke-7 ditemukan penurunan trombosit hingga 100.000/mmHg</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemokonsentrasi, meningkatnya hemotokrit
sebanyak 20% atau lebih</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-no-proof: yes;">(Resti, 2014)</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
diagnostic</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Darah lengakap</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Leukpenia pada hari ke 2-3</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Trombositopenia dan hemokonsentrasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masa pembekuan normal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masa pedarahan memanjang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan factor II, V, VII, IX, dan XII</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kimia
darah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hipoproteinemia, hiponatriam,
hipodorumia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">SGOT/SGPT meningkat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umum meningkat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pH darah meningkat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Urinalis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mungkin ditemukan albuminuria
ringan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uj</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> sum-sum tulang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada awal sakit biasanya
hipaseluler kemudian menjadi hiperseluler</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-language: IN;"><span style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-no-proof: yes;"><span style="mso-spacerun: yes;"> </span>(Doenges, 2000)</span></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tirah baring</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian makanan lunak .</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian cairan melalui infus.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian
cairan intra vena (biasanya ringer lactat, nacl) ringer lactate merupakan
cairan intra vena yang paling sering digunakan , mengandung Na + 130 mEq/liter
, K+ 4 mEq/liter, korekter basa 28 mEq/liter , Cl 109 mEq/liter dan Ca = 3
mEq/liter.</span></div>
<ol start="4" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian obat-obatan :
antibiotic, antipiretik,</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anti konvulsi jika terjadi
kejang</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor tanda-tanda vital ( T,S,N,RR).</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor adanya tanda-tanda
renjatan</span></li>
<li class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l7 level1 lfo8; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor tanda-tanda perdarahan
lebih lanjut</span></li>
</ol>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periksa HB,HT, dan Trombosit setiap hari</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun komplikasi dari penyakit demam berdarah
diantaranya :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan luas.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan biasanya terjadi pada hari ke 2 dari demam
dan umumnya terjadi pada kulit dan dapat berupa uji tocniquet yang positif mudah
terjadi perdarahan pada tempat fungsi vena, petekia dan purpura.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan ringan hingga sedang dapat terlihat pada
saluran cerna bagian atas hingga menyebabkan haematemesis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan
gastrointestinal biasanya di dahului dengan nyeri perut yang hebat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Shock atau renjatan.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Permulaan syok biasanya terjadi pada hari ke 3 sejak
sakitnya penderita, dimulai dengan tanda – tanda kegagalan sirkulasi yaitu
kulit lembab, dingin pada ujung hidung, jari tangan, jari kaki serta sianosis
disekitar mulut. Bila syok terjadi pada masa demam maka biasanya menunjukan
prognosis yang buruk.</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Effuse pleura</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan kesadaran.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span lang="EN-US" style="font-weight: normal; mso-ansi-language: EN-US; mso-no-proof: yes;">(Resti,
2014)</span></span></b><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Asuhan </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keperawatan</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> <span lang="EN-US"></span></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo3; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengkajian
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identitas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Umur, jenis kelamin, tempat tinggal bisa menjadi
indicator terjadinya DHF</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan utam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Panas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan sekarang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Panas tinggi, nyeri otot, dan pegal, ruam, malaise,
muntah, mual, sakit kepala, sakit pada saat menelan, lemah, nyeri pada
efigastrik, penurunan nafsu makan,perdarahan spontan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan dahulu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pernah menderita yang sama atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya anggota keluarga yang pernah menderita penyakit
yang sama dan adanya penyakit herediter (keturunan).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas/istirahat </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : kelemahan, malaise Gangguan pola tidur </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sirkulasi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : perasaan dingin meskipun pada ruangan hangat
Tekanan darah normal/sedikit di bawah jangkauan normal. Denyut perifer kuat,
cepat (perifer hiperdinamik); lemah/lembut/mudah hilang, takikardia ekstrem
(syok), nadi lemah Suara jantung : disritmia dan perkembangan S3 mengakibatkan
disfungsi miokard, efek dari asidosis/ketidak seimbangan elektrolit. Kulit
teraba dingin dan lembab terutama pada ujung hidung, jari dan kaki </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Integritas ego </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : gelisah </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eliminasi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : diare </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan/cairan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : anoreksia, haus, sakit saat menelan
Mual,muntah Perubahan berat badan akhir-akhir (meningkat/turun) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : penurunan berat badan, penurunan massa otot
(malnutrisi) Kelemahan, tonus otot dan turgor kulit buruk Membran mukosa pucat,
luka, inflamasi rongga mulut </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hygiene </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : ketidakmapuan mempertahankan perawatan diri
Bau badan Lidah kotor </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri/kenyamanan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Sakit kepala Nyeri tekan epigastrik Nyeri
pada anggota badan, punggung, sendi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : perdarahan di bawah kulit (petekie),
perdarahan gusi, epistaksis sampai perdarahan yang hebat berpa muntah darah
akibat perdarahan lambung, melena, hematuria </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">System pernapasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sesak, epistaksia, napas dangkal, pergerakan dinding
dada, perkusi, auskultasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">System cardivaskular</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada grade I
dapat terjadi hemokonsentrasi, uji tourniquet positif, trombositipeni.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada grade
III dapat terjadi kegagalan sirkulasi, nadi cepat (tachycardia), penurunan
tekanan darah (hipotensi), cyanosis sekitar mulut, hidung dan jari-jari.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada grade
IV nadi tidak teraba dan tekanan darah tak dapat diukur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">System neurologi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri pada bagian kepala, bola mata dan persendian.
Pada grade III pasien gelisah dan terjadi penurunan kesadaran serta pada grade
IV dapat terjadi DSS</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">System perkemihan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Produksi urine menurun, kadang kurang dari 30 cc/jam,
akan mengungkapkan nyeri saat kencing, kencing berwarna merah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">System pencernaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan pada gusi, Selaput mukosa kering, kesulitan
menelan, nyeri tekan pada epigastrik, pembesarn limpa, pembesaran pada hati
(hepatomegali) disertai dengan nyeri tekan tanpa diserta dengan ikterus,
abdomen teregang, penurunan nafsu makan, mual, muntah, nyeri saat menelan,
dapat muntah darah (hematemesis), berak darah (melena).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">System integument</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi peningkatan suhu tubuh (Demam), kulit kering,
ruam makulopapular, pada grade I terdapat positif pada uji tourniquet, terjadi
bintik merah seluruh tubuh/ perdarahan dibawah kulit (petikie), pada grade III
dapat terjadi perdarahan spontan pada kulit.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan penunjang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan laboratorium</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pemeriksaan darah pasien DHF akan di jumpai</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ig.G dengue positif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trombositopenia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hemoglobin meningkat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hemokonsentrasi ( hematokrit meningkat)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hasil pemeriksaan kimia darah menunjukkan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">hipoproteinemia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">hiponatremia
dan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">hipokalemia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada hari
kedua dan ketiga terjadi lekopenia, netropenia, aneosinophilia, peningkatan
limposit, monosit dan basofil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo10; tab-stops: list 134.7pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SGOT atau SGPT darah mungkin meningkat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo10; tab-stops: list 134.7pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ureum dan Ph darah mungkin meningkat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo10; tab-stops: list 134.7pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Waktu pendarahan memanjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo10; tab-stops: list 134.7pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pemeriksaan analisa gas darah arteri menunjukkan
asidosis metabolik: PCO<sub>2</sub> < 35 – 40 mm Hg, HCO<sub>3</sub> rendah</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo12; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan serologi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pemeriksaan ini di lakukan pengukuran
literantibodi pasien dengan cara haemaglutination nibitron test (HIT test) atau
dengan uji peningkatan komplemen pada pemeriksaan serologi di butuhkan dua
bahan pemeriksaan yaitu pada masa akut atau demam dan masa penyembuhan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(104 minggu
setelah awal gejala penyakit ) untuk pemeriksaan serologi ini di ambil darah
vena 2 – 5 ml.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan sianosis yang menunjang antara lain foto
thorak mungkin di jumpai pleural effusion, pemeriksaan USG hepatomegali dan
splenomegali</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo3; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnosa
Keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertermi berhubungan dengan proses infeksi virus. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan volume cairan berhubungan dengan kehilangan
volume cairan aktif. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri akut berhubungan dengan proses patologis
penyakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakseimbangan nutrisi kurang dari kebutuhan tubuh
berhubungan dengan anoreksia , mual dan muntah. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi aktivitas berhubungan dengan
ketidakseimbangan antara suplai dan kebutuhan oksigen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko syok berhubungan dengan hipovilemik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Arial; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansietas berhubungan dengan
perubahan status kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisiensi pengetahuan berhubungan degan kurang
familier dengan sumber informasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level2 lfo3; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi
keperawatan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: -15.9pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 662px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No </span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnose keperawatan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan
& Kriteria Hasil</span></div>
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">{ NOC }</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi</span></div>
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">{ NIC }</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div align="center" class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertermi
berhubungan dengan proses infeksi virus.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama ... x 24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukkan suhu tubuh dalam rentang normal. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV normal.</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fever
Treatment :</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
tanda-tanda vital tiap </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3 </span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>jam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
kompres hangat pada bagian lipatan tubuh ( Paha dan aksila ).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
intake dan output</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
obat anti piretik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Temperature
Regulation </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri banyak
minum ( ± 1-1,5 liter/hari) sedikit tapi sering</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ganti pakaian klien dengan bahan tipis menyerap
keringat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda vital merupakan acuan untuk mengetahui
keadaan umum pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kompres hangat dapat mengembalikan suhu normal
memperlancar sirkulasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui adanya ketidakseimbangan cairan
tubuh.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat menurunkan demam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peningkatan suhu tubuh akan menyebabkan penguapan
tubuh meningkat sehingga perlu diimbangi dengan asupan cairan yang banyak.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pakaian yang tipis menyerap keringat dan membantu
mengurangi penguapan tubuh akibat dari peningkatan suhu dan dapat terjadi
konduksi.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekurangan
volume cairan berhubungan dengan kehilangan volume cairan aktif. </span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama ... x 24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukkan keseimbangan elektrolit dan asam basa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukkan keseimbangan cairan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Turgor kulit baik</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda</span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> vital
dalam batas normal </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 17.9pt; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fluid Managemen </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
keadaan umum klien dan tanda-tanda vital.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji input
dan output cairan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
adanya tanda-tanda syok</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
klien untuk banyak minum.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi
dengan dokter dalam pemberian cairan I.V.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
dengan cepat penyimpangan dari keadaan normalnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
balance cairan dan elektrolit dalam tubuh/homeostatis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar dapat
segera dilakukan tindakan jika terjadi syok.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asupan
cairan sangat diperlukan untuk menambah volume cairan tubuh</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian
cairan I.V sangat penting bagi klien yang mengalami deficit volume cairan
untuk memenuhi kebutuhan cairan klien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri akut berhubungan dengan
proses patologis penyakit.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama ... x
24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat mengontrol nyeri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui tingkat nyeri</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekspresi wajah rileks. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pain management</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan
pengkajian nyeri secara kompherensif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
faktor-faktor yang mempengaruhi reaksi pasien terhadap nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
posisi yang nyaman dan ciptakan suasana ruangan yang tenang.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
suasana gembira bagi pasien </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analgetic
administration </span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
analgesik sesuai tipe dan beratnya nyeri .</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
nyeri yang dialami pasien sehingga perawat dapat menentukan cara
mengatasinya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
mengetahui faktor-faktor tersebut maka perawat dapat melakukan intervensi
yang sesuai dengan masalah klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi
yang nyaman dan situasi yang tenang dapat membuat perasaan yang nyaman pada
pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
suasana gembira pasien dapat sedikit mengalihkan perhatiannya terhadap
nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat
analgesik dapat menekankan rasa nyeri</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakseimbangan nutrisi kurang
dari kebutuhan tubuh berhubungan dengan anoreksia , mual dan muntah.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama ... x
24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukkan kebutuhan nutrisi terpenuhi.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memperlihatkan adanya selera makan </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nutrition managemen</span></b><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
keadaan umum klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
makanan sesuai kebutuhan tubuh klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
orang tua klien untuk memberi makanan sedikit tapi sering.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
orang tua klien memberi makanan TKTP dalam bentuk lunak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nutrition Monitoring </span></b><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Timbang
berat badan klien tiap hari.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
mual dan muntah pasien </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memudahkan
untuk intervensi selanjutnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merangsang
nafsu makan klien sehingga klien mau makan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan
dalam porsi kecil tapi sering memudahkan organ pencernaan dalam metabolisme.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan
dengan komposisi TKTP berfungsi membantu mempercepat proses penyembuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berat
badan merupakan salah satu indicator pemenuhan nutrisi berhasil.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
mengetahui status nutrisi pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas berhubungan dengan ketidakseimbangan antara suplai dan kebutuhan
oksigen.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama ... x
24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat berpartisipasi dalam aktivitas fisik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat melakukan aktivitas sehari-hari </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV normal</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Activity Therapy</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
hal-hal yang mampu dilakukan klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu
klien memenuhi kebutuhan aktivitasnya sesuai dengan tingkat keterbatasan klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
penjelasan tentang hal-hal yang dapat membantu dan meningkatkan kekuatan
fisik klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Libatkan
keluarga dalam pemenuhan ADL klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
pada keluarga dan klien tentang pentingnya bedrest ditempat tidur.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
tingkat ketergantungan klien dalam memenuhi kebutuhannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantuan
sangat diperlukan klien pada saat kondisinya lemah dalam pemenuhan kebutuhan
sehari-hari tanpa mengalami ketergantungan pada orang lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
penjelasan, pasien termotivasi untuk kooperatif selama perawatan terutama
terhadap tindakan yang dapat meningkatkan kekuatan fisiknya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga
merupakan orang terdekat dengan klien</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
mencegah terjadinya keadaan yang lebih parah</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
syok berhubungan dengan hipovilemik</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama ... x
24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV dalam batas normal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Natrium serum, kalium serum, kalsium serum,
magnesium serum dalam batas normal.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hematokrit dalam batas normal<span style="mso-spacerun: yes;"> </span></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syok prevention </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
keadaan umum klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
tanda-tanda vital</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
input dan output pasien </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
pada pasien/ keluarga untuk segera melapor jika ada tanda-tanda perdarahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syok
managemen </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cek
hemoglobin, hematokrit, trombosit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
gas darah dan oksigenasi </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memantau
kondisi klien selama masa perawatan terutama saat terjadi perdarahan sehingga
tanda pra syok, syok dapat ditangani.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda
vital dalam batas normal menandakan keadaan umum klien baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
balance cairan dan elektrolit dalam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keterlibatan
keluarga untuk segera melaporkan jika terjadi perdarahan terhadap pasien
sangat membantu tim perawatan untuk segera melakukan tindakan yang tepat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk
acuan melakukan tindak lanjut terhadap perdarahan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
mengetahui adanya asodosis metabolik.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansietas
berhubungan dengan perubahan status kesehatan</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama ... x
24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mampu mengidentifikasi dan mengungkapkan gejala
cemas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV normal</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukkan teknik untuk mengontrol cemas</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anxiety Reduction </span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
tingkat kecemasan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
prosedur pengobatan perawatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
kesempatan pada orang tua untuk bertanya tentang kondisi pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
penjelasan tiap prosedur/ tindakan yang akan dilakukan terhadap pasien dan
manfaatnya bagi pasien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
dorongan spiritual.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui
kecemasan orang tua klien dan memudahkan menentukan intervensi selanjutnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
menambah pengetahuan dan informasi kepada klien yang dapat mengurangi
kecemasan orang tua.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memperoleh informasi yang lebih banyak dan meningkatkan pengetahuan dan
mengurangi stress.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberikan
penjelasan tentang proses penyakit, menjelaskan tentang kemungkinan pemberian
perawatan intensif jika memang diperlukan oleh pasien untuk mendapatkan
perawatan yang lebih optimal</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberi
ketenangan kepada klien dengan berserah diri kepada Tuhan Yang Maha Esa.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 27.55pt;" valign="top" width="37">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 10.35pt; margin-right: 22.95pt; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level2 lfo15; tab-stops: list 38.7pt; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.9pt;" valign="top" width="115">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisiensi<span style="mso-spacerun: yes;"> </span>pengetahuan berhubungan degan kurang
familier dengan sumber informasi.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 129.8pt;" valign="top" width="173">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan tindakan keperawatan selama ... x
24 jam, pasien akan :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien dan keluarga menyatakan pemahaman tentang
penyakit , kondisi , prognosisdan program pengobatan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -12.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mampu melaksanakan yang dijelaskan secara benar</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.95pt;" valign="top" width="163">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Teaching: Disease Proses</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
tingkat pengetahuan klien/keluarga tentang penyakit DHF</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji latar
belakang pendidikan klien/ keluarga.</span></div>
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<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
tentang proses penyakit, diet, perawatan dan obat-obatan pada klien dengan
bahasa dan kata-kata yang mudah dimengerti.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
semua prosedur yang akan dilakukan dan manfaatnya pada klien.</span></div>
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<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
kesempatan pada klien/ keluarga untuk menanyakan hal-hal yang ingin diketahui
sehubungan dengan penyakit yang diderita klien. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 131.0pt;" valign="top" width="175">
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai
data fdasar pemberian informasi selanjutnya.</span></div>
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<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memberikan penjelasan sesuai dengan tingkat pendidikan klien/ keluarga
sehingga dapat dipahami.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">agar
informasi dapat diterima dengan mudah dan tepat sehingga tidak terjadi
kesalahpahaman.</span></div>
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<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
mengetahui prosedur / tindakan yang akan dilakukan dan manfaatnya, klien akan
kooperatif dan kecemasannya menurun.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="PT-BR" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="PT-BR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: PT-BR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengurangi
kecemasan dan memotivasi klien untuk kooperatif.</span></div>
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<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<h1 align="center" style="text-align: center;">
<span style="font-size: small;"><span lang="EN-US" style="color: windowtext;">Daftar
Pustaka</span></span><span style="color: windowtext; font-size: 11.0pt; font-weight: normal; line-height: 115%; mso-ansi-language: IN; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"></span></h1>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-no-proof: yes;">Doenges, E. M. (2000). <i>Rencana
Asuhan Keperawatan : Pedoman Untuk Perencanaan dan Pendokumentasian Perawatan
Pasien.</i> Jakarta: EGC.</span><span style="font-family: "Times New Roman","serif"; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin;"></span></div>
<div class="MsoBibliography" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-no-proof: yes;">Judith, M. W., & Nancy, R. A.
(2012). <i>Diagnosa Keperawatan Nanda NIC NOC.</i> Jakarta: EGC.</span></div>
<div class="MsoBibliography" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-no-proof: yes;">Nurarif, Amin, H. K., & Hardhi.
(2013). <i>Aplikasi Asuhan Keperawatan NANDA NIC-NOC.</i> Jakarta: Medi
Action Publishing.</span></div>
<div class="MsoBibliography" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-no-proof: yes;">PADILA. (2012). <i>Keperawatan
Medikal Bedah .</i> Yogyakarta: Nuha Medika.</span></div>
<div class="MsoBibliography" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-no-proof: yes;">Resti. (2014, September). <i>Asuhan
Keperawatan DHF</i>. Retrieved Desember 27, 2015, from Tersemangat:
http://www.tersemangat.com/2014/09/laporan-pendahuluan-dengue-hemoragic.html</span></div>
<div class="MsoBibliography" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-no-proof: yes;">Smeltzer, & Suzanne, C. (2001).
<i>Buku Ajar Keperawatan Medikal Bedah Brunner & Suddart</i> (8 ed.).
Jakarta: EGC.</span></div>
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Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-84276057466769769032015-10-30T03:03:00.001-07:002015-10-30T03:03:48.337-07:00laporan vesikolithiasis<!--[if !mso]>
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<w:LsdException Locked="false" Priority="60" SemiHidden="false"
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<w:LsdException Locked="false" Priority="37" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" QFormat="true" Name="TOC Heading"/>
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/* Style Definitions */
table.MsoNormalTable
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mso-tstyle-rowband-size:0;
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mso-style-qformat:yes;
mso-style-parent:"";
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mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
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mso-para-margin-left:0cm;
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mso-pagination:widow-orphan;
font-size:11.0pt;
font-family:"Calibri","sans-serif";
mso-ascii-font-family:Calibri;
mso-ascii-theme-font:minor-latin;
mso-hansi-font-family:Calibri;
mso-hansi-theme-font:minor-latin;
mso-bidi-font-family:"Times New Roman";
mso-bidi-theme-font:minor-bidi;
mso-fareast-language:EN-US;}
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<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1085"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1038"/>
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<o:r id="V:Rule3" type="connector" idref="#_x0000_s1080"/>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Laporan Pendahuluan </span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Vesikolithiasis</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
Dasar</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anatomi
Fisiologi Sistem Urinaria</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anatomi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anatomi Ginjal
(Renal)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ginjal suatu
kelenjar yang terletak dibagian belakang dari kavum abdomeinalis dibelakang
peritonium pada kedua sisi vertebral </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">lumbalis III, melekat langsung pada
dinding belakang abdomen. Bentuknya seperti biji kacang, jumlahnya ada dua kiri
dan kanan, ginjal kiri lebih besar dari ginjal kanan dan pada umumnya ginjal
laki-laki lebih panjang dari ginjal wanita (Syaifuddin, 1999).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anatomi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ureter</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ureter terdiri dari dua saluran pipa masing-masing
bersambung dari ginjal ke kandung kemih (vesika urinaria) panjangnya 25-30 cm,
dengan penampang 0,5 cm. Ureter sebagian terletak dalam rongga abdomen dan
sebagian terletak dalam rongga pelvis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lapisan dinding ureter terdiri dari:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dinding luar jaringan ikat (jaringan fibrosa)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lapisan tengah
lapisan otot polos.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lapisan sebelah
dalam lapisan mukosa.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lapisan dinding
ureter menimbulkan gerakan-gerakan peristaltik tiap 5x/menit sekali yang akan
mendorong air kemih masuk kedalam kandung kemih. Gerakan peristaltik urin masuk
ke dalam kandung kemih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anatomi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Vesika
urinaria (kandung kemih)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kandung kemih adalah satu kantong berotot yang dapat
mengempes, terletak dibelakang simfisis pubis dan kandung kemih mempunyai tiga
muara, dua muara ureter serta satu muara uretra. Kandung kemih dapat mengembang
dan mengempis seperti balon karet, terletak dibelakang simfisis pubis didalam
rongga panggul. Bentuk kandung kemih seperti kerucut dikelilingi oleh otot yang
kuat, berhubungan dengan ligamentum vesika umbilikus medius (Sylvia A. Prince
Lorrance W, 1995).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagian vesika urinaria terdiri dari:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fundus yaitu bagian yang menghadap kearah belakang dan
bawah, bagian ini terpisah dari rektum oleh spatium rectovesikale yang terisi oleh
jaringan ikat duktus deferent vesika seminalis dan prostat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Korpus yaitu bagian antara verteks dan fundus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Verteks bagian yang runcing kearah muka dan
berhubungan dengan ligamentum vesika umilikalis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dinding kandung kemih terdiri dari lapisan:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peritonium (Lapisan Luar)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tunika Muskularis (lapisan otot)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tunika Submukosa dan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lapisan mukosa (lapisan bagian dalam)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proses miksi atau rangsangan berkemih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Distensi kandung kemih oleh air kemih akan merangsang
stresreseptor yang terdapat pada dinding kandung kemih dengan jumlah 250 cc
sudah cukup untuk merangsang berkemih (proses miksi). Akibatnya akan terjadi
reflek kontraksi dinding kandung kemih, dan pada saat yang sama terjadi
relaksasi spinter internus segera diikuti oleh relaksasi spinter eksternus,
akhirnya terjadi pengosongan kandung kemih. Rangsangan yang menyebabkan
kontraksi kandung kemih dan relaksasi spinter interhus dihantarkan melalui
serabut-serabut saraf para simpatis. Kontraksi spinter eksternus secara
volunter ini hanya mungkin bila saraf-saraf yang menangani kandung kemih uretra
medula spinalis dan otak masih utuh. Bila ada kerusakan pada saraf-saraf
tersebut maka terjadi inkontinensia urin (kencing keluar terus menerus tanpa
disadari) dan retensi urin (kencing tertahan). Persyaratan dan peredaran darah
vesika urinarius. Persyaratan diatur torako lumbar berfungsi untuk relaksasi
lapisan otot dan kontaksi spinter internal peritonium melapisi kandung kemih.
Peritonuim dapat digerakkan membuat lapisan dan menjadi lurus apabila kandung
kemih berisi penuh.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembuluh Darah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Arteri vesikalis superior berpangkal dari umbikalis
bagian distal, vena membentuk anyaman dibawah kandung kemih. Pembuluh Limfa
berjalan menuju duktus limfatikus sepanjang arteri umbilikalis (Syaifuddin,
1996).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fisiologi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kandung kemih juga sering disebut buli-buli. Adapun
fungsi dari kandung kemih adalah:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Muara tempat akhir zat-zat sisa dari makanan yang kita
makan yang tidak diperlukan tubuh atau tidak diroabsorsi tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat penampungan atau menyimpan air kemih yang akan
dikeluarkan melalui uretra (Syaifuddin, 1996).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ginjal juga merupakan salah satu salah satu organ
tubuh yang sangat penting berfungsi sebagai</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memegang peranan penting dalam pengeluaran zat-zat
toksis atau racun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan suasana keseimbangan cairan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan keseimbangan garam-garam dan zat-zat
lain dalam tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan keseimbangan kadar asam dan basa dari
cairan tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengeluarkan sisa-sisa metabilosme hasil akhir dari
protein ureum, kreatinin, amoniak (Syaifuddin, 1996). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Visikolitiasis adalah penyumbatan saluran kemih khususnya pada vesika
urinaria atau kandung kemih oleh batu, penyakit ini juga disebut batu kandung
kemih (Smeltzer dan Bare, 2000).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vesikolitiasis adalah batu yang terjebak divesika urinaria yang menyebabkan
gelombang nyeri yang luar biasa sakitnya biasa sakitnya yang menyebar kepaha,
abdomen dan daerah genitalia. Medikasi yang diketahui menyebabkan pada banyak
klien mencakup penggunaan antasid diamox, vitamin D, Laksatif dan aspirin dosis
tinggi yang berlebihan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">B</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">atu vesika
urinaria terutama mengandung kalsium atau magnesium dalam kombinasinya dengan
fosfat, oksalat, dan zat-zat lainnya (Suddarths dan Brunner, 2001)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vesikolitektomi adalah mengangkat
batu vesika urinaria (Tjokro, N.A, et al, 2001).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu kandung kemih adalah batu yang
tidak normal didalam saluran kemih yang mengandung komponen kristal dan matriks
organik tepatnya pada vesika urinaria atau kandung kemih. Batu kandung kemih
sebagian besar mengandung batu kalsium oksalat atau fosfat. (Prof. Dr. Arjatm
T. Ph.D dan dr. Hendra Utama, SPFK, 2001).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu ginjal didalam saluran kemih
(kalkulus Uriner) adalah massa keras seperti batu yang terbentuk disepanjang
saluran kemih dan bisa menyebabkan nyeri, perdarahan/ penyumbatan aliran kemih
atau infeksi. Batu ini bisa terbentuk didalam kandung kemih (batu kandung
kemih). proses pembentukan batu ini disebut urolitiasis (litiasis renalis)
(hhtp://id.wikipedia.org).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Smeltzer (2002:1460) bahwa, batu kandung kemih
disebabkan infeksi, statis urin dan periode imobilitas (drainage renal yang
lambat dan perubahan metabolisme kalsium).<br />
Faktor- faktor yang mempengaruhi menurut Soeparman (2001:378) batu kandung kemih
(Vesikolitiasis) adalah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Factor
endogen </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperkalsiuria</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suatu peningkatan kadar kalsium dalam urin, disebabkan
karena, hiperkalsiuria idiopatik (meliputi hiperkalsiuria disebabkan masukan
tinggi natrium, kalsium dan protein), hiperparatiroidisme primer, sarkoidosis,
dan kelebihan vitamin D atau kelebihan kalsium.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipositraturia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suatu penurunan ekskresi inhibitor pembentukan kristal
dalam air kemih, khususnya sitrat, disebabkan idiopatik, asidosis tubulus
ginjal tipe I (lengkap atau tidak lengkap), minum Asetazolamid, dan diare dan
masukan protein tinggi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperurikosuria<br />
Peningkatan kadar asam urat dalam air kemih yang dapat memacu pembentukan batu
kalsium karena masukan diet purin yang berlebih.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan jumlah air kemih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dikarenakan masukan cairan yang sedikit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis cairan yang diminum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Minuman yang banyak mengandung soda seperti soft drink,
jus apel dan jus anggur.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperoksalouria<br />
Kenaikan ekskresi oksalat diatas normal (45 mg/hari), kejadian ini disebabkan
oleh diet rendah kalsium, peningkatan absorbsi kalsium intestinal, dan penyakit
usus kecil atau akibat reseksi pembedahan yang mengganggu absorbsi garam
empedu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ginjal Spongiosa Medula</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disebabkan karena volume air kemih sedikit, batu
kalsium idiopatik (tidak dijumpai predisposisi metabolik).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu Asan Urat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu asam urat banyak disebabkan karena pH air kemih
rendah, dan hiperurikosuria (primer dan sekunder).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu Struvit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu struvit disebabkan karena adanya infeksi saluran
kemih dengan organisme yang memproduksi urease.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kandungan batu kemih kebayakan terdiri dari :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">75 % kalsium.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">15 % batu tripe/batu struvit (Magnesium Amonium
Fosfat).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">6 % batu asam urat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1-2 % sistin (cystine)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-Eksogen.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Faktor lingkungan, pekerjaan
(sopir) , makanan, infeksi bakteri (kurang personal hygine) dan kejenuhan
mineral dalam air minum.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">-lainnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi, stasis dan obstruksi
urine, keturunan, air minum, pekerjaan, makanan atau penduduk yang vegetarian
lebih sering menderita batu saluran kencing atau buli-buli (Syaifuddin, 1996).
Batu kandung kemih dapat disebabkan oleh kalsium oksalat atau agak jarang
sebagai kalsium fosfat. Batu vesika urinaria kemungkinan akan terbentuk apabila
dijumpai satu atau beberapa faktor pembentuk kristal kalsium dan menimbulkan
agregasi pembentukan batu proses pembentukan batu kemungkinan akibat
kecenderungan ekskresi agregat kristal yang lebih besar dan kemungkinan sebagai
kristal kalsium oksalat dalam urine.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dan beberapa medikasi yang
diketahui menyebabkan batu ureter pada banyak klien mencakup penggunaan
obat-obatan yang terlalu lama seperti antasid, diamox, vitamin D, laksatif dan
aspirin dosis tinggi. (Prof.Dr.Arjatmo T. Ph. D.Sp. And. Dan dr. Hendra U.,
SpFk, 2001). Menurut Smeltzer (2002:1460) bahwa, batu kandung kemih disebabkan
infeksi, statis urin dan periode imobilitas (drainage renal yang lambat dan
perubahan metabolisme kalsium).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Manifestasi
Klinis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Dr willie japans, 1993 bahwa
tanda dan gejala atau keluhan tidak selalu ditemukan pada penderita yang
mengidap batu saluran kemih. Bila batunya masih kecil atau besar tapi tidak
berpindah, tidak meregang atau menyumbat permukaan saluran kemih, tidak akan
timbul keluhan seperti biasa sampai suatu saat mungkin ditemukan secara
kebetulan pada saat melalukan check up dan poto roentgen tampak ada batu pada
ginjal. Jika pada suatu saat batu tergeser mengelilingi ginjal kebawah, maka
timbullah gejala nyeri hebat pada daerah pinggang. Saluran ureter yang
menghubungkan ginjal dan kandung kamih kecil sekali sehingga batu akan
meregangkan dindingnya, bahkan merobek menyumbat lubang visika. Jika batu
berhasil sampai bagian bawah saluran ureter maka nyeri akan berpindah dan
terasa merambat kearah kemaluan atau daerah pangkal paha. Biasanya disertai
keluar darah bersama air. Bila lukanya kecil, darah yang keluarpun sedikit dan
hanya dapat dilihat dengan mokroskop. Sumbatan atau regangan batu pada kandung
kemih dapat juga menimbulkan nyeri pada konstan dan tumpul pda daerah atas
kemaluan pada waktu kencing, kencing tidak tuntas, pancaran kencing tidak kuat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu yang terjebak di kandung kemih
biasanya menyebabkan iritasi dan berhubungan dengan infeksi traktus urinarius
dan hematuria, jika terjadi obstruksi pada leher kandung kemih menyebabkan
retensi urin atau bisa menyebabkan sepsis, kondisi ini lebih serius yang dapat
mengancam kehidupan pasien, dapat pula kita lihat tanda seperti mual muntah,
gelisah, nyeri dan perut kembung (Smeltzer, 2002:1461).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika sudah terjadi komplikasi
seperti seperti hidronefrosis maka gejalanya tergantung pada penyebab
penyumbatan, lokasi, dan lamanya penyumbatan. Jika penyumbatan timbul dengan cepat
(Hidronefrosis akut) biasanya akan menyebabkan koliks ginjal (nyeri yang luar
biasa di daerah antara rusuk dan tulang punggung) pada sisi ginjal yang
terkena. Jika penyumbatan berkembang secara perlahan (Hidronefrosis kronis),
biasanya tidak menimbulkan gejala atau nyeri tumpul di daerah antara tulang
rusuk dan tulang punggung.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain tanda diatas, tanda
hidronefrosis yang lain menurut Samsuridjal (http://www.medicastore.com, 4
Desember 2009) adalah:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hematuri.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sering ditemukan infeksi disaluran kemih.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasa nyeri di daerah kandung kemih dan ginjal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mual.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Muntah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri abdomen.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disuria.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menggigil.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patofisiologi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify; text-indent: 24.5pt;">
<span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab spesifik dari batu kandung kemih adalah bisa dari batu kalisium
oksalat dengan inhibotor sitrat dan glikoprotein. Beberapa promotor (reaktan)
dapat memicu pembentukan batu kemih seperti asam sitrat memacu batu kalsium
oksalat. Aksi reaktan dan intibitor belum dikenali sepenuhnya dan terjadi
peningkatan kalsium oksalat, kalsium fosfat dan asam urat meningkat akan
terjadinya batu disaluran kemih. Adapun faktor tertentu yang mempengaruhi
pembentukan batu kandung kemih, mencakup infeksi saluran ureter atau vesika
urinaria, stasis urine, periode imobilitas dan perubahan metabolisme kalsium.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify; text-indent: 24.5pt;">
<span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagian besar batu saluran kencing adalah idiopatik dan dapat bersifat
simtomatik ataupun asimtimatik. Terbentuknya batu saluran kencing memerlukan
adanya substansi organik sebagai inti yang akan mempermudah kristalisasi dan
agregasi substansi pembentukan batu. Terjadinya supersaturasi atau kejenuhan
substansi pembentuk batu dalam urine seperti asam urat, kalsium oksalat, sistin
akan mempermudah terbentuknya batu Perubahan pola urine yang bersifat asam akan
mengendapkan sistin, santin asam dan garam urat, sedangkan pada urine yang
bersifat alkali akan mengendapkan garam-garam fosfat (Prof. Dr. Arjatmo
Tjokonegoro, Ilmu Penyakit Dalam Jilid II).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify; text-indent: 24.5pt;">
<span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor-faktor resiko mencakup usia dan jenis kelamin, kelainan marfologi
makanan yang dapat meningkatkan kalsium dan asam urat, dan adanya kelainan pada
ginjal dan saluran (Brunner dan Suddarth, 2001).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify; text-indent: 24.5pt;">
<span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patway </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify; text-indent: 24.5pt;">
<span style="height: 786px; left: -73px; mso-ignore: vglayout; position: relative; top: 10px; width: 702px; z-index: 251658240;"><img height="776" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image005.gif" width="702" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Penunjang </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan penunjangnya dilakukan di laboratorium
yang meliputi pemeriksaan:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Urine</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pH lebih
dari 7,6 biasanya ditemukan kuman area splitting, organisme dapat berbentuk
batu magnesium amonium phosphat, pH yang rendah menyebabkan pengendapan batu
asam urat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedimen :
sel darah meningkat (90 %), ditemukan pada penderita dengan batu, bila terjadi
infeksi maka sel darah putih akan meningkat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biakan Urin
: Untuk mengetahui adanya bakteri yang berkontribusi dalam proses pembentukan
batu saluran kemih.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekskresi
kalsium, fosfat, asam urat dalam 24 jam untuk melihat apakah terjadi
hiperekskresi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Darah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hb akan
terjadi anemia pada gangguan fungsi ginjal kronis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lekosit
terjadi karena infeksi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ureum
kreatinin untuk melihat fungsi ginjal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kalsium,
fosfat dan asam urat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Radiologis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Foto BNO/IVP
untuk melihat posisi batu, besar batu, apakah terjadi bendungan atau tidak.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
gangguan fungsi ginjal maka IVP tidak dapat dilakukan, pada keadaan ini dapat
dilakukan retrogad pielografi atau dilanjutkan dengan antegrad pielografi tidak
memberikan informasi yang memadai.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">USG (Ultra Sono Grafi)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui sejauh mana terjadi kerusakan pada
jaringan ginjal.<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan <span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut
Soeparman ( 2001:383) pengobatan dapat dilakukan dengan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengatasi Simtom</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan dengan tirah baring dan cari penyebab utama
dari vesikolitiasis, berikan spasme analgetik atau inhibitor sintesis
prostaglandin, bila terjadi koliks ginjal dan tidak di kontra indikasikan
pasang kateter.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengambilan Batu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu dapat keluar sendiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batu tidak diharapkan keluar dengan spontan jika
ukurannya melebihi 6 mm.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vesikolithotomi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengangkatan Batu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lithotripsi gelombang kejut ekstrakorporeal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prosedur non invasif yang digunakan untuk
menghancurkan batu. Litotriptor adalah alat yang digunakan untuk
memecahkan batu tersebut, tetapi alat ini hanya dapat memecahkan batu
dalam batas ukuran 3 cm ke bawah. Bila batu di atas ukuran ini dapat ditangani
dengan gelombang kejut atau sistolitotomi melalui sayatan prannenstiel. Setelah
batu itu pecah menjadi bagian yang terkecil seperti pasir, sisa batu tersebut
dikeluarkan secara spontan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Metode endourologi pengangkatan batu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bidang endourologi mengabungkan ketrampilan ahli
radiologi mengangkat batu renal tanpa pembedahan mayor. Batu diangkat dengan
forseps atau jarring, tergantung dari ukurannya. Selain itu alat ultrasound
dapat dimasukkan ke selang nefrostomi disertai gelombang ultrasonik untuk
menghancurkan batu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ureteroskopi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ureteroskopi mencakup visualisasi dan akses ureter
dengan memasukkan alat ureteroskop melalui sistoskop. Batu dapat dihancurkan
dengan menggunakan laser, litotrips elektrohidraulik, atau ultrasound kemudian
diangkat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan (batu kalsium kronik-kalsium oksalat)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurunkan
konsentrasi reaktan (kalsium dan oksalat)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan
konsentrasi inhibitor pembentuk batu yaitu sitrat (kalium sitrat 20 mEq tiap
malam hari, minum jeruk nipis atau lemon malam hari), dan bila batu tunggal
dengan meningkatkan masukan cairan dan pemeriksaan berkala pembentukan batu
baru.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengaturan diet
dengan meningkatkan masukan cairan, hindari masukan <i>soft drinks</i>, kurangi
masukan protein (sebesar 1 g/Kg BB /hari), membatasi masukan natrium, diet
rendah natrium (80-100 meq/hari), dan masukan kalsium.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian obat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun komplikasi dari batu kandung kemih ini adalah:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hidronefrosis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adalah pelebaran pada ginjal serta pengisutan jaringan
ginjal sehingga ginjal menyerupai sebuah kantong yang berisi kemih, kondisi ini
terjadi karena tekanan dan aliran balik ureter dan urine ke ginjal akibat
kandung kemih tidak<span style="mso-spacerun: yes;"> </span>mampu lagi menampung
urine. Sementara urine terus menerus bertambah dan tidak bisa dikeluarkan. Bila
hal ini terjadi maka, akan timbul nyeri pinggang, teraba benjolan besar di
daerah ginjal dan secara progresif dapat terjadi gagal ginjal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Urimia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adalah peningkatan ureum di dalam darah akibat
ketidakmampuan ginjal menyaring hasil metabolisme ureum, sehingga<span style="mso-spacerun: yes;"> </span>akan terjadi gejala mual-muntah, sakit
kepala, penglihatan kabur, kejang, koma, nafas dan keringat berbau urine.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pyelonefritis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adalah infeksi ginjal yang disebabkan oleh bakteri
yang naik secara assenden ke ginjal dan kandung kemih. Bila hal ini terjadi
maka akan timbul panas yang tinggi disertai menggigil, sakit pinggang, disuria,
poliuria dan nyeri ketok kosta vertebra.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gagal ginjal akut sampai kronis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obstruksi pada kandung kemih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ferforasi pada kandung kemih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hematuria atau kencing darah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri pinggang kronis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi pada saluran ureter dan vesika
urinaria oleh batu (Soeparman, et. al, 1960).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsep Dasar Keperawatan </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asuhan
keperawatan menggunakan pendekatan proses keperawatan yang terdiri dari lima
tahap, yaitu: pengkajian, perumusan, diagnosa, perencanaan, pelaksanaan dan
evaluasi (Nursalam, 2001, dikutip dari iyer, 1996).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian adalah tahap awal dari proses keperawatan
dan merupakan upaya untuk mengumpulkan data secara lengkap dan sistematis mulai
dari pengumpulan data, identifikasi, dan evaluasi status kesehatan pasien
(Nursalam, 2001).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biodata klien dan penanggung jawab</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri pinggang, sakit saat miksi keluar darah serta
nyeri pada supra pubis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat penyakit sebelumnya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah klien pernah dirawat sebelumnya bagaimana cara
klien mengatasi nyeri (mis. Nyeri berkurang jika klien bnyak minum dan
mengurangi aktifitas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah klien ada riwayat alergi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat penyakit keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah ada keluarga yang mengalami penyakit yang sama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah keluarga biasa mengkonsumsi makanan yang banyak
mengandung asam urat (ikan, daging, jeroan dan ayam)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah klien biasa minum air yang sudah dimasak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemahaman klien tentang kejadian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ahli bedah bertanggung jawab, untuk menjelaskan sifat
operasi, semua pilihan alternatif, hasil yang diperkirakan dan kemungkinan
komplikasi yang dapat terjadi. Ahli bedah mendapatkan dua consent (ijin) satu
untuk prosedur bedah dan satu untuk anestesi. Perawat bertanggung jawab untuk
menentukan pemahaman klien tentang informasi, lalu memberitahu ahli bedah
apakah diperlukan informasi lebih banyak (informed consent)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondisi akut dan kronis :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengkompensasi pengaruh trauma bedah dan
anestesi, tubuh manusia membutuhkan fungsi pernafasan, sirkulasi, jantung,
ginjal, hepar dan hematopoetik yang optimal. Setiap kondisi yang mengganggu
fungsi sistem ini (misalnya: DM, gagal jantung kongestif, PPOM. Anemia,
sirosuis, gagal ginjal) dapat mempengaruhi pemulihan. Disamping itu faktor
lain, misalnya usia lanjut, kegemukan dan penyalahgunaan obat / alkohol membuat
klien lebih rentan terhadap komplikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengalaman bedah sebelumny</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawat mengajukan pertanyaan spesifik pada klien
tentang pengalaman pembedahan masa lalu. Informasi yang didapatkandigunakan
untuk meningkatkan kenyamanan (fisik dan psikologis) untuk mencegah komplikasi
serius.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status Nutrisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status nutrisi klien praoperatif secara langsung
mempengaruhi responnya pada trauma pembedahan dan anestesi. Setelah terjadi
luka besar, baik karena trauma atau bedah, tubuh harus membentuk dan
memperbaiki jaringan serta melindungi diri dari infeksi. Untuk membantu proses
ini, klien harus meningkatkan masukan protein dan karbohidrat dengan cukup
untuk mencegah keseimbangan nitrogen negatif, hipoalbuminemia, dan penurunan
berat badan. Status nutrisi merupakan akibat masukan tidak adekuat,
mempengaruhi metabolik atau meningkatkan kebutuhan metabolik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status cairan dan elektrolit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dengan gangguan keseimbangan cairan dan
elektolit cenderung mengalami shock, hipotensi, hipoksia, dan disritmia, baik
pada intraoperatif dan pascaoperatif. Fluktuasi valume cairan merupakan akibat
dari penurunan masukan cairan atau kehilangan cairan abnormal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status emosi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon klien, keluarga dan orang terdekat pada
tindakan pembedahan yang direncanakan tergantung pada pengalaman masa lalu,
strategi koping, signifikan pembedahan dan sistem pendukung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebanyakan klien dengan pembedahan mengalami ancietas
dan ketakutan yang disebabkan penatalaksanaan tindakan operasi, nyeri, dan
immobilitas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola eliminasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah kebiasaan eliminasi urin pada klien vesikolithiasis
( terganggu )</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">penderita miksi lebih sering dari biasanya dapat
terjadi pada malam hari (Nocturia) dan pada siang hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola istirahat tidu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">r</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sering terbangun pada malam hari untuk kencing.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien merasa tidak nyaman</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">m.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi dan diet.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikut ini beberapa tips untuk mengurangi risiko
masalah prostat, antara lain:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengurangi makanan kaya akan kalsium.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makan sedikitnya 5 porsi buah dan sayuran sehari.
Kurangi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berolahraga secara rutin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertahankan berat badan ideal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">n.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kepala :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biasanya pada klien dengan vesikolithiasis tidak ada
ke abnormalan kepala yang dikarenakan oleh batu buli buli</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mata : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak ada tampak ikterik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mulut dan gigi : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">bibir kering, mukosa agak kering.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Thorax : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi bunyi napas normal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Abdomen : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisiensi nutrisi, edema, pruritus, echymosis
menunjukkan renal insufisiensi dari obstruksi yang lama.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Distensi kandung kemih</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">retensi urine</span><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">®</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Inspeksi : Penonjolan pada daerah
supra pubik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">retensi urine</span><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">®</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Palpasi : Akan terasa adanya
ballotement dan ini akan menimbulkan pasien ingin buang air kecil </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">residual urine</span><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-family: "Times New Roman"; mso-char-type: symbol; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Symbol;"><span style="mso-char-type: symbol; mso-symbol-font-family: Symbol;">®</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Perkusi : Redup </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan penis : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">uretra kemungkinan adanya penyebab lain misalnya
stenose meatus, striktur uretra, batu uretra/femosis. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian per sistem</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem Pernafasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atelektasis bida terjadi jika ekspansi
paru yang tidak adekuat karena pengaruh analgetik, anestesi, dan posisi yang
dimobilisasi yang menyebabkan ekspansi tidak maksimal. Penumpukan sekret dapat
menyebabkan pnemunia, hipoksia terjadi karena tekanan oleh agens analgetik dan
anestesi serta bisa terjadi emboli pulmonal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem Sirkulasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam sistem peredaran darah bisa
menyebabkan perdarahan karena lepasnya jahitan atau lepasnya bekuan darah pada
tempat insisi yang bisa menyebabkan syok hipovolemik. Statis vena yang terjadi
karena duduk atau imobilisasi yang terlalu lama bisa terjadi tromboflebitis,
statis vena juga bisa menyebabkan trombus atau karena trauma pembuluh darah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem Gastrointestinal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akibat efek anestesi dapat
menyebabkan peristaltik usus menurun sehingga bisa terjadi distensi abdomen
dengan tanda dan gejala meningkatnya lingkar perut dan terdengar bunyi timpani
saat diperkusi. Mual dan muntah serta konstipasi bisa terjadi karena belum
normalnya peristaltik usus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem Genitourinaria</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akibat pengaruh anestesi bisa menyebabkan
aliran urin involunter karena hilangnya tonus otot.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem Integumen</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perawatan yang tidak memperhatikan
kesterilan dapat menyebabkan infeksi, buruknya fase penyembuhan luka dapat
menyebabkan dehisens luka dengan tanda dan gejala meningkatnya drainase dan
penampakan jaringan yang ada dibawahnya. Eviserasi luka/kelurnya organ dan
jaringan internal melalui insisi bisa terjadi jika ada dehisens luka serta bisa
terjadi pula surgical mump (parotitis).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem Saraf</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bisa menimbulkan nyeri yang tidak
dapat diatasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan penunjang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lab. </span><span style="font-family: Wingdings; mso-ascii-font-family: Calibri; mso-ascii-theme-font: minor-latin; mso-char-type: symbol; mso-fareast-language: IN; mso-hansi-font-family: Calibri; mso-hansi-theme-font: minor-latin; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">è</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> hematuria (bila terjadi obstruksi
yang lama)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan pielografi intravena</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan ultrasonografi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya batu didalam ginjal, vesika
urinaria dan tanda-tanda obstruksi urine</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnose keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pre Operasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan rasa nyaman nyeri berhubungan dengan luka
gesekan batu pada vesika urinaria</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan eliminasi (BAK) retensio urine berhubungan
dengan adanya penutupan saluran kemih oleh batu dan adanya obstruksi mekanik,
peradangan ditandai dengan urgensi dan frekuensi, oliguria (retensi) dan
hematuria.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi deficit volume cairan berhubungan dengan
adannya nausea/vomiting, status hipermetabolisme, demam, proses penyembuhan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurangnya pengetahuan tentang prognosis kebutuhan
perawatan berhubungan dengan pemahaman dan rencana tindakan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Post Operasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan rasa nyeri berhubungan dengan terputusnya
kontinuitas jaringan ditandai dengan keluhan rasa nyeri terus menerus operasi,
ekpresi wajah meringis, nyeri pada angka….(dengan skala 0-10), tingkah laku,
focus pada diri sendiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebersihan jalan napas tidak efektif berhubungan
dengan dampak obat anastesi ditandai dengan pernapasan lebih dari 20 kali
permenit, adanya secret pada jalan napas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi kerusakan integritas kulit berhubungan
dengan pemasangan kateter, efek medikasi, akumulasi, drainase, status metabolic
yang menurun ditandai dengan pemasangan kateter pada permukaan kulit dan
jaringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi infeksi berhubungan dengan terputus
jaringan, dampak dari insisi pembedahan ditandai dengan adanya luka jahitan
operasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pre Operasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan rasa nyaman nyeri berhubungan dengan luka
gesekan batu pada vesika urinaria</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : perubahan pola eliminasi BAK :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Retensio
urin teratasi setelah dilakukan tindakan keperawatan dengan criteria BAK dalam
jumlah normal, pola BAK seperti biasa, nyeri hilang saat kencing</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor out put intake serta karakteristik urine</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
memberikan info tentang fungsi ginjal dan adanya komplikasi seperti infeksi dan
perdarahan dapat mengidentifikasi peningkatan obstruksi atau iritasi ureter</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk meningkatkan intake cairan
(minimal 3 – 4 liter/hari sesuai dengan toleransi jantung)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:
meningkatkan hidrasi dapat mengeluarkan bakteri darah dan dapat mamfasilitasi
pengeluaran batu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tampung urine 24 jam catat jika ada batu yang ikut
keluar dan kirim kelaboratorium untuk dianalisa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: dapat
membantu dalam mengidentifikasi tipe batu dan akan membantu pilihan terapi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi perubahan warna, bau, PH urine setiap 2 jam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : untuk
deteksi dini masalah pengumpulan ureum dan ketidakseimbangan setiap elektrolit
dapat menjadi racun terhadap CNS (Central Nervus System)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dalam memonitor pemeriksaan laboratorium
seperti elektrolit BUN (Blood Urea Nitrogen), keratin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
peningkatan BUN, Kreatinin, dan elektrolit-elektrolit tertentu menindikasikan
adanya disfungsi ginjal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan eliminasi (BAK) retensio urine berhubungan
dengan adanya penutupan saluran kemih oleh batu dan adanya obstruksi mekanik,
peradangan ditandai dengan urgensi dan frekuensi, oliguria (retensi) dan
hematuria.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : setelah dinfakan keperawatan nyeri teratasi
dengan criteria : keluhan nyeri hilang, klien tampak tenang dan tidak
meningkatkan klien dapat tidur/istirahat yang cukup.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat nyeri, lokasi dan karakteristik,
intensitas (skala 0-10). Dan perhatikan tanda-tanda peningkatan tekanan darah,
nadi, tidak bisa beristirahat, gelisah dan rasa nyeri yang meningkat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: membantu
mengevaluasi lokasi nyeri, obstruksi dan pergerakan batu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan penyebab nyeri dan pentingnya
mengidentifikasi perubahan terjadinya karakteristik nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
pengetahuan klien dengan penyebab nyeri dapat membantu meningkatkan koping
klien dan dapat menurunkan kecemasan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan tindakan untuk kenyamanan seperti membatasi
pengunjung, lingkungan yang tenang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:
meningkatkan relaksasi, mengurangi ketegangan otot, dan meningkatkan koping.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan teknik napas dalam sebagai upaya dalam
merelaksasi otot.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
mengalihkan perhatian sebagai upaya dalam merelaksasi otot.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan/Bantu klien melakukan ambulasi secara teratur
sesuai dengan indikasi<span style="mso-spacerun: yes;"> </span>dan meningkatkan intake
cairan minimal 3-4 liter/hari sesuai toleransi jantung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : hidrasi
meningkatkan jalan keluarnya batu mencegah urine statis dan mencegah
pembentukan batu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat keluhan meningkatnya nyeri abdomen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :obstruksi
sempurna pada ureter/vesika urinaria dapat menyebabkan perforasi dan ekstra
vasasi didalam daerah perineal yang memerlukan pembedahan segera.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan kompres hangat pada punggung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasion</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">al :
menghilangkan ketegangan otot dan menurunkan reflek spasme sehingga rasa nyeri
hilang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Courier New"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertahankan
posisi kateter</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : mencegah
urine statis/retensi mengurangi vesiko meningkatnya tekanan renal dan infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dalam pemberian obat sesuai indikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Narkotik missalnya : meperidin (Demerol) morphin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : biasanya
diberikan pada fase akut untuk menurunkan kolik dan meningkatkan relaksasi
otot/mental.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Antispasmodic seperti flavoxate oxybutynin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: menurunkan
reflek spasme yang dapat menurunkan kolik dan nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo30; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kortikosteroid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : digunakan
untuk meningkatkan edema jaringan, untuk memfasilitasi gerakan batu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi deficit volume cairan berhubungan dengan
adannya nausea/vomiting, status hipermetabolisme, demam, proses penyembuhan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : setelah dilakukan tindakan keperawatan
ketakutan tertasi dengan criteria dapat mengungkapkan perasaannya dan
mengidentifikasi cara yang tepat untuk menangani tampak rileks dapat
tidur/istirahat dengan cukup. Pernyataan menurunnya Ketakutan dan kecemasan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adakan kunjungan pada klien dengan personal ruangan
bedah sebelum operasi jika mungkin diskusikan hal-hal yang kiranya dapat
menimbulkan ketakutan kekhawatiran pada klien misalnya masker, lampu,
elektroda, suara outoclave, tangisan kecil.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : dapat
memberikan ketenangan/ketentraman hati dan meredakan kecemasan klien sekaligus
memberikan informasi untuk tindakan operatif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Informasi tentang peran perawat sebagai klien
intraperatif pada klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: membina
hubungan saling percaya, mengurangi ketakutan akan kehilangan control dilingkungan
yang baru/asing.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identifikasi tingkak ketakukan klien yang mungkin
mengharuskan penundaan prosedur operasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : ketakutan
yang berlebihan atau yang menetap dapat menyebabkan reaksi stress yang
berlebihan yang beresiko atau munculnya reaksi yang merugikan terhadap prosedur
pembedahan dan obat anastesi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beritahu klien tentang anastesi spinal/general yang
akan membuat klien tidak sadar/tertidur, dimana jumlah yang lebih akan
diberikan jika perlu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
menerunkan kecemasan atau ketakutan bahwa klien melihat prosedur operasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perkenalkan staf operasi saat klien dipindahkan
keruang operasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : memberi
hubungan dan kenyamanan psikis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bandingkan jadwal operasi, status klien, tingkat
operasi dan bicarakan informed consent.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : menurunkan
ketakuatan bahwa prosedur yang salah mungkin dilakukan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurangnya pengetahuan tentang prognosis kebutuhan
perawatan berhubungan dengan pemahaman dan rencana tindakan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : setelah dilakukan tindakan keperawatan
deficit volume cairan teratasi dengan criteria vital sign normal, berat badan
dalam batas normal, nadi perifer teraba, mukosa membrane lembab, turgor kulit
baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor intake dan out put</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:
perbandingan antara intake dan out put dapat digunakan untuk mengevaluasi
adanya tingkat renal statis atau gangguan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor vital sign dan evaluasi nadi/volume sirkulasi
dan perlunya intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : merupakan
indicator vibrasi atau volume sirkulasi dan perlunya intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Timbang berat badan setiap hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:
peningkatan BB yng cepat biasa berhubungan dengan retensi air</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji adanya muntah, diare, catat karakteristikdan
frekuensi muntah dan diare serta factor pencetusnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
nausea/vomiting dan diare umunya berhubungan dengan kolik renal karena gangguan
sifat seliaka menuju ginjal dan perut, muntah dan diare dapat menyebabkan
kurangnya cairan tubuh</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Post Operasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan rasa nyeri berhubungan dengan terputusnya
kontinuitas jaringan ditandai dengan keluhan rasa nyeri terus menerus operasi,
ekpresi wajah meringis, nyeri pada angka….(dengan skala 0-10), tingkah laku,
focus pada diri sendiri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : jalan napas kembali efektif setelah dilakukan
tindakan keperawatan dengan criteria pola respirasi klien normal (respirasi
16-20) kali permenit), tidak ada ronchi dan stridor, sianosis dan tanda-tanda
hipoksia lainnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidurkan klien dengan posisi terlentang dengan kepala
dimiringkan selama kesadaran belum pulih</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: posisi
tersebut menurunkan resiko aspirasi karena secret terlentang dan dapat keluar
lewat mulut</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi suara napas, dengarkan adanya wheezing
crowing dan tidak adanya suara napas setelah ekspirasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : kurangnya
perbedaannya suara napas merupakan indikasi adanya obstruksi oleh mukusa/lidah
yang dapat dikoreksi dengan pengaturan posisi/suction wheezing dapat merupakan
indikasi bronkho spasma, berkurangnya suara napas menandakan parsia, total
laring spasme</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi frekuensi kedalaman penggunaan otot-otot
Bantu pernapasan, pernapasan cuping hidung, warna kulit dan mukosa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
memastikan keefektifan respirasi dengan segera sehingga tindakan, koreksi dapat
dilakukan segera jika diperlukan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor tanda-tanda vital secara teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : respirasi
yang meningkat, takikardi dan atau barikardi dapat bergerak pada hipoksia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi tingkat kesadaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : dengan
mengobservasi tingkat kesadaran klien dapat diketahui perkembangan klien dan
keberhasilan operasi, serta menentukan tindakan keperawatan selanjutnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi kebersihan jalan napas dan kebersihan sisa
muntahan yang masih tertiggal (dimulut, melakukan section bila perlu)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : obstruksi
jalan napas dapat terjadi, larutan section bila perlu atau mucus didalam
tenggorokan/trakea.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dalam pemberian O<sub>2</sub> intake sesuai
indikasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:
memaksimalkan O<sub>2</sub> intake untuk berkaitan dengan Hb</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebersihan jalan napas tidak efektif berhubungan
dengan dampak obat anastesi ditandai dengan pernapasan lebih dari 20 kali
permenit, adanya secret pada jalan napas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : gangguan ras nyaman nyeri teratasi setelah
dilakukan tindakan keperwatan dengan criteria keluhan nyeri hilang, tampak
rilek, dapat istirahat/tidur dengan cukup dan dapat berpartisipasi secara
adekuat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor dan dokumentasikan lokasi dan tempat dari
nyeri, catat umuir klien, berat badan, catatan medis/problem psikologis,
kesensitipan terhadap analgetik tertentu, hasil intraOperatif seperti ukuran,
lokasi, insisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
pendekatan penagananan nyeri post operatif tingkatan pada berbagai factor.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Review laporan intraoperatif/respirasi atau mengetahui
tipe anastesi dan obat-obatan yang dilakukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: klien yang
dianastesi dengan fluthane dan ether dapat mengalami efek analgetik sisa/residu
sebagai tambahan, intraoperatif : Blokoka/regional memiliki waktu yang
bervariasi yaitu 1-2 jam untuk regional atau lebih 2-6 jam untuk lokal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi nyeri secara teratur (setiap 2 jam), catat
karakteristik lokasi dan intensitas nyeri (skala 0-10)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: memberikan
informasi tentang kebutuhan untuk dan atau keaktifan intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan untuk menggunakan teknik relaksasi, seperti
latihan napas dalam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
menghilangkan ketegangan otot dan dapat meningkatkan kemampuan koping</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keposisi sesuai indikasi, misalnya semifowler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : dapat
menghilangkan nyeri dan menunjang sirkulasi jaringan, semifowler dapat
menurunkan tegangan otot abdomen dan tulang belakang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan informasi tentang ketidaknyamanan yang akan
terjadi yang hanya bersifat sementara</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: pemahaman
tentang ketidaknyaman dapat memberikan keterangan emosional.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi pemberian analgetik intravena sesuai
indikasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: analgetik
intra vena akan mencapai pusat nyeri dengan segera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi kerusakan integritas kulit berhubungan
dengan pemasangan kateter, efek medikasi, akumulasi, drainase, status metabolic
yang menurun ditandai dengan pemasangan kateter pada permukaan kulit dan jaringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : gangguan integritas jaringan kulit teratsi
setelah dilakukan tondakan keperawatan dengan criteria : luka sembuh sesuai
dengan waktu yang ditentukan, klien dapat mendemontrasikan teknik/prilaku yang
menunjang penyembuhan ddan pencegahan komplikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lepaskan plester dan balutkan dengan lembut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
menurunkan resiko trauma pada kulit dan gangguan pada luka operasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi luka secara teratur, catat karakteristik dan
integritasnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
pengenalan dini terhadap adanya penyembuhan yang terlambat atau perkembangan
kearah komplikasi dapat mencegah situasi yang lebih serius</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji jumlah dan karakteristik drainase</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: penurunan
jumlah drainase mengarah kepada kemajuan proses penyemabuhan, sedangkan
drainase yang tepat/ mengandung darah eksudat menandakan adanya komplikasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk tidak menyentuh luka </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: mencegah
terkontaminasinya luka</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ganjal area insisi pada abdomen dengan bantal pada
saat batuk/ bergerak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:
menggunakan tekanan pada luka, meminimalkan resiko terputusnya jahitan atau
rupturnya jaringan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ganti dan keluarkan balutan sesuai indikasi, rawat
luka yang menggunakan teknik aseptic</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
melindungi luka dari injuri mekanik dan kontaminasi, mencegah akumulasi
cairan/eksudat yang dapat mengakibatkan infeksi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dalam pemberian es jika diperlukan,
penmggunaan abdominal binder-iritasi luka disertai debridement sesuai kebutuhan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :
menurunkan pembentukan edema</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi infeksi berhubungan dengan terputus
jaringan, dampak dari insisi pembedahan ditandai dengan adanya luka jahitan
operasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : infeksi tidak terjadi setelah dilakukan
tindakan kepaeawatan dengan criteria tidak ada tanda-tanda infeksi luka :
purulent, drainase, eritema, luka sembuh pada waktunya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi tanda-tanda infeksi pad luka post operasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : dapat
diketahui secra dini tanda-tanda infeksi pada luka operasi seperti edema,
kemerahan, nyeri, yang bertambah berat/terdapat pus pada luka tersebut</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor tanda-tanda vital, catat serangan panas,
perubahan kesadaran, atau keluhan meningkatnya nyeri yang hebat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : merupakan
tanda-tanda adanjya peradangan/sepsis yang berkembang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi insisi dan balutan, catat karakteristik
drainase dari luka/drainase adanya erytem</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : infeksi
dini dari perkembangan proses infeksidan atau memonitor perkembangan kearah
abses</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor kelancaran drain, hitung output dan warna
cairan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : dapat
diketahui adanya infeksi pada luka operasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan informasi tentang hal-hal yang mempengaruhi
daya tahan tubuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dengan
meningkatkan pengetahuan klien tentang hal-hal yang mempengaruhi daaaaya tahan
tubuh diharapkan klien dapat kooperatif dengan tindakan keperawatan yang akan
dilakuakan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Implementasi<span style="color: black; mso-themecolor: text1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah rencana tindakan keperawatan disusun secara
sistemik. Selanjutnya rencana tindakan tersebut diterapkan dalam bentuk
kegiatan yang nyata dan terpadu guna memenuhi kebutuhan dan mencapai tujuan
yang diharapkan.<span style="color: black; mso-themecolor: text1;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi<span style="color: black; mso-themecolor: text1;"> </span></span></b><b style="mso-bidi-font-weight: normal;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi adalah perbandingan yang sistemik atau
terencana tentang kesehatan pasien dengan tujuan yang telah ditetapkan,
dilakukan dengan cara berkesinambungan, dengan melibatkan pasien, keluarga dan
tenaga kesehatan lainnya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Daftar
Pustaka </span></b></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Doengoes E. marlynn.1999.
Rencana Asuhan Keperawatan pedoman Untuk Perencanaan dan Pendokumentasian
Perawatan Pasien. EGC: jakarta</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Didi GoldWine </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.2012. asuhan Keperawatan Vesikolithiasi. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<a href="http://dgoldwine.blogspot.com/2012/03/vesikolithiasis.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://dgoldwine.blogspot.com/2012/03/vesikolithiasis.html</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. diakses pada tanggal 2 juli 2014 pukul 19.00 WIB. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agustion Suzuki A.Md.Kep </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. 2011. Askep Vesikolithiasis. </span></div>
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<a href="http://agustion-gustifit.blogspot.com/2011/10/askep-visikolitiasis.html"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">http://agustion-gustifit.blogspot.com/2011/10/askep-visikolitiasis.html</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. diakses pada tanggal 2 juli pukul 19.30 WIB.</span></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-75274576076869080572015-10-30T03:00:00.000-07:002015-10-30T03:00:15.422-07:00laporan CKD<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Laporan Pendahuluan CKD ( Cronik Kidney Disease )</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anatomi dan Fisiologi</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
sistem </span></b><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;">perkemihan </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ginjal
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ginjal
terletak di bagian belakang abdomen atas, di belakang peritonium, di depan dua
kosta terakhir dan tiga otot-otot besar transversus abdominalis, kuadratus
lumborum dan psoas mayor. Ginjal dipertahankan dalam posisi tersebut oleh
bantuan lemak yang tebal. Di sebelah posterior dilindungi oleh kosta dan
otot-otot yang meliputi kosta, sedangkan di anterior dilindungi oleh bantalan
usus yang tebal. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
oran dewasa panajng ginjal 12-13 c,, lebarnya 6 cm dan beratnya antara 120-150
gram. Ukurannya tidak berbeda menurut bentuk dan ukuran tubuh. Sebanyak 95%
orang dewasa memiliki jarak antara ginjal 11-15 cm. Perbedaan panjang kedua
ginjal lebih dari 1,5 cm atau perubahan bentuk merupakan tanda yang penting
karena kebanyakan penyakit ginjal dimanifestasikan dengan perubahan struktur.
Permukaan anterior dan pisterior katup atas dan bawah serta pinggir lateral
ginjal berbentuk konveks, sedangkan pinggir medialnya berbentuk konkaf karena
adanya hilus. Ada beberapa struktur yang masuk dan keluar dari ginjal melalui
hilus antara lain arteri dan vena renalis, saraf dan pembuluh getah bening.
Ginja diliputi oleh suatu kapsul tribosa tipis mengilat, yang berikatan longgar
dengan jaringan dibawahnya dan dapat dilepaskan degnan mudah dari permukaan
ginjal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian - Bagian Ginjal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila sebuah ginjal kita iris
memanjang, akan tampak bahwa ginjal terdiri dari tiga bagian, yaitu bagian
kulit (korteks), sumsum ginjal (medula), dan bagian rongga ginjal (pelvis
renalis).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kulit ginjal (korteks)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada kulit ginjal terdapat bagian yang
bertugas melaksanakan penyaringan darah yang disebut nefron. Pada tempat
penyaringan darah ini banyak mengandung kapiler-kapiler darah yang tersusun
bergumpal-gumpal disebut glomerolus. Tiap glomerolus dikelilingi oleh simpai
bownman, dan gabungan antara glomerolus dengan simpai bownman disebut badan
malphigi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyaringan darah terjadi pada
badan malphigi, yaitu di antara glomerolus dan simpai bownman. Zat- zat yang
terlarut dalam darah akan masuk ke dalam simpai bownman. Dari sini zat-zat
tersebut akan menuju ke pembuluh yang merupakan lanjutan dari sompai bownman
yang terdapat di dalam sumsum ginjjal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Unit fungsional ginjal adalah
nefron. Pada manusia setiap ginjal mengandung 1- 1,5 juta nefron yang pada
dasarnya mempunyai struktur dan fungsi yang sama. Nefron dibagi menjadi dua
jenis yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo5; tab-stops: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nefron kortikalis yaitu nefron yang
glomerulinya terletak pada bagian luar dan korteks dengan lingkungan henle yang
pendek dan tetap berada pada korteks atau mengadakan penetrasi hanya sampai ke
zona luar dari medula.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nefron juxtamedullaris yaitu nefron yang
glomerulinya terletak pada bagian dalam dari korteks dekat denga korteks medula
dengan lengkung henle yang panjang dan turun jauh ke dalam zona dalam dari
medula, sebelum berbalik dan kembali ke korteks.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian – Bagian
Nefron :</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Glomerolus </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suatu jaringan
berbentuk bola yang berasal dari arteriolafferent yang kemudian bersatu menjadi
arteriol eferen, berfungsi sebagi filtrasi sebagian air dan zat yang terlarut
dari darah yang melewatinya.</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kapsul bownman</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian tubulus yang
melingkupi glomerolus untk mengumpulkan cairan yang difiltrasi oleh kapiller
glomerolus.</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tubulus terbagi menjadi 3 yaitu :</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tubulus
Proksimal </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tubulus proksimal berfungsi
mengadakan reabsorbsi badan-badan dari cairan tubuli dan mensekresikan bahan-
bahan kedalam cairan tubuli.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo10; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lengkung
Henle </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lengking henle membentuk lengkungan
tajam berbentuk U. Terdiri dati pars descendens yaitu bagian yang menurun
terbenam dari korteks ke medula, dan pars descendens yaitu bagian yang naik
kembali ke korteks. Bagian bawah lengkung henle mempunyai dinding yang sangat
tipis sehingga disebut segmen tipis, sedangkan bagian atas lebih tebal disebut
segmen tebal. Lengkung henle berfungsi reabsorbsi bahan- bahan dari cairan
tubulus dan sekresi bahan- bahan ke dalam cairan tubulus. Selain itu, berperan
penting dalam mekanisme konsentrasi dan difusi urin.</span></div>
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<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tubulus
Distal </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tubulus distal berfungsi dalam
reabsorbsi dan sekresi zat- zat tertentu.</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Duktus pengumpul ( duktus kolektifus)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Satu duktus pngumpul
mungkin menerima cairan dari delapan nefron yang berlainan. Setiap duktus
pengumpul terbenam kedalam medula untuk mengosongkan cairan isinya (urin) ke
dalam pelvis ginjal.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sumsum Ginjal (medula)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sumsum ginjal terdiri beberapa
badan berbentuk kerucut yang disebut piramid renal. Dengan dasarnya menghadap
korteks dan puncungnya disebut apeks atau papila renin, mengarah ke bagian
dalam ginjal. Satu piramid dengan jaringan korteks di dalamnya disebut lobus
ginjal. Piramid antara 8 hingga 18 buah tampak bergaris-garis karena terdiri
atas berkas saluran paralel (tubuli dan duktus koligentes). Diantara piramid
terdapat jaringan korteks yang disebut kolumna renal. Pada bagian ini berkumpul
ribuan pembuluh halus yang merupakan lanjutan dari simpai bownman. Di dalam
pembuluh halus ini terangkut urin yang merupakan hasil penyaringan darah dalam
bagian malphigi, setelah mengalami berbagai proses.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rongga Ginjal (pelvis renalis)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pelvis renalis adalah ujung urteri
yang berpangkal di ginjal, berbentuk corong lebar. Sebelum berbatasan dengan
jaringan ginjal, pelvis renalis bercabang dua atau tiga disebut kaliks mayor,
yang masing-masing bercabang membentuk beberapa kaliks minor yang langsung
menutupi papilla renin ddari piramid. Kaliks minor ini menampung urin yang
terus keluar dari papila. Dari kaliks minor, urin masuk ke kaliks minor, ke
pelvis renin, ke ureter, hingga ditampung dalam kandung kemih (vesika uinaria).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
Ginjal </span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengatur Volume Air (cairan) dalam
tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kelebihan air dalam tubuh akan
dieksresikan oleh ginjal sebagai urin (kemih) yang encer dalam jumlah besar,
kekurangan air (kelebihan keringat) menyebabkan urin yang dieksresi berkurang
dan kinsentrasinya lebih pekat sehingga susunan dan volume cairan tubuh dapat
dipertahankan relatif normal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengatu keseimbangan osmotic dan
mempertahankan keseimbangan ion yang optimal dalam plasma (keseimbangan
elektrolit). Bila terjadi pemasukan atau pengeluaran yang abnormal ion- ion
akibat pemasukan garam yang berlebihan atau penyakit perdarahan (diare atau
muntah) ginjal akan meningkatkan eksresi ion-ion yang penting (misalnya
natrium, kalium, klorida, kalsium, dan fosfat).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengatu keseimbangan asam basa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cairan tubh bergantung pada apa
yang dimakan, campuran makana menghasilkan urin yang bersifat agak asam, pH
kurang dari 6 ini disebabkan hasil akhir metabolisme protein. Apabila banyak
makan sayur-sayuran, urin akan bersifat basa. pH urin bervariasi antara
4,8-8,2. Ginjal mengsekresi urin sesuai dengan perubahan pH darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Eksresi sisa hasil metabolisme (ureum,
asam urat, kreatinin) zat-zat toksik, obat-obatan, hasil metabolisme hemoglobin
dan bahan kimia asing (pestisida).</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi hormonal dan metabolisme. Ginjal
mensekresi hormone rennin yang mempunyai peranan penting mengatur tekanan darah
(sistem renin angiotensin aldosteron) membentuk eritropoiesis mempunyai peranan
penting untuk memproses pembentukan sel darah merah (eritropoiesis).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Peredaran darah ginjal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ginjal mendapat darah dari aorta
abdominalis yang mempunyai percabangan arteria renalis, yang berpasangan kiri
dan kanan dan bercabang menjadi arteria interlobaris kemudian menjadi arteri
akuata. Arteria interlobularis yang berada di tepi ginjal bercabang menjadi
kapiler membentuk gumpalan yang disebut glomerolus dan dikelilingi oleh alat
yang disebut simpai bownman, didalamnya terjadi penyadangan pertama dan kapiler
darah yang meninggalkan simpai bowman kemudian menjadi vena renalis masuk ke
vena kava inferior.</span></div>
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<br /></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persyarafan Ginjal</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ginjal mendapat persyarafan dari
pleksus renalis (vasomotor). Saraf ini berfungsi mengatur jumlah dara yang
masuk ke dalam ginjal, saraf ini berjalan bersamaan dengan pembuluh darah yang
masuk ke ginjal. Anak ginjal (kelenjar suprarenal) terdapat di atas ginjal yang
merupakan sebuah kelenjar buntu yang menghasilkan dua macam hormon yaitu hormon
adrenalin dan hormon kostison.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ureter
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ureter
adalah tulang atau saluran yang menghubungkan ginjal dengan kandung kemih.
Ureter murupakan lanjutan pelvis renis, menuju distal dan bermuara pada vasica
urinaria. Panjangnya 25-30 cm. Persarafan ureter oleh pleksus hypogastrikus
inferior T11-12 melalui neuron-neuron simpatis. Ureter terdiri dari dua bagian
yaitu pars abdominalis (urete sebagian terletak dalam rongga abdomen) dan pars
pelvina (sebagian terletak dalam rongga pelvis). Terdiri dari 2 saluran pupa
masing-masing bersambung dari ginjal ke kandung kemih (vesika urinaria)
panjangnya </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image002.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>25-30 cm dengan penampung </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image002.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>0,5 cm.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Dinding
ureter terdiri dari tiga lapisan : dinding luar jaringan ikat (jaringan
fibrosa), lapisan tengah otot polos dan lapisan sebelah dalam lapisan mukosa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Tiga
tempat penyempitan pada ureter :</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ureteropelvic junction (terletaak dekat
pelvis ginjal)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tempat penyilangan ureter dengan vassa
iliaca sama dengan flexura marginalis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Muara ureter ke dalam vesica urinaria</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lapisan
dinding ureter menimbulkan gerakan-gerakan peristaltik tiap 5 menit sekali yang
akan mendorong air kemih masuk ke dalam kandung kemih (vesika urinaria).
Gerakan peristaltik mendorong urin melalui ureter yang dieksresikan oleh ginjal
dan disemprotkan dalam bentuk pancaran, melalui osteum uretralis masuk ke dalam
kandungkemih. Ureter berjalan hampir vertikal ke bawah sepanjang fasia muskulus
psoas dal dilapisi oleh pedtodinium. Penyempitan ureter terjadi pada tempat
ureter meninggalkan pelvis renalis, pembuluh darah, saraf fan pembuluh
sekitarnya mempunyai saraf sensorik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembuluh
darah ureter :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arteri renalis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arteri spermatik interna</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arteri hipogastrika</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arteri vesikalis inferior</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persarafan ureter </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persarafan ureter merupakan cabang
dari pleksus mesenterikus inferior, fleksus spermatikus, dan pleksus pelvis sepertiga
dari nervus vagus rantai eferens dan nervus vagus rantai eferens dari nervus
torakali ke-11 dan ke-12, nervus lumbalis ke-1, dan nervus vagus mempunyai
rantai eferens untuk ureter.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Vesika
Urinaria</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Disebut
juga bladder/ kandung kemih. Vesika urinaria merupakan kandung berongga yang
dapat diregangkan dan volumenya dapat disesuaikan dengan mengubah status
kontraktil otot polos di dindingnya. Secara berkala urin dikosongkan dari
kandung kemih ke luar tubuh melalui uretra. Organ ini mempunyai fungsi sebagai
reservoir urin (200-400 cc). Dindingnya mempunyai lapisan otot yang kuat.
Letaknya di belakang os pubis. Bentuk vesika urinaria bila penuh seperti telur
(ovoid). Apabila kosong, seperti limas. Apex (puncak) vesica urinaria terletak
di belakang symphysis pubis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
vesika urinaria adalah sebagai tempat penyimpanan urin dan mendorong urin
keluar dari tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian – Bagian Vesika Urinaria </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; tab-stops: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fundud, yaitu bagian yang menghadap ke
arah belakang dan bawah, bagian ini terpisah dari rektum oleh spatrium
rectosivikale yang terisi oleh jaringan ikat duktus deferent, vesika seminalis
dan prostate.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; tab-stops: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Korpus, yaitu bagian antara verteks dan
fundus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo12; tab-stops: 99.25pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Verteks, bagian yang maju ke arah muka
dan berhubungan dengan ligamentum vesika umbilikalis. Dinding kandung kemih
terdiri dari berapa lapisan yaitu peritoneum (lapisan sebelah luar), tunika
muskularis, tunika submukosa, dan lapisa mukosa (mukosa bagian dalam).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persarafan Vesika Urinaria</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persarafan pertama berasal dari
saraf-saraf pelvis, yaitu berhubungan dengan medula spinalis melalui pleksus
sakralis (S3-S4) dari medula spinalis. Saraf sensorik mendeteksi drajat
regangan dalam dinding kandung kemih. Sinyal regangan merupakan sinyal yang
kuat terutama berperan untuk memicu reflek pengosongan kandung kemih. Saraf motorik
merupakan saraf parasimpatik. Saraf ini berakhir di sel ganglion yang terletak
di dalam dinding kandung kemih. Mempersarafi otot detrusor (kontraksi kandung
kemih).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uretra
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uretra
merupakan saluran sempit yang berpangkal pada kandung kemih yang berfungsi
menyalurkan air kemih keluar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
laki-laki uretra berkelok-kelok melalui tengah-tengah prostat kemudian menembus
lapisan fibrosa yang menembus tulang pubis ke bagian penis. Panjangnnya </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image002.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>20 cm.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Uretra
pada laki-laki terdiri atas :</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Uretra prostaria</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Uretra membranosa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Uretra kavernosa</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lapisan
uretra laki-laki terdiri dari lapisan mukosa (lapisan paling dalam) dan lapisan
submukosa.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Uretra
pada wanita terletak di belakang simfisis pubis berjalan miring sedikit ke arah
atas, panjangnya </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image002.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>3-4 cm. Lapisan uretra pada wanita terdiri
dari tunika muskularis (sebelah luar), lapisan spongeosa merupakan pleksus dari
vena-vena dan lapisan mukosa (lapisan sebelah dalam). Muara uretra pada wanita
terletak di sebelah atas vagina (antara klitoris dan vagina) dan uretra di sini
hanya sebagian saluran ekskresi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Chronik kidney disease adalah<b> </b></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kondisi
penyakit pada ginjal yang persisten (keberlangsungan </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image004.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>3 bulan) dengan kerusakan ginjal, kerusakan
GFR dengan angka GFR </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image006.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>60 ml/menit/1,73m. (Mc clellan, 2006)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gagal ginjal kronik adalah </span><a href="http://renal-colic.net/beware-to-renal-colic"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gangguan fungsi renal</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> yang
progresif dan reversible dimana kemampuan tubuh gagal untuk mempertahankan
metabolisme dan keseimbangan cairan dan elektrolit yang menyebabkan uremia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi
</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Infeksi
saluran kemih (pielonefritis kronis)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
peradangan (glomerulonerfitis) primer dan sekunder. Glomerulonerfitis adalah
peradangan ginjal bilateral, biasanya timbul paska infeksi streptococcus, untuk
glomerulus akut, gangguan fisiologis utamanya dapat mengakibatkan ekskresi air,
natrium dan zat-zat nitrogen berkurang sehingga timbul edemadan azotemia,
peningkatan aldosteron menebabkan retensi air dan natrium. Penyakit<span style="mso-spacerun: yes;"> </span>vaskuler hipertensi (nefrosklerosis, stenosis
arteri renalis). Merupakan penyakit primer dan menyebabkan kerusakan pada
ginjal. Sebaliknya, GGK dapat menyebabkan hipertensi melalui mekanisme retensi
Na dan H<sub>2</sub>O, pengaruh vasopresor dari system rennin angiotensin dan
defisiensi prostaglandin, keadaan ini merupakan salah satu penyebab utama GGK,
terutama pada populasi bukan orang kulit putih.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gangguan
jaringan penyambung (SLE, poliarteritis nodusa, sklerosis sistemik)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
congenital dan herediter (penyakit ginjal polikistik, asidosis tubulus ginjal).
penyakit ginjal polikistik yang ditandai dengan kista multiple, bilateral yang
mengadakan ekspansi dan lambat laun mengganggu dan menghancurkan parenkim
ginjal normal akibat penekanan. Asidosis tubulus ginjal merupakan gangguan
ekskresi H<sup>+</sup> dari tubulus ginjal/ kehilangan HCO<sub>3</sub> dalam
kemih walu GFR yang memadai tetap dipertahankan, akibatnya timbul asidosis
metabolic.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
metabolic (DM, gout, hiperparatiroidisme)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nefropati
toksis</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level3 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nefropati
obstruktif (batu saluran kemih)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Manifestasi
Klinis </span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi
klinik antara lain (Barbara C Long,1996:369) :</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo14; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala Dini : lethargi,sakit
kepala,kelemahan fisik dan mental, berat badan berkurang,mudah
tersinggung,depresi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo14; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala yang lebih lanjut :
anoreksia,mual disertai muntah, nafas dangkal atau sesak nafas baik waktu ada
kegiatan atau tidak,edema yang disertai lekukan,pruritis mungkin tidak ada tapi
mungkin juga sangat parah.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi
klinik menurut (Smeltzer,2001:1449) antara lain hipertensi,(akibat retensi
cairan dan natrium dari aktivitas sistem renin angiotensin-aldosteron),gagal
jantung kongestif dan udem pulmoner (akibat cairan berlebihan) dan perikarditis
(akibat iritasi pada lapisan perikardial oleh toksik, pruritis, anoreksia, mual,
muntah, cegukan, kedutan otot, kejang, perubahan tingkat kesadaran, tingkat
mampu berkonsentrasi).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manifestasi
klinik menurut Suyono (2001) adlah sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem Kardiovaskuler, antara lain
hipertensi, pitting edema, edema periorbital, pembesaran vena leher,friction
subpericardial.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem Pulmoner, antara lain nafas
dangkal, krekel,kusmaull,sputum kental dan liat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem Gastrointestinal, antara lain
anoreksia, mual dan muntah perdarahan saluran GI, ulserasi dan perdarahan
mulut, nafas berbau amonia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem Musculoskeletal, antara lain kram
otot, kehilngan kekuatan otot, fraktur tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem Integumen,<span style="mso-spacerun: yes;"> </span>antara lain warna kulit abu-abu
mengilat,pruritus,kulit kering bersisik,ekimosis,kuku tipis dan rapuh ,rambut
tipis dan kasar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem Resproduksi, antara lain
amenore,atrofi testis.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 189.2pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Patofisiologi
</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada
wak tu terjadi gagal ginjal, sebagian nefron (termasuk glomerulus dan tubulus)
diduga utuh sedangkan yang lain rusak. Nefron-nefron yang utuh hipertropibdan
memproduksi volume filtrasi yang meningkat disertai reabsorbsi walaupun dalam
keadaan penurunan GFR/daya saring. Metode adaptif ini memungkinkan ginjal untuk
berfungsi sampai </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -9.0pt; position: relative; top: 9.0pt;"><img height="30" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image008.gif" width="7" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>dari nefron-nefron
rusak. Beban bahan yang harus dilarut menjadi lebih besar daripada yang bisa
direabsorpsi berakibat dieresis osmotic disertai poliuri dan haus. Selanjutnya,
oleh karena jumlah nefron yang rusak bertambah banyak, oliguri timbul disertai
retensi produk sisa. Titik dimana timbulnya gejala-gejala pada pasien menjadi
lebih jelas dan muncul gejala-gejala khas kegagalan ginjal bila kira-kira
fungsi ginjal telah hilang 80%-90%. Pada tingkat ini, fungsi renal yang
demikian, nilai kreatinin clearance turun sampai 15ml/menit atau lebih rendah.
(Barbara C Long, 1996) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<table align="left" border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt; mso-border-insideh: none; mso-border-insidev: none; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-anchor-horizontal: margin; mso-table-anchor-vertical: page; mso-table-left: left; mso-table-lspace: 9.0pt; mso-table-rspace: 9.0pt; mso-table-top: 65.3pt; mso-yfti-tbllook: 1184; width: 650px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Hipertensi </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 20px; left: 0px; margin-left: 57px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251658240;"><img height="20" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image009.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="height: 46px; margin-left: 84px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 91px; z-index: 251661312;"><img height="46" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image010.gif" width="91" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-language: IN; mso-no-proof: yes;"></span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"><span style="mso-spacerun: yes;"> </span>CKD</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 60px; left: 0px; margin-left: 62px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 239px; z-index: 251662336;"><img height="60" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image011.gif" width="239" /></span><span style="height: 46px; left: 0px; margin-left: 62px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 98px; z-index: 251663360;"><img height="46" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image012.gif" width="98" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-language: IN; mso-no-proof: yes;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 43px; left: 0px; margin-left: 69px; margin-top: 16px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251668480;"><img height="43" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image013.gif" width="12" /></span><span style="height: 12px; left: 0px; margin-left: 140px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 52px; z-index: 251667456;"><img height="12" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image014.gif" width="52" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Edema ekstremitas</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 57px; left: 0px; margin-left: 47px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251666432;"><img height="57" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image015.gif" width="12" /></span><span style="height: 21px; left: 0px; margin-left: 64px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251664384;"><img height="21" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image016.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">GFR</span></div>
</td>
<td colspan="2" style="padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 24px; left: 0px; margin-left: 101px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251665408;"><img height="24" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image017.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Sekresi endopomin</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Retensi Na</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251669504;"><span style="height: 42px; left: 48px; position: absolute; top: -1px; width: 12px;"><img height="42" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image018.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251670528;"><span style="height: 18px; left: 36px; position: absolute; top: -1px; width: 12px;"><img height="18" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image019.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ketidakseimbangan
cairan dan elektrolit</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 53px; left: 0px; margin-left: 47px; margin-top: 22px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251671552;"><img height="53" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image020.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Proteinuria</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="height: 42px; margin-left: 48px; margin-top: 16px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251673600;"><img height="42" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image021.gif" width="12" /></span><span style="height: 25px; margin-left: 82px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251672576;"><img height="25" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image022.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Produksi HB</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 58px; left: 0px; margin-left: 43px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251674624;"><img height="58" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image023.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Total CES </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image025.gif" width="7" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="height: 65px; margin-left: 71px; margin-top: 62px; mso-ignore: vglayout; position: absolute; width: 138px; z-index: 251675648;"><img height="65" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image026.gif" width="138" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 70px; left: 0px; margin-left: 47px; margin-top: 43px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251677696;"><img height="70" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image027.gif" width="12" /></span><span style="height: 12px; left: 0px; margin-left: 86px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 33px; z-index: 251678720;"><img height="12" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image028.gif" width="33" /></span><span style="mso-ignore: vglayout; position: relative; z-index: 251676672;"><span style="height: 16px; left: -1px; left: 0px; position: absolute; top: -2px; width: 12px;"><img height="16" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image029.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Ureum dan kreatinin</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Urokrom
tertimbun di kulit</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 60px; left: 0px; margin-left: 55px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251680768;"><img height="60" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image030.gif" width="12" /></span><span style="mso-ignore: vglayout; position: relative; z-index: 251679744;"><span style="height: 21px; left: 0px; left: 65px; position: absolute; top: -1px; width: 12px;"><img height="21" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image031.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">O</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">₂</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 41px; left: 0px; margin-left: 43px; margin-top: 36px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251681792;"><img height="41" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image032.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Tekanan kapiler naik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="height: 38px; margin-left: 45px; margin-top: 1px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251682816;"><img height="38" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image033.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 42px; left: 0px; margin-left: 55px; margin-top: 36px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251683840;"><img height="42" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image034.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Capilary refeil >3</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Vol
intertisial naik</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Gangguan
keseimbngan asam basa</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 42px; left: 0px; margin-left: 47px; margin-top: 34px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251684864;"><img height="42" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image035.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nafas bau uremia</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251688960;"><span style="height: 81px; left: -2px; position: absolute; top: -1px; width: 102px;">
</span></span></div>
<table cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td bgcolor="white" height="81" style="background: white; border: .75pt solid black; vertical-align: top;" width="102"><span style="mso-ignore: vglayout; position: absolute; z-index: 251688960;">
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td>
<div class="shape" style="padding: 4.35pt 7.95pt 4.35pt 7.95pt;">
<div class="MsoNormal">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Perubahan warna kulit kekeringan</span></div>
</div>
</td>
</tr>
</tbody></table>
</span> </td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 66px; left: 0px; margin-left: 76px; margin-top: 35px; mso-ignore: vglayout; position: absolute; width: 130px; z-index: 251686912;"><img height="66" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image036.gif" width="130" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 37px; left: 0px; margin-left: 65px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251687936;"><img height="37" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image037.gif" width="12" /></span><span style="mso-ignore: vglayout; position: relative; z-index: 251685888;"><span style="height: 22px; left: 0px; left: 90px; position: absolute; top: -2px; width: 12px;"><img height="22" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image038.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Suplai O</span><span style="font-size: 12.0pt; mso-ascii-font-family: Calibri; mso-bidi-font-family: "Times New Roman"; mso-hansi-font-family: Calibri;">₂</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251689984;"><span style="height: 39px; left: 0px; left: 43px; position: absolute; top: -1px; width: 12px;"><img height="39" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image039.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 39px; left: 0px; margin-left: 43px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251691008;"><img height="39" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image040.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Edema</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="height: 42px; margin-left: 69px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251692032;"><img height="42" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image041.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 57px; left: 0px; margin-left: 69px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251695104;"><img height="57" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image042.gif" width="12" /></span><span style="height: 17px; left: 0px; margin-left: 126px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251694080;"><img height="17" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image043.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Produksi asam</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 31px; left: 0px; margin-left: 44px; margin-top: 38px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251693056;"><img height="31" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image044.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nafas Kusmaul</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Intoleransi
aktifitas</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Gangguan
perfusi jaringan</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Kelebihan
volume<span style="mso-spacerun: yes;"> </span>cairan</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 12;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 13;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251696128;"><span style="height: 17px; left: 0px; left: 120px; position: absolute; top: -2px; width: 12px;"><img height="17" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image045.gif" width="12" /></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Asam lambung</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Perubahan pola
nafas</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 14;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="height: 34px; margin-left: 69px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251697152;"><img height="34" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image046.gif" width="12" /></span><span style="height: 38px; margin-left: 74px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 137px; z-index: 251698176;"><img height="38" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image047.gif" width="137" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 15;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 30px; left: 0px; margin-left: 69px; margin-top: 22px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251699200;"><img height="30" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image048.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Nausea, vomiting</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Iritasi
lambung</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 16;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<span style="height: 59px; margin-left: 52px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 89px; z-index: 251701248;"><img height="59" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image049.gif" width="89" /></span><span style="height: 33px; margin-left: 47px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251700224;"><img height="33" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image050.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;"></span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 17;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 52px; left: 0px; margin-left: 77px; margin-top: 31px; mso-ignore: vglayout; position: absolute; width: 98px; z-index: 251703296;"><img height="52" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image051.gif" width="98" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Resiko gangguan nutrisi</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="height: 42px; left: 0px; margin-left: 47px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251702272;"><img height="42" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image035.gif" width="12" /></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Infeksi</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Pendarahan</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 18;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 19; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 118.05pt;" valign="top" width="157">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Gastritis</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 87.1pt;" valign="top" width="116">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 13.55pt;" valign="top" width="18">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 96.1pt;" valign="top" width="128">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 89.15pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 65.3pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan
Penunjang</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Urin</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 49.65pt; mso-border-insideh: none; mso-border-insidev: none; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.45pt;" valign="top" width="121">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Volume </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 307.9pt;" valign="top" width="411">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Biasanya kurang dari 400ml/24 jam
(oliguri)/anuria</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.45pt;" valign="top" width="121">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Warna </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 307.9pt;" valign="top" width="411">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Secara abnormal urine keruh,
mungkin disebabkan oleh pus, bakteri, lemak, partikel koloid, fosfat lunak,
sedimen kotor, kecoklatan menunjukan adanya darah, Hb, mioglobulin, forfirin</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.45pt;" valign="top" width="121">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berat jenis </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 307.9pt;" valign="top" width="411">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">< 1,051 (menetap pada 1.010
menunjukan kerusakan ginjal berat)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.45pt;" valign="top" width="121">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Osmolalitas </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 307.9pt;" valign="top" width="411">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">< 350 Mosm/kg menunjukan
kerusakan mubular dan rasio urin/sering 1 : 1</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.45pt;" valign="top" width="121">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kliren kreatinin </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 307.9pt;" valign="top" width="411">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mungkin agak menurun</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.45pt;" valign="top" width="121">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Natrium </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 307.9pt;" valign="top" width="411">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">>40 ME <sub>0</sub> /% karena
ginjal tidak mampu mereabsorbsi natrium</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 90.45pt;" valign="top" width="121">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Protein </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.15pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 307.9pt;" valign="top" width="411">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Derajat tinggi proteinuria (3-4+) secara
bulat, menunjukan kerusakan glomerulus jika SDM dan fagmen juga ada pH,
kekeruhan, glukosa, SDP dan SDM</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Darah </span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 49.65pt; mso-border-insideh: none; mso-border-insidev: none; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 69.15pt;" valign="top" width="92">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BUN</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.2pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 329.15pt;" valign="top" width="439">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Urea adalah produksi akhir dari
metabolism protein, peningkatan BUN dapat merupakan indikasi dehidrasi,
kegagalan prerenal atau gagal ginjal</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 69.15pt;" valign="top" width="92">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kreatinin </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.2pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 329.15pt;" valign="top" width="439">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Produksi katabolisme otot dari
pemecahan kreatinin otot dan kreatinin posfat. Bila 50% nefron rusak maka
kadar kreatinin meningkat. </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 69.15pt;" valign="top" width="92">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Elektrolit </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.2pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 329.15pt;" valign="top" width="439">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Natrium, kalium, kalsium dan
posfat </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 69.15pt;" valign="top" width="92">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hematologi </span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 14.2pt;" valign="top" width="19">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">:</span></div>
</td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 329.15pt;" valign="top" width="439">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hb, thrombosit, Ht dan leukosit</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pielografi intravena </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menunjukan abnormalitas pelvis
ginjal dan ureter</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sistouretrogram berkemih</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menunjukan ukuran kandung kemih,
refluks kedalam uretet, retensi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ultrasonografi ginjal</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menunjukan ukuran kandung kemih,
adanya massa, kista, obstruksi pada saluran perkemihan bagian atas</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Biopsy ginjal</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mungkin dilakukan secara endoskopi
untuk menentukan sel jaringan untuk diagnose histologist</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Endoskopi ginjal nefroskopi</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dilakukan untuk menentukan pelvis
ginjal,keluar batu, hematuria, dan pengankatan tumor selektif.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">EKG</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mungkin abnormal menunjukan
ketidakseimbangan elektrolit dan asam basa, aritmia, hipertrofi ventrikel dan
tanda-tanda perikarditis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penatalaksanaan
</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
mendukung pemulihan dan kesembuhan pada klien yang mengalami CKD maka
penatalaksanaan pada klien CKD terdiri dari penatalaksanan medis/farmakologi,
penatalaksanan keperawatan dan penatalaksanaan diet. Dimana tujuan
penatalaksaan adalah untuk mempertahankan fungsi ginjal dan homeostasis selama
mungkin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan medis </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cairan yang diperbolehkan adalah 500 samapai 600 ml
untuk 24 jam atau dengan menjumlahkan urine yang keluar dalam 24 jam ditamnbah
dengan IWL 500ml, maka air yang masuk harus sesuai dengan penjumlahan tersebut.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian
vitamin untuk klien penting karena diet rendah protein tidak cukup
memberikan komplemen vitamin yang diperlukan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperfosfatemia
dan hipokalemia ditangani dengan antasida mengandung alumunium atau kalsium
karbonat, keduanya harus diberikan dengan makanan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertensi ditangani dengan berbagai medikasi antihipertensif
dan control volume intravaskuler.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asidosis metabolik pada gagal ginjal kronik biasanya
tampa gejala dan tidak memerlukan penanganan, namun demikian suplemen makanan
karbonat atau dialisis mungkin diperlukan untuk mengoreksi asidosis metabolic
jika kondisi ini memerlukan gejala.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperkalemia biasanya dicegah dengan penanganan
dialisis yang adekuat disertai pengambilan kalium dan pemantauan yang cermat
terhadap kandungan kalium pada seluruh medikasi oral maupun intravena. </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien harus diet rendah kalium kadang – kadang kayexelate sesuai
kebutuhan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anemia pada
gagal ginjal kronis ditangani dengan epogen (eritropoetin manusia rekombinan).
Epogen diberikan secara intravena atau subkutan tiga kali seminggu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemodialisa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemodialisa
adalah suatu teknologi tinggi sebagai terapi pengganti fungsi ginjal untuk
mengeluarkan sisa-sisa metabolism atau racun tertentu dari peredaran darah
manusia seperti air, natrium, kalium, hydrogen, urea, kreatinin, asam urat, dan
zat-zat lainya melalui membrane semi permeable sebagai pemisah darah dan cairan
dialist pada ginjal buatan dimana terjadi proses difusi, osmosis, dan
ultrefiltrasi. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level4 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Transplantasi ginjal</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Transplantasi
ginjal adalah suatu metode terapi dengan “memanfaatkan” sebuah ginjal sehat
(yang diperoleh melalui proses pendonoran) melalui prosedur pembedahan. Ginjal
sehat dapat berasal dari individu yang masih hidup (donor hidup) atau yang baru
saja meninggal (donor cadaver). Ginjal ‘cangkokan’ ini selanjutnya akan
mengambil alih fungsi kedua ginjal yang sudah rusak. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan Keperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l34 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hitung
intake dan output yaitu cairan : 500 cc ditambah urine dan hilangnya cairan
dengan cara lain (kasat mata) dalam waktu 24 jam sebelumnya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l34 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elektrolit
yang perlu diperhatikan yaitu natrium dan kalium. Natrium dapat diberikan
sampai 500 mg dalam waktu 24 jam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan
Diet</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kalori harus
cukup : 2000 – 3000 kalori dalam waktu 24 jam.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karbohidrat
minimal 200 gr/hari untuk mencegah terjadinya katabolisme protein</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lemak
diberikan bebas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diet uremia
dengan memberikan vitamin : tiamin, riboflavin, niasin dan asam folat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diet rendah
protein karena urea, asam urat dan asam organik, hasil pemecahan makanan dan
protein jaringan akan menumpuk secara cepat dalam darah jika terdapat gagguan
pada klirens ginjal. Protein yang diberikan harus yang bernilai biologis tinggi
seperti telur, daging sebanyak 0,3 – 0,5 mg/kg/hari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> darurat </span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kadar kalium dalam darah harus
dimonitor untuk mendeteksi hiperkalemia. Terapi darurat mencakup terapi
dialisiis, pemberian resin pertukaran kation peroral atau rectal, seperti
natrium polystyrene sulfonate, dan pemberian kalsium glukonat I.V. natrium
bikarbonat, glukosa hipertonik 50% dan insulin regular.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komplikasi
</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurut
Smeltzer (2000), komplikasi gagal ginjal kronik yang memerlukan pendekatan
kolaboratif dalam perawatan, mencakup </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hiperkalemia, akibat penurunan eksresi,
asidosis metabolic, katabolisme dan masukan diit berlebih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perikarditis, efusi pericardial dan
temponade jantung akibat retensi produk sampah uremik dan dianalisis yang tidak
adekuat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hipertensi, akibat retensi cairan dan
natrium serta mal fungsi sistem rennin, angiotensin, aldosteron.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anemia, akibat penurunan eritropoeitin,
penurunan rentang usia sel darah merah, pendarahan gastrointestinal akibat
iritasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo20; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit tulang, akibat retensi fosfat,
kadar kalium serum yang rendah metabolisme vitamin D, abnormal dan peningkatan
kadar aluminium.<a href="https://www.blogger.com/null" name="_GoBack"></a></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Asuhan Keperawatan </span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asuhan keperawatan adalah
faktor penting dalam survival pasien dan dalam aspek-aspek Promotif, Preventif,
Kuratif, Rehabilitatif. Untuk sampai pada hal ini, profesi keperawatan telah
mengidentifikasi proses pemecahan masalah yang menggabungkan elemen yang paling
di inginkan dari seni keperawatan dengan elemen yang paling relevan dari sistem
teori, dengan menggunakan metode ilmiah.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Doenges, Marilyn E. 1999)</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proses keperawatan merupakan
proses yang sistematis yang saling berhubungan, yang disusun menjadi 5 tahap,
yang menekankan pada asuhan keperawatan secara individual:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian
keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian adalah tahap awal dari proses
keperawatan dan merupakan suatu proses keperawatan dan merupakan suatu proses
yang sistematis dalam pengumpulan data dari berbagai sumber untuk mengevaluasi
dan mengidentifikasi status kesehatan klien. (lyer dkk, 1996 dalam
Nursalam,2001).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian keperawatan terdiri atas 3 tahap
yaitu pengumpulan, pengelompokan atau pengorganisasian, sehingga di temukan
diagnosa keperawatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian dasar Gagal Ginjal Kronik:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
gangguan kronis dan gangguan yang mendasari status kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji derajat
kerusakan Ginjal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan
pemeriksaan fisik : tanda-tanda vital (Nadi, respirasi, Tekanan darah, suhu
badan) Sistem saraf, sistem integumen, dan sistem musculoskeletal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data dasar
pengkajian pasien tergantung pada tahap penyakit dan derajat yang terkena.(Doenges,
Maryline, 1999 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktifitas /
Istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Kelelahan ekstrim, Kelemahan, Malaise, Gangguan tidur, (Insomnia /gelisah
atau somnolen)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Kelemahan otot , kehilangan tonus, Penurunan rentang gerak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sirkulasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Riwayat Hipertensi lama atau berat Palpitasi ; Nyeri dada (Angina )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda :<span style="mso-spacerun: yes;"> </span>Hipertensi ; DVJ, Nadi kuat, Edema jaringan
umum Dan pitting pada kaki,<span style="mso-spacerun: yes;"> </span>telapak
tangan. Disritmia Jantung, Nadi Lemah Halus, hipotensi, Pucat ; kulit Coklat
kehitaman , kuning Kecendrungan perdarahan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Integritas
Ego</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Faktor stres contoh Finansial, hubungan dan sebagainya, Perasaan tidak
berdaya, tidak ada kekuatan, tidak ada harapan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<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>Menolak, Ansietas, Takut, marah, mudah terangsang, perubahan<span style="mso-spacerun: yes;"> </span>kepribadian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eliminasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Penurunan frekuensi urine, oliguria, anuria (Pada tahap lanjut), Abdomen
kembung, diare atau konstipasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Perubahan
warna urine,; contoh kuning pekat, merah, coklat. Oliguria dapat menjadi
anuria.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan /
Cairan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Peningkatan berat badan cepat (edema), Malnutrisi, Anoreksia, nyeri ulu
hati, mual/muntah, rasa tak sedap pada mulut</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Distensi abdomen/asites, Pembesaran hati (Tahap akhir), Perubahan turgor
kulit kelembaban, Edema, Ulserasi gusi, perdarahan gusi dan mulut, Penurunan
otot, penurunan lemak sub kutan, penampilan tak bertenaga.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensori</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Sakit kepala , penglihatan kabur., Kram otot/ kejang, <span style="mso-spacerun: yes;"> </span>Kesemutan dan kelemahan, khususnya ekstrimitas
bawah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda <span style="mso-tab-count: 1;"> </span>: Gangguan status mental, contoh
penurunan lapang perhatian, ketidakmampuan berkonsentrasi, penurunan tingkat
kesadaran, stupor, koma. Rambut tipis, kuku rapuh dan tipis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri /
kenyamanan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Nyeri panggul, sakit kepala, kram otot nyeri kaki</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>Perilaku berhati-hati, gelisah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pernapasan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>Napas pendek; batuk dengan/tanpa sputum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Takipnea, dispnea, Peningkatan frekwensi/ kedalaman (kusmaul). Batuk
produktif dengan sputum merah muda</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">m.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Kulit gatal, Ada/ berulangnya infeksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span>Pruritus, Demam; sepsis dehidrasi, Normotermia
dapat secara atual terjadi peningkatan pada pasien yang mengalami suhu tubuh
lebih rendah dari normal, Fraktur tulang, Deposit fosfat kalsium pada kulit,
jaringan lunak, sendi, keterbatasan gerak sendi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">n.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seksualitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Penurunan libido, amenorea, infertilitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">o.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi
sosisal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala :
Kesulitan menentukan kondisi, contoh tak mampu bekerja, mempertahankan fungsi
peran dalam keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">p.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyuluhan /
Pembelajaran</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala <span style="mso-tab-count: 1;"> </span>: Riwayat DM keluarga (Resiko tinggi
untuk gagal ginjal) Penyakit polikistik,<span style="mso-spacerun: yes;">
</span>Nefritis, Riwayat terpajan pada toksik, contoh obat dan racun lingkungan
,Penggunaan antibiotik berulang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa keperawatan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelebihan
volume cairan berhubungan dengan penurunan haluaran urin dan retensi air dan
natrium.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan anoreksia, nausea,
vomitus, perubahan membrane mukosa oral.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas berhubungan dengan keletihan, anemia, retensi produk sampah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
mobilitas fisik berhubungan dengan penurunan kekuatan atau tahanan, gangguan
metabolisme tulang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang
pengetahuan tentang kondisi dan penanganan berhubungan dengan kurang
terpajannya informasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
tinggi penurunan curah jantung berhubungan dengan ketidakseimbangan elektrolit
dan akumulasi toksin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rencana<span style="mso-spacerun: yes;"> </span>Keperawatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi adalah rencana yang disusun oleh
perawat untuk kepentingan tindakan keperawatan bagi perawat yang menulis dan
perawat lainnya (carpenito 2000).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelebihan
volume cairan berhubungan dengan penurunan haluaran urin dan retensi air dan
natrium.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan <span style="mso-tab-count: 1;"> </span>: mempertahankan berat tubuh ideal tanpa
kelebihan cairan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kriteria
hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memepertahankan
pembatasan diet dan cairan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">menunjukan
turgor kulit normal tanpa edema </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">menunjukan
tanda-tanda vital normal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">menunjukan
tidak adanya distensi vena leher </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji status
cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Timbang berat badan harian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keseimbangan
masukan dan haluaran </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Turgor kulit
dan adanya edema </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Distensi
vena leher </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan
darah, denyut dan irama nadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : pengkajian merupakan data dasar dan berkelanjutan untuk memantau
Perubahan dan mengevaluasi intervensi<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batasi
pemasukan cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pembatasan
cairan akan menentukan berat tubuh ideal, haluaran urin<span style="mso-spacerun: yes;"> </span>dan respon </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identifikasi
sumber potensial cairan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Sumber
kelebihan cairan yang tidak diketahui dapat diidentifikasi. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
pada pasien dan keluarga mengenai pembatasan cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Untuk
peningkatan kerja sama pasien dan keluarga dalam pembatasan cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkatkan
dan dorong oral hiegyne oral dengan sering</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :
Hiegine mengurangi kekeringan membran mukosa mulut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
medikasi antihipertensi sesuai indikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional <span style="mso-tab-count: 1;"> </span>: Medikasi antihipertensi berperan
penting dalam penanganan hipertensi yang berhubungan dengan gagal ginal
kronik.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan anoreksia, Nausea,
vomitus, perubahan membran mukosa oral.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan <span style="mso-tab-count: 1;"> </span>: Mempertahankan masukan nutrisi yang
adekuat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kriteria
hasil <span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengkonsumsi
protein yang mengandung nilai biologis yang tinggi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengkonsumsi
makanan tinggi kalori dalam batasan diet </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melaporkan
peningkatan nafsu makan menunjukan tidak adanya penurunan berat badan yang
cepat<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji status
nutrisi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menyediakan
data untuk memantau perubahan dan mengevaluasi intrvensi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji pola
diet nutrisi pasien </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : pola
diet dahulu dan sekarang dapat di pertimbangkan dalam menyusun menu </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji faktor
yang berperan dalam merubah masukan nutrisi<span style="mso-spacerun: yes;">
</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : menyedikan
informasi mengenai faktor lain yang dapat di ubah atau di hilangkan untuk
meningkatkan masukan diet </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyediakan<span style="mso-spacerun: yes;"> </span>makanan kesukaan pasien dalam batas-batas
diet </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :
mendorong peningkatan masukan klien </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
makanan yang tinggi kalori, rendah protein, rendah natrium diantaranya waktu
makan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mengurangi
makanan dan protein yang di batasi dan menyediakan kalori untuk energi,
membatasi protein untuk pertumbuhan dan penyembuhan jaringan<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediakan
daftar makanan yang di anjurkan secara tertulis dan anjurkan untuk memperbaiki
rasa tanpa menggunakan natrium<span style="mso-spacerun: yes;"> </span>dan
kalium untuk pasien dan keluarga dapat di gunakan di rumah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Daftar
yang dibuat menyediakan pendekatan positif terhadap pembatasan diet dan
merupakan referensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas berhubungan dengan keletihan, anemia, retensi produk sampah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Berpartisipasi
dalam aktivitas yang dapat di toleransi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kriteria
hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">berpartisipasi
dalam meningkatkan tingkat aktivitas dan latihan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">melaporkan
peningkatan rasa kesejateraan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">berpartisipasi
dalam aktivitas dalam perawatan mandiri yang pilih</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi <span style="mso-tab-count: 1;"> </span>: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji faktor
yang menimbulkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :
Menyediakan informasi tentang indikasi tingkat<span style="mso-spacerun: yes;">
</span>keletihan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkatkan
kemandirian dalam aktivitas perawatan diri yang dapat ditoleransi: bantu<span style="mso-spacerun: yes;"> </span>jika keletihan terjadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Meningkatkan
aktivitas ringan/sedang dan memperbaiki harga diri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
aktivitas alternatif sambil istirahat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mendorong
aktivitas dan latihan pada batas-batas yang dapat di toleransi dan isrirahat
yang adekuat<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
terapi komponen darah sesuai indikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Terapi
komponen darah mungkin diperlukan jika pasien simtomatik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
indikasi sesuai resep<span style="mso-spacerun: yes;"> </span>mencakup suplemen
zat besi dan asam folat dan multivitamin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Sel
darah merah membutuhkan zat besi , asam folat dan multivitamin untuk produksi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 144.0pt 153.0pt 171.0pt 180.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 144.0pt 153.0pt 171.0pt 180.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
mobilitas fisik berhubungan dengan penurunan kekuatan atau tahanan, gangguan
muskuloskeletal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Mempertahankan
mobilitas/fungsi optimal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil : Menunjukan peningkatan kekuatan dan bebas dari komplikasi<span style="mso-spacerun: yes;"> </span>(kotraktur,) dekubitus </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
keterbatasan aktivitas, perhatikan adanya keterbatasan atau keitdakmampuan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : mempengaruhi
pilihan intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ubuh posisi
secara sering bila tirah baring, dukung bagian tubuh yang sakit/sendi dengan
bantalan sesuai indikasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menurunkan
ketidaknyamanan, mempertahankan otot/mobilitas sendi, meningkatkan sirkulasi
dan mencegah kerusakn kulit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
pijatan kulit., pertahankan kebersihan dan kekeringan kulit, pertahankan linen
kering dan bebas kerutan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :
Merangsang sirkulasi, mencegah iritasi kulit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong napas
dalam<span style="mso-spacerun: yes;"> </span>dan batuk tinggikan kepala tempat
tidur sesuai yang diperbolehkan. Ubah satu sisi ke sisi lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Memobilisasi
sekresi, memperbaiki ekspansi paru<span style="mso-spacerun: yes;"> </span>dan
menurunkan resiko komplikasi paru contoh atelektasis, pneumonia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan<span style="mso-spacerun: yes;"> </span>pengalihan dengan tepat pada kondisi pasien
contoh kunjungan radio TV atau buku</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menurunkan
kebosanan, meningkatkan relaksasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang
pengetahuan tentang kondisi dan penanganan berhubungan dengan kurang
terpajannya informasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan <span style="mso-tab-count: 1;"> </span>: Meningkatkan pengetahuan kondisi dan
penangan yang bersangkutan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
Hasil<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyatakan
hubungan antara penyebab gagal ginjal dan konsekuensinya </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembatasan
cairan dan diet sehubungan dengan kegagalan regulasi ginjal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menanyakan
tentang pilihan terapi, yang merupakan petunjuk kesiapan belajar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyatakan
rencana untuk melanjutkan kehidupan normalnya sedapat mungkin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
pemahaman mengenai penyebab gagal ginjal kronik, konsekuensinya dan
penanganannya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :
Merupakan instruksi dasar untuk penjelasan dan penyuluhan lebih lanjut <span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
fungis renal dan konsekuensi gagal ginjal sesuai denga tingkat pemahaman dan
kesiapan pasien untuk belajar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pasien
dapat belajar tentang gagal ginjal dan penanganan setelah mereka siap untuk
memahami dan menerima diagnosis dan konsekuensinya. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu pasien
untuk mengidentifiaksi cara-cara untuk memahami berbagai perubahan akibat
panyakit dan penangan yang mempengaruhi dan penanganan yang mempengaruhi
hidupnya. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pasien
dapat melihat bahwa tidak harus berubah akibat penyakit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediakan
informasi baik tertulis maupun<span style="mso-spacerun: yes;"> </span>lisan
dengan tepat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional ; pasien
memiliki informasi yang dapat digunakan untuk klasifikasinya di rumah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 94.5pt 144.0pt 153.0pt 171.0pt 180.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
tinggi penurunan curah jantung berhubungan dengan ketidakseimbangan elektrolit
dan akumulasi toksin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria evaluasi<span style="mso-tab-count: 1;"> </span>: Mempertahankan curah jantung dengan bukti
tekanan darah dan frekuensi jantung dalam batas normal, nadi perifer kuat dan
sama dengan waktu pengisian kapiler.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi bunyi
jantung dan paru. Evaluasi adanya edema perifer / kongesti vascular dan keluhan
dispnea.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Takikardia
frekuensi jantung tak teratur, takipnea, mengi, dan edema / distensi jugular
menunujukan gagal ginjal kronik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji adanya /
derajat hipertensi : awasi tekanan darah, perhatikan perubahan postural, contoh
duduk, berbaring, berdiri.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Hipertensi
bermakna dapat terjadi karena gangguan pada sistem aldosteron renin
angiontensin (disebabkan oleh disfungsi ginjal ). Meskipun hipertensi umum,
hipotensi ortostatik dapat terjadi sehubungn dengan defisit cairan, respon
terhadap obat anti hipertensi, atau temponade pericardial uremik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selidiki keluhan
nyeri dada, perhatikan lokasi radiasi, beratnya ( skala 0-10) dan apakah tidak
menetap dengan inspirasi dalam dan posisi terlentang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Hipertensi
dan GJK dapat menyebabkan IM, kurang lebih pasien gagal ginjal kronik dengan
dialysis mengalami perikaridtis, potensial resiko efusi perikardial /
temponade.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi bunyi
jantung takanan darah, nadi perifer, pengisian kapiler, kongesti vaskuler, suhu
dan sensori / mental.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Adanya
hipontensi tiba-tiba, penyempitan tekanan nadi, penurunan / tak adanya nadi
perifer, distensi jugular nyata, pucat, dan penyimpangan mental cepat
menunjukan tempo nadi, yang merupakan kedaduratan medik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelaksanaan Keperawatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Implementasi merupakan pelaksanaan perencanaan
keperawatan oleh perawat dan klien (Nursalam,2001)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Implementasi keperawatan dibedakan atas 3 bagian
berdasarkan kewenangan dan tanggung jawab perawat secara professional
sebagaimana terdapat dalam standar praktek keperawatan (Nursalam, 2001)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo35; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Independen</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan
keperawatan independen adalah suatu kegiatan yang dilaksanakan oleh perawat
tanpa petunjuk dan perintah dari dokter atau tenaga kesehatan lainnya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo35; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interdependen</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interdependen
tindakan keparawatan menjelaskan suatu kegiatan yang memerlukan kerjasama
dengan tenaga kesehatan lainnya misalnya tenaga sosial, ahli gizi, fisioterapi
dan dokter.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo35; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dependen</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan
dependen berhubungan dengan pelaksanaan tindakan medis. Tindakan tersebut
menandakan suatu cara dimana tindakan dilaksanakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evauasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi adalah fase pengkajian proses
keperawatan yang menilai keefektifan tindakan keperawatan dan mengindikasi
kemajuan klien terhadap tujuan pencapaian(Nursalam, 2001). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi adalah tindakan intelektual untuk melengkapi
proses keperawatan yang menandakan seberapa jauh diagnosa keperawatan, rencana
tindakan, dan pelaksanaannya sudah berhasil dicapai.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan evaluasi adalah untuk menentukan seberapa
efektifnya tindakan keperawatan itu untuk mencegah atau mengobati respon
manusia terhadap prosedur kesehatan. Berdasarkan respon klien terhadap tindakan
keperawatan yang diberikan sehingga perawat dapat mengambil keputusan: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengakhiri
rencana tindakan keperawatan (klien tetah mencapai tujuan yang ditetapkan)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memodifikasi
rencana tindakan keperawatan (klien mengalami kesulitan untuk mencapai tujuan)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meneruskan
rencana tindakan keprerawatan (klien memerlukan waktu yang lama untuk mencapai
tujuan).(Nursalam, 2001) </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">DAFTAR PUSTAKA</span></b><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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Doengoes, Marilynn E.1999. <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Rencana
Asuhan Keperawatan: Pedoman Untuk Perencanaan dan Pendokumentasian Perawatan
Pasien. </i></b>EGC : Jakarta.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Smeltzer Suzzane C dan Bare
Brenda G. 2001. <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Buku Ajar Keperawatan Medikal Bedah Brunner & Suddarth edisi 8 vol.
2.</i></b> EGC : Jakarta.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Haryono Rudi. 2013. <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Keperawatan
Medikal Bedah : Sistem Perkemihan</i></b>. Rapha Publishing: Yogyakarta.</span><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-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;">Marya R. K.2013. <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Buku
Ajar Patofisiologi Mekanisme terjadinya Penyakit</i></b>. Binarupa Aksara
Publisher: Tangerang Selatan</span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-24322850571054936032015-09-29T08:01:00.000-07:002015-09-29T08:02:47.072-07:00laporan pendahuluan PTG<!--[if !mso]>
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" /></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">F</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ungsi organ
reproduksi wanita</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memproduksi
sejumlah kecil ovum yaitu sel telur matur.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyediakan
tempat yang sesuai untuk fertilisasi ovum oleh spermatozoon.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l28 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Menyediakan lingkungan yang cocok sehingga
embrio mendapatkan nutrisi dan dapat berkembang serta matur.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Genetalia
Eksterna (bagian luar)</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meliputi semua organ-organ yang terletak antara os
pubis, ramus inferior dan perineum. Antara lain:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mons veneris</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> / mons pubis (daerah tumbuhnya rambut)</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan bagian yang menonjol (bantalan) berisi
jaringan lemak dan sedikit jaringan ikat yang terletak di atas s</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">h</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ympisis
pubis. Setelah pubertas kulit dari mons veneris tertutup oleh rambut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">-rambut</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mons veneris berfungsi untuk
melindungi alat genetalia dari masuknya kotoran selain itu untuk estetika.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Labia Mayora
(bibir besar)</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan kelanjutan dari mons veneris berbentuk
lonjong dan menonjol, berasal dari mons veneris dan berjalan ke bawah dan
belakang. Kedua bibir ini di bagian bawah bertemu membentuk perineum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> (pemisah anus dengan vulva)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. Permukaan ini terdiri dari :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo11; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagian luar</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: tertutup rambut, yang merupakan
kelanjutan dari rambut pada<span style="mso-spacerun: yes;"> </span>mons
veneris.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo11; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagian dalam</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: tanpa
rambut, merupakan selaput yang mengandung kelenjar sebasea (lemak)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Berfungsi untuk menutupi organ-organ genetalia di dalamnya dan
mengeluarkan cairan pelumas pada saat menerima rangsangan.</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Labia Minora atau Nimfae (bibir kecil)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan lipatan di bagian dalam bibir besar, tanpa
rambut. Dibagian atas klitoris, bibir kecil bertemu membentuk prepusium
klitoridis dan di bagian bawahnya bertemu membentuk frenulum klitoridis. Bibir
kecil ini mengelilingi orifisium vagina.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Clitoris (kelentit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">/ jaringan yang berisi saraf</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan sebuah jaringan erektil<span style="color: red;"> </span>kecil yang serupa dengan penis laki-laki. Mengandung
banyak urat-urat syaraf sensoris dan pembuluh-pembuluh darah sehingga sangat
peka. Letaknya anterior dalam vestibula.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Berfungsi untuk menutupi orga-organ genetalia di dalamnya serta merupakan
daerah erotik yang mengandung pambuluh darah dan syaraf.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vestibulum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> (muara
vagina)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan alat reproduksi bagian luar yang dibatasi
oleh kedua bibir kecil, bagian atas klitoris, bagian belakang (bawah) pertemuan
kedua bibir kecil. Pada vestibulum terdapat muara uretra, dua lubang saluran
kelenjar Bartholini, dua lubang saluran Skene.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Berfungsi untuk mengeluarkan cairan yang berguna untuk melumasi vagina
pada saat bersenggama.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelenjar Bartholini </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(kelenjar lendir)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan kelenjar terpenting di daerah vulva dan
vagina karena dapat mengeluarkan lendir. Pengeluaran lendir meningkat saat
hubungan seks, dan salurannya keluar antara himen dan labia minora.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hymen <span style="mso-bidi-font-style: italic;">(selaput
dara)</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan jaringan yang menutupi lubang vagina,
bersifat rapuh dan mudah robek. Himen ini berlubang sehingga menjadi saluran
dari lendir yang dikeluarkan uterus dan darah saat menstruasi. Bila himen
tertutup seluruhnya disebut hymen imperforata dan menimbulkan gejala klinik
setelah mendapat menstruasi. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lubang kencing (orifisium uretra externa)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat keluarnya air kencing yang terletak dibawah
klitoris. Fungsinya sebagai saluran untuk keluarnya air kencing.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perineum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> (jarak
vulva dan anus)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terletak diantara vulva dan anus, panjangnya kurang
lebih 4cm.Terdapat otot-otot yang penting yaitu <span style="mso-bidi-font-style: italic;">sfingter anus eksterna<i> dan </i>interna</span> serta dipersyarafi
oleh <span style="mso-bidi-font-style: italic;">saraf pudendus</span> dan
cabang-cabangnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Genetalia Interna </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(bagian dalam)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vagina (liang senggama)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan saluran muskulo-membraneus yang
menghubungkan uterus dengan vulva. Jaringan muskulusnya merupakan kelanjutan
dari muskulus sfingter ani dan muskulus levator ani, oleh karena itu dapat
dikendalikan. Vagina terletak di antara kandung kemih dan rektum. Panjang
bagian depannya sekitar 9 cm dan dinding belakangnya sekitar 11 cm. Pada
dinding vagina terdapat lipatan-lipatan melintang disebur rugae dan terutama di
bagian bawah. Pada puncak (ujung) vagina, menonjol serviks bagian dari uterus.
Bagian serviks yang menonjol ke dalam vagina disebut porsio. Porsio uteri
membagi puncak vagina menjadi forniks anterior (depan), forniks posterior
(belakang),forniks dekstra (kanan), forniks sinistra (kiri). Sel dinding vagina
mengandung banyak glikogen yang menghasilkan asam susu dengan PH 4,5. Keasaman
vagina memberikan proteksi terhadap infeksi. Fungsi utama vagina adalah:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sebagai saluran keluar dari uterus yang dapat
mengalirkan darah pada waktu haid dan sekret dari uterus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sebagai alat persetubuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sebagai jalan lahir pada waktu partus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Uterus (rahim)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Uterus adalah organ yang tebal, berotot, berbentuk
buah pir, terletak di dalam pelvis (panggul), antara rektum di belakang dan
kandung kencing di depan.<span style="color: red;"><span style="mso-spacerun: yes;"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berfungsi sebagai tempat calon bayi dibesarkan. Bentuknya seperti buah
alpukat dengan berat normal 30-50 gram. Pada saat tidak hamil, besar rahim
kurang lebih sebesar telur ayam kampung. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diding rahim terdiri dari 3 lapisan
:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peritoneum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yang meliputi dinding uterus bagian luar, dan
merupakan penebalan yang diisi jaringan ikat dan pembuluh darah limfe dan urat
saraf. Bagian ini meliputi tuba dan mencapai dinding abdomen (perut).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Myometrium</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan lapisan yang paling tebal, terdiri dari otot
polos yang disusun sedemikian rupa hingga dapat mendorong isinya keluar saat
proses persalinan.Diantara serabut-serabut otot terdapat pembuluh darah,
pembulh lymfe dan urat syaraf.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Endometri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">um</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan lapisan terdalam dari uterus yang akan
menebal untuk mempersiapkan jika terjadi pembuahan. Tebalnya sususnannya dan
faalnya berubah secara siklis karena dipengaruhi hormon-hormon ovarium. Dalam
kehamilan endometrium berubah menjadi decidua.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi uterus yaitu untuk menahan ovum yang telah di
buahi selama perkembangan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebutir</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> ovum,
sesudah keluar dari ovarium, diantarkan melalui tuba uterina ke uterus.
(pembuahan ovum secara normal terjadi di dalam tuba uterina). Endometrium
disiapkan untuk penerimaan ovum yang telah dibuahi itu dan ovum itu sekarang
tertanam di dalamnya. Sewaktu hamil, yang secara normal berlangsung selama kira-kira
40 minggu, uterus bertambah besar, dindingnya menjadi tipis, tetapi lebih kuat
dan membesar sampai keluar pelvis masuk ke dalam rongga abdomen pada masa
pertumbuhan fetus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada waktu saatnya tiba dan mulas tanda melahirkan
mulai, uterus berkontraksi secara ritmis dan mendorong bayi dan plasenta keluar
kemudian kembali ke ukuran normalnya melalui proses yang dikenal sebagai <i>involusi.</i></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></i></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tuba Uterina (</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">saluran telur</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tuba uterina</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> atau
saluran telur, terdapat pada tepi atas ligamentum latum, berjalan ke arah
lateral, mulai dari ostium tuba internum pada dinding rahim.Tuba fallopi
merupakan tubulo muskular, dengan panjang sekitar 12 cm dan diametrnya 3 dan 8
mm. Tuba fallopi terbagi menjadi 4 bagian:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pars interstitialis (intramularis), terletak di antara
otot rahim, mulai dari ostium internum tuba.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pars isthmika tuba, bagian tuba yang berada di luar
uterus dan merupakan bagian yang paling sempit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pars ampularis tuba, bagian tuba yang paling luas dan
berbentuk S</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pars infundibulo tuba, bagian akhir tubae yang memiliki
umbai yang disebut fimbriae tuba.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi tuba fallopi sangat penting, yaitu untuk
menangkap ovum yang dilepaskan saat ovulasi, sebagai saluran dari spermatozoa
ovum dan hasil konsepsi,tempat terjadinya konsepsi, dan tempat pertumbuhan dan
perkembangan hasil konsepsi sampai mencapai bentuk blastula, yang siap
mengadakan implantasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ovarium</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> (indung
telur)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ovarium adalah kelenjar berbentuk buah kenari,
terletak di kanan dan kiri uterus, di bawah tuba uterina, dan terikat di
sebelah belakang oleh ligamentum latum uteri. Ovarium berisi sejumlah besar
ovum belum matang, yang disebut oosit primer. Setiap oosit dikelilingi
sekelompok sel folikel pemberi makanan. Pada setiap siklus haid sebuah dari
ovum primitif ini mulai mematang dan kemudian cepat berkembang menjadi folikel
ovari yang vesikuler (folikel Graaf).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sewaktu folikel Graff berkembang, perubahan terjadi di
dalam sel-sel ini, dan cairan likuor folikuli memisahkan sel-sel dari membran
granulosa menjadi beberapa lapis. Pada tahap inilah dikeluarkan hormon
estrogen. Pada masa folikel Graff mendekati pengembangan penuh atau pematangan,
letaknya dekat permukaan ovarium, dan menjadi makin mekar karena cairan,
sehingga membenjol, seperti pembengkakan yang menyerupai kista pada permukaan
ovarium. Tekanan dari dalam folikel menyebabkannya sobek dan cairan serta ovum
lepas melalui rongga peritoneal masuk ke dalam lubang yang berbentuk corong
dari tuba uterina. Setiap bulan sebuah folikel berkembang dan sebuah ovum
dilepaskan dan dikeluarkan pada saat kira-kira pertengahan (hari ke-14) siklus
menstruasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hormone-hormone
yang mempengaruhi organ reproduksi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gonadotropin</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bertanggung jawab untuk pembentukan hormon progesteron
dan estrogen</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Estrogen</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dihasilkan oleh ovarium. Fungsinya pembentukan
ciri-ciri perkembangan seksual wanita, yaitu pemmbentukan payudara, lekuk
tubuh, dan rambut kemaluan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Progesteron</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempersiapkan tubuh untuk menerima kehamilan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">FSH (folikel stimulating hormon</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berfungsi dalam pengeluaran ovum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">LH (luteinizing hormon</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan pencetus terjadinya ovulasi atau masa subur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Androgen adrenal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merangsang kelenjar keringat berlebihan yang
menyebabkan munculnya jerawat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
Trofoblas ganas adalah penyakit yang sering timbul setelah mengalami kehamilan
anggur. Diperkirakan kurang lebih 23 % kehamilan anggur akan berubah menjadi
penyakit Trofoblas ganas yang dapat mengakibatkan kematian.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehamilan
anggur adalah kehamilan abnormal dimana tidak terbentuk janin. Yang terjadi
adalah kelainan ari-ari (plasenta) dan terbentuk gelembung-gelembung yang
menyerupai buah anggur (gelembung mola).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PTG (Penyakit Tropoblast Gestasional): kegansan yg meliputi mola invasive
& koriokarsinoma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa: berdasarkan data klinik dgn/tanpa histology. Pemeriksaan
histology sering tdk <u>memngkinkan</u> karena pada/usia muda yg masih perlu
organ reproduksi, penyakit tropoblas yg punya tendensi neoplastik, <u>termasuk</u>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mikroinvasif,
chorio Ca, placenta site <u>tropoblastic</u> tumor</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">80%
molahidatidosaremisi pasca <u>evakuasi</u></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 20%PTG</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dikatakan <u>Klinis</u> PTG, Jika: </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; tab-stops: list 9.0pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar hCG yg
me↑ 2 mgg/></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; tab-stops: list 9.0pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar hCG yg
menetap 3 mgg/></span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar hCG di
atas N s/d 14 mgg setelah evakuasi </span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Uterus >
N dgn kadar hCG > N</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendarahan
dari uterus dgn kadar hCG > N</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; tab-stops: list 9.0pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dijumpai
lesi metastasis dgn kadar hCG > N</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi
</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kanker ini berasal dari salah satu
komponen uri atau plasenta maka salah satu cirri khusus kanser ini adalah ia
boleh menghasilkan hormone HCG (Human Chorionic Gonadotrophin”) yang sangat
tinggi malah lebih tinggi dari pada wanita-wanita yang hamil.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kejadian dipengaruhi oleh :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagian besar dari pasien mola
akan segera sehat kembali setelah jaringannya dikeluarkan, tetapi ada
sekelompok wanita yang kemudian menderita degenerasi keganasan menjadi
koriokarsinoma.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; tab-stops: list 9.0pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> status </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sosial</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> ekonomi</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; tab-stops: list 9.0pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Umur</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; tab-stops: list 9.0pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Gizi</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo16; tab-stops: list 9.0pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">consanguinitas (perkawinan antar
keluarga)</span><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;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Manifestasi
Klinis </span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala yang paling banyak ditemukan
adalah adanya perdarahan ireguler yang berhubungan dengan subinvolusi uterine.
Perdarahan bisa intermitent atau terus berlanjut, dan tiba – tiba. Kadang –
kadang perdarahannya bersifat masif. Perforasi uterin disebabkan karena adanya
pertumbuhan invasif trofoblast sehingga menyebabkan perdarahan intraperitoneal.
Pada beberapa kasus, wanita disertai engan adanya metastasis di vagina atau
vulva. 5 Perdarahan yang tidak teratur setelah berakhirnya suatu kehamilan dan
dimana terdapat subinvolosio uteri juga perdarahan dapat terus menerus atau
intermiten dengan perdarahan mendadak dan terkadang masif.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pemeriksaan ginekologi ditemukan
uterus membesar dan lunak. Kista tekalutein bilateral. Lesi metastasis di
vagina dan organ lain. Perdarahan karena perforasi uterus atau lesi metastasis
ditandai dengan: nyeri perut, batuk darah, melena, dan peningkatan tekanan
intrakranial berupa sakit kepala, kejang, dan hemiplegia. Kadar β hCG paska
mola setelah menurun, tidak menurun malahan dapat meningkat lagi atau titer β
hCG yang meninggi setelah terminasi kehamilan, mola atau abortus. Pemeriksaan
foto thorax dapat ditemukan adanya lesi yang metastasis.5 Pada sediaan
histopatologis dapat ditemukan villus namun demikian dengan tidak
memperlihatkan gambaran patologik tidak dapat menyingkarkan suatu keganasan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
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<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klasifikasi
</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
trofoblas ganas dibedakan atas 2, yaitu:</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit trofoblas ganas non-metastatik</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mola invasif (korioadenoma destruens)</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ditemukan sekitar 15% sesudah
pengeluaran mola dan lebih rendah pada pasca kehamilan normal. Gejala-gejala
klinis yang dapat ditemukan ialah:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; tab-stops: 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan vaginal yang tidak teratur</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; tab-stops: 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adanya kista teka lutein</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; tab-stops: 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Subinvolusi uterus atau pembesaran
asimetris</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; tab-stops: 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sel-sel tumor trofoblas dapat
menyebabkan perforasi miometrium sehingga terjadi perdarahan intraperitoneal</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo4; tab-stops: 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Infeksi tumor yang nekrosis dapat
menyebabkan sekret purulen dan nyeri pelvis akut</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Placental site trophoblastic tumor</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PSTT merupakan tumor yang jarang
yang berasal dari implantasi plasenta. Sel yang berasal dari tumor tersebut
menginvasi miometrium dan tumbuh di antara sel otot polos dan kemudian
menginvasi miometrium dan pembuluh darah. Gambaran histologinya adalah tidak
adanya vili dan proliferasi sitotrofoblas. Gejala yang paling serin gmuncul
adalah perdarahan. PSTT tidak sensitif terhadap pemberian kemoterapi, tetapi
untungnya jarang metastasis keluar uterus. Oleh karena itu histerektomi adalah
pilihan terapi untuk PSTT.</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit trofoblas ganas metastatik</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
Pada pembagian lain secara klinis PTG di bagi 2, yaitu:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PTG terdapat hanya dalam uterus invasif
mola</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adalah
tumor atau suatu proses seperti tumor yang menginvasi miometrium dengan
hiperplasia trofoblas disertai struktur vili yang menetap. Terminologi lain
untuk keadaan ini yang tidak lagi dipakai ialah malignant mola, mola detruens,
korio adenoma detruens.</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PTG meluas keluar uterus koriokarsinoma</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gestasional koriokarsinoma adalah
karsinoma yang terjadi dari sel-sel trofoblas dengan melibatkan sitotrofoblas
dan sinsiotrofoblas. Hal ini biasa terjadi dari hasil konsepsi yang berakhir
dengan lahir hidup, lahir mati (still birth), abortus, kehamilan ektopik,
molahidatidosa atau mungkin juga oleh sebab yang tidak diketahui.</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Non gestasional koriokarsinoma adalah
suatu tumor ganas trofoblas yang terjadi tanpa didahului oleh suatu
fertilisasi, tetapi berasal dari germ sel ovarium. Brewer mengatakan bahwa non
gestasional koriokarsinoma juga dapat merupakan bagian teratoma. Oleh
International Union Against cancer (IUCR) diadakan klasifikasi sederhana dari
penyakit trofoblas, yang mempunyai keuntungan bahwa angka yang diperoleh dari
berbagai negara di dunia dapat dibandingkan.</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stadium
Penyakit Trofoblast Ganas menurut The International Federation of Gynecology
and Obstetric (FIGO) yaitu :(Staging Booklet)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stadium I Tumor trofoblastik gestasional
terbatas pada korpus uteri</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stadium II Tumor trofoblastik gestasional
meluas ke adneksa atau vagina, namun terbatas pada struktur genitalia.</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stadium III Tumor trofoblastik
gestasional bermetastasis ke paru, dengan atau tanpa metastasis di genitalia
interna.</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l30 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Stadium IV Bermetastasis ke tempat lain</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Patofisiologi
</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bentuk tumor trofoblas yang sangat ganas ini dapat
dianggap sebagai suatu karsinoma dari epitel korion, walaupun perilaku
pertumbuhan dan metastasisnya mirip dengan sarkoma. Faktor-faktor yang berperan
dalam transformasi keganasan korion tidak diketahui. Pada koriokarsinoma,
kecenderungan trofoblas normal untuk tumbuh secara invasif dan menyebabkan
erosi pembuluh darah sangatlah besar. Apabila mengenai endometrium, akan
terjadi perdarahan, kerontokan dan infeksi permukaan. Masa jaringan yang
terbenam di miometrium dapat meluas keluar , muncul di uterus sebagai
nodul-nodul gelap irreguler yang akhirnya menembus peritoneum. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gambaran diagnostik yang penting
pada koriokarsinoma, berbeda dengan mola hidatidosa atau mola invasif adalah
tidak adanya pola vilus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Baik unsur sitotrofoblas maupun sinsitium terlibat,
walaupun salah satunya mungkin predominan. Dijumpai anplasia sel, sering
mencolok, tetapi kurang bermanfaat sebagai kriteria diagnostik pada keganasan
trofoblas dibandingkan dengan pada tumor lain. Pada pemeriksaan hasil kuretase
uterus, kesulitan evaluasi sitologis adalah salah satu faktor penyebab
kesalahan diagnosis koriokarsinoma. Sel-sel trofoblas normal di tempat plasenta
secara salah di diagnosis sebagai koriokarsinoma. Metastasis sering berlangsung
dini dan umumnya hematogen karena afinitas trofoblas terhadap pembuluh darah.<br />
Koriokarsinoma dapat terjadi setelah mola hidatidosa, abortus, kehamilan
ektopik atau kehamilan normal . tanda tersering, walaupun tidak selalu ada,
adalah perdarahan irreguler setelah masa nifas dini disertai subinvolusi
uterus. Perdarahan dapat kontinyu atau intermitten, dengan perdarahan mendadak
dan kadang-kadang masif. Perforasi uterus akibat pertumbuhan tumor dapat
menyebabkan perdarahan intraperitonium. Pada banyak kasus, tanda pertama
mungkin adalah lesi metatatik. Mungkin ditemukan tumor vagina atau vulva.
Wanita yang bersangkutan mungkin mengeluh batuk dan sputum berdarah akibat
metastasis di paru. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada beberapa kasus, di uterus atau pelvis tidak
mungkin dijumpai koriokarsinoma karena lesi aslinya telah lenyap, dan yang
tersisa hanya metastasis jauh yang tumbuh aktif. Apabila tidak di terapi,
koriokarsinoma akan berkembang cepat dan pada mayoritas kasus pasien biasanya
akan meninggal dalam beberapa bulan. Kausa kematian tersering adalah perdarahan
di berbagai lokasi. Pasien di golongkan beresiko tinggi jiika penyakit lebih
dari 4 bulan, kadar gonadotropin serum lebih dari 40.000 mIU/ml, metastasis ke
otak atau hati, tumor timbul setelah kehamilan aterm, atau riwayat kegagalan kemoterapi,
namun menghasil kananagka kesembuhan tertinggi dengan kemoterapi kombinasi
yaitu menggunakan etoposid, metotreksat, aktinomisin, siklofosfamid, dan
vinkristin</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan
Penunjang</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada pemeriksaan penunjang yaitu USG
didapatkan adanya gambaran echo difuse typical. Dan pada pemeriksaan
laboratorium didapatkan adanya peningkatan kadar B-HCG.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosedur diagnosis untuk menentukan
stadium dari PTG dimulai dengan pemeriksaan serum β-HCG dan foto thoraks untuk
mendeteksi adanya metastasis ke paru– paru. Jika foto thoraks normal, maka
diagnosis tumor non metastasis dapat dibuat. Jika ada metastasis di paru –
paru, maka CT scan kepala dan abdomen dapat dianjurkan. Jika ada perdarahan
gastrointestinal maka pemeriksaan endoskopi untuk saluran GIT atas dan bawah
diindikasikan. Pemeriksaan arteriogram juga bermanfaat. Jika ada hematuri,
pemeriksaan IVP dan sistoskopi dapat dilakukan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Uji Sonde </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sonde
(penduga rahim) dimasukkan pelan-pelan dan hati-hati ke dalam kanalis
servikalis dan kavum uteri. Bila tidak ada tahanan sonde diputar setelah
ditarik sedikit, bila tetap tidak ada tahanan, kemungkinan mola atau
koriokarsinoma.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Foto rontgen abdomen </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak
terlihat tulang-tulang janin (pada kehamilan 3-4 bulan) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ultrasonografi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Khusus pada
mola akan kelihatan bayangan badai salju dan tidak terlihat janin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(merupakan
diagnosa pasti), waspadai juga koriokarsinoma. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo17; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data Klinik Pemeriksaan Diagnostik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perdarahan dalam separo pertama kehamilan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri perut bagian bawah </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Toksemia sebelum 24 minggu kehamilan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hiperemesis gravidarum </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rahim terlalu besar untuk tanggalnya </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda tonus jantung janin dan bagian janin </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-list: l24 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarnya vesikel</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penatalaksanaan
</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip
dasar penanganan penyakit trofoblas ganas adalah kemoterapi dan operasi.
Indikasi kemoterapi yaitu:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatnya β hCG setelah evakuasi</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Titer β hCG sangat tinggi setelah
evakuasi</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">β hCG tidak turun selama 4 bulan setelah
evakuasi</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningginya β hCG setelah 6 bulan
setelah evakuasi atau turun tetapi lambat</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Metastasis ke paru-paru, vulva, vagina
kecuali kalau β hCGnya turun</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Metastasis ke bagian organ lainnya
(hepar, otak)</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan vaginal yang berat atau
adanya perdarahan gastrointestinal</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gambaran histologi koriokarsinoma</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Operatif merupakan tindakan utama dalam
penanganan dini PTG, walaupun tumor sudah lama bila masih terlokalisir di
uterus tindakan histerektomi baik dilakukan. Pasien-pasien dengan perdarahan
pervaginam yang terus menerus, setelah abortus, mola, dan persalinan yang
normal dengan uterus sebesar kehamilan ≤ 12 minggu dan tidak ruptur operasinya
diutamakan histerektomi. Bila penyakit telah meluas maka histerektomi dilakukan
hanya atas dasar perdarahan dari uterus yang hebat atau resisten terhadap
kemoterapi. Bila tergolong risiko rendah, maka diberikan kemoterapi tunggal,
sedangkan risiko tinggi diberikan kemoterapi kombinasi. </span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penanganan
yang non metastase diberikan kemoterapi tunggal dengan pemberian metotreksat 30
mg/m2 intramuscular setiap minggu. Dapat juga dilakukan histerektomi bila masih
ingin hamil.4</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dikatakan
risiko rendah bila pada sistem prognosis WHO nilai skornya < 7. Risiko
rendah ditangani dengan pemberian kemoterapi tunggal yaitu pemberian
metotreksat. Bila terdapat resistensi terhadap kemoterapi dosis tunggal, maka
kemoterapi kombinasi sebaiknya diberikan. Histerektomi mungkin bermanfaat untuk
mengeluarkan fokus penyakit yang resistensi dalam uterus.</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemoterapi
tunggal diberikan pada kasus non metastasis atau keganasan risiko rendah.
Metotreksat maupun obat lainnya dapat melawan tumor ganas terutama Actinomycyin
-D diberikan secara kuratif. Metotreksat yang digunakan dengan hasil yang baik
ketika diberikan secara oral, infus IV maupun melalui pemberian secara injeksi
intramuskular. Actinomycin-D dosis tunggal juga mempunyai efektivitas yang
tinggi pada wanita dengan non metastasis. Pada beberapa kasus, misalnya
disertai dengan metastasis ke otak, kemoterapi diberikan bersama radioterapi.</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Risiko
tinggi bila nilai skor > 7 dan diberikan kemoterapi kombinasi yaitu EMA-CO
(Etoposide, metotreksat, vincristin dan siklopospamid) atau dapat diberikan MAC
(metotreksat, dactinomicin dan cytoxan atau klorambucil).</span><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><b style="mso-bidi-font-weight: normal;">Terapi:</b><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;"></span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi
pilihan ialah dengan pemberian methotrexate sebanyak 0,4 mg/kg/hari seluma 5
hari yanq dapat dibenkan intravsnose, intra-muskuler atau oral. Pada umumnya
diberi 15 - 25 mg sehari.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kuur
ini diulang-ulang dengan antara 14 hari sampai gonadctropin dalcun urine
menjudi normal : kadang kadang baru setelah 6 kuur.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
reaksi negatip diberi satu kuur tambahan. Juga dapat di-berikan actinomycin D
sebanyak 7 - 11 microgram/kg/hari intravenosa selama 5 hari. Kuur diulangi
setelah 5 hari</span><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;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l12 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Asuhan Keperawatan </span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Pengkajian</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian adalah pendekatan sistematis untuk
mengumpulkan data dan menganalisanya sehingga dapat diketahui masalah dan
kebutuhan perawatan bagi klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun hal-hal yang perlu dikaji adalah :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biodata: mengkaji identitas klien dan penanggung yang
meliputi; nama, umur, agama, suku bangsa, pendidikan, pekerjaan, status
perkawinan, perkawinan ke- , lamanya perkawinan dan alamat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan utama: kaji adanya menstruasi tidak lancar dan
adanya perdarahan pervaginam berulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan, yang terdiri atas:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan sekarang yaitu keluhan sampai saat
klien pergi ke Rumah Sakit atau pada saat pengkajian seperti perdarahan
pervaginam di luar siklus haid, pembesaran uterus lebih besar dari usia
kehamilan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan masa lalu: kaji adanya kehamilan
molahidatidosa sebelumnya, apa tindakan yang dilakukan, kondisi klien pada saat
itu.<a href="https://www.blogger.com/null" name="_GoBack"></a></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat pembedahan : Kaji adanya pembedahan yang
pernah dialami oleh klien, jenis pembedahan , kapan , oleh siapa dan di mana
tindakan tersebut berlangsung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat penyakit yang pernah dialami: kaji adanya
penyakit yang pernah dialami oleh klien misalnya DM, jantung, hipertensi,
masalah ginekologi/urinary, penyakit endokrin, dan penyakit-penyakit lainnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan keluarga: yang dapat dikaji melalui
genogram dan dari genogram tersebut dapat diidentifikasi mengenai penyakit
turunan dan penyakit menular yang terdapat dalam keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan reproduksi: kaji tentang menorhoe,
siklus menstruasi, lamanya, banyaknya, sifat darah, bau, warna dan adanya
dismenorhoe serta kaji kapan menopause terjadi, gejala serta keluhan yang
menyertainya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kehamilan, persalinan dan nifas: kaji
bagaimana keadaan anak klien mulai dari dalam kandungan hingga saat ini,
bagaimana keadaan kesehatan anaknya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat seksual: kaji mengenai aktivitas seksual
klien, jenis kontrasepsi yang digunakan serta keluhan yang menyertainya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat pemakaian obat: kaji riwayat pemakaian obat-obatankontrasepsi
oral, obat digitalis dan jenis obat lainnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola aktivitas sehari-hari: kaji mengenai nutrisi,
cairan dan elektrolit, eliminasi (BAB dan BAK), istirahat tidur, hygiene,
ketergantungan, baik sebelum dan saat sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Fisik:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Inspeksi<br />
Inspeksi adalah proses observasi yang sistematis yang tidak hanya terbatas pada
penglihatan tetapi juga meliputi indera pendengaran dan penghidung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hal yang diinspeksi antara lain :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengobservasi
kulit terhadap warna, perubahan warna, laserasi, lesi terhadap drainase,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola
pernafasan terhadap kedalaman dan kesimetrisan,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bahasa
tubuh, pergerakan dan postur, penggunaan ekstremitas, adanya keterbatasan
fifik, dan seterusnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Palpas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Palpasi adalah menyentuh atau menekan permukaan luar
tubuh dengan jari.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sentuhan:
merasakan suatu pembengkakan, mencatat suhu, derajat kelembaban dan tekstur
kulit atau menentukan kekuatan kontraksi uterus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan:
menentukan karakter nadi, mengevaluasi edema, memperhatikan posisi janin atau
mencubit kulit untuk mengamati turgor.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
dalam: menentukan tegangan/tonus otot atau respon nyeri yang abnormal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perkusi<br />
Perkusi adalah melakukan ketukan langsung atau tidak langsung pada permukaan
tubuh tertentu untuk memastikan informasi tentang organ atau jaringan yang ada
dibawahnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menggunakan
jari: ketuk lutut dan dada dan dengarkan bunyi yang menunjukkan ada tidaknya
cairan , massa atau konsolidasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menggunakan
palu perkusi : ketuk lutut dan amati ada tidaknya refleks/gerakan pada kaki
bawah, memeriksa refleks kulit perut apakah ada kontraksi dinding perut atau
tidak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo22; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi<br />
Auskultasi adalah mendengarkan bunyi dalam tubuh dengan bentuan stetoskop
dengan menggambarkan dan menginterpretasikan bunyi yang terdengar. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mendengar: mendengarkan di ruang antekubiti untuk
tekanan darah, dada untuk bunyi jantung/paru abdomen untuk bising usus atau
denyut jantung janin(Johnson & Taylor, 2005 : 39).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-spacerun: yes;"> </span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Diagnosa Keperawatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri berhubungan
denganterputusnyakontinuitasjaringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo24; tab-stops: list 42.55pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi aktivitasberhubungandengankelemahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo24; tab-stops: list 42.55pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan pola tidur berhubungandenganadanyanyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo24; tab-stops: list 42.55pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan rasa nyaman: hipertermi berhubungandengan
proses infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo24; tab-stops: list 42.55pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kecemasan berhubungan denganperubahan status
kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 42.55pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;">Intervensi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa I: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri berhubungan dengan terputusnya kontinuitas
jaringan<br />
<span style="mso-bidi-font-weight: bold;">Tujuan :</span> Klien
akanmeninjukkannyeriberkurang/hilang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil :</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien mengatakan nyeri berkurang/hilang,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekspresi wajah tenang,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV dalam batas normal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat nyeri, lokasi dan skala nyeri yang
dirasakan klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: mengetahui tingkat nyeri yang dirasakan
sehingga dapat membantu menentukan intervensi yang tepat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi tanda-tanda vital tiap 8 jam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: perubahan tanda-tanda vital terutama suhu
dan nadi merupakan salah satu indikasi peningkatan nyeri yang dialami oleh klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk melakukan teknik relaksasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: teknik relaksasi dapat membuat klien merasa
sedikit nyaman dan distraksi dapat mengalihkan perhatian klien terhadap nyeri
sehingga dapat mambantu mengurangi nyeri yang dirasakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri posisi yang nyaman.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: posisi yang nyaman dapat menghindarkan
penekanan pada area luka/nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi pemberian analgetik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: obat-obatan analgetik akan memblok reseptor
nyeri sehingga nyeri tidat dapat dipersepsikan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa II: intoleran aktivitas berhubungan dengan
kelemahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 99.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien akan
menunjukkan terpenuhinya kebutuhan rawat diri.<br />
<span style="mso-bidi-font-weight: bold;">Kriteriahasil:</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan personal hygiene terpenuhi,</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien nampak rapi dan bersih.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo28; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji kemampuan klien dalam memenuhi rawat diri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: untuk mengetahui tingkat
kemampuan/ketergantungan klien dalam merawat diri sehingga dapat membantu klien
dalam memenuhi kebutuhan hygienenya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo28; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu klien dalam memenuhi kebutuhan sehari-hari.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: kebutuhan hygiene klien terpenuhi tanpa
membuat klien ketergantungan pada perawat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo28; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien untuk melakukan aktivitas sesuai
kemampuannya.<br />
Rasional: pelaksanaan aktivitas dapat membantu klien untuk mengembalikan
kekuatan secara bertahap dan menambah kemandirian dalam memenuhi kebutuhannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo28; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan keluarga klien untuk selalu berada di dekat
klien dan membantu memenuhi kebutuhan klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: membantu memenuhi kebutuhan klien yang tidak
terpenuhi secara mandiri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; tab-stops: 78.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa III: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gangguan
pola tidur berhubungan dengan adanya nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien akan mengungkapkan
pola tidurnya tidak terganggu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat tidur 7-8 jam per hari,</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konjungtiva tidak anemis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo29; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji pola tidur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: dengan mengetahui pola tidur klien,
akanmemudahkan dalam menentukan intervensi selanjutnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo29; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ciptakan lingkungan yang nyaman dan tenang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: memberikan kesempatan pada klien untuk
beristirahat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo29; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien minum susu hangat sebelum tidur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: susu mengandung protein yang tinggi sehingga
dapat merangsang untuk tidur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo29; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batasi jumlah penjaga klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: dengan jumlah penjaga klien yang dibatasi
maka kebisingan di ruangan dapat dikurangi sehingga klien dapat beristirahat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo29; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberlakukan jam besuk.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: memberikan kesempatan pada klien untuk
beristirahat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo29; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dengan tim medis pemberian obat tidur
Diazepam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: Diazepam berfungsi untuk merelaksasi otot
sehingga klien dapat tenang dan mudah tidur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; tab-stops: 78.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa IV: gangguan rasa nyaman: hipertermi
berhubungan dengan proses infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien akan
menunjukkan tidak terjadi panas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 78.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda vital dalam batas normal,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien tidak mengalami komplikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo30; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau suhu klien, perhatikan menggigil/diaphoresis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: suhu diatas normal menunjukkan terjadinya
proses infeksi, pola demam dapat membantu diagnosa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo30; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau suhu lingkungan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: suhu ruangan harus diubah atau
dipertahankan, suhu harus mendekati normal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo30; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
untuk minum air hangat dalam jumlah yang banyak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: minum banyak dapat membantu menurunkan
demam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo30; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan kompres hangat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: kompres hangat dapat membantu penyerapan
panas sehingga dapat menurunkan suhu tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo30; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi
pemberian obat antipiretik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: digunakan untuk mengurangi demam dengan aksi
pada hipothalamus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa V:
kecemasan berhubungan dengan perubahan status kesehatan.<br />
<span style="mso-bidi-font-weight: bold;">Tujuan:</span>klien akan menunjukkan
kecemasan berkurang/hilang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekspresi wajah tenang,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo26; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien tidak sering bertanya tentang penyakitnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat kecemasan klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: mengetahui sejauh mana kecemasan tersebut
mengganggu klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri kesempatan pada klien untuk mengungkapkan
perasaannya.<br />
Rasional: ungkapan perasaan dapat memberikan rasa lega sehingga mengurangi
kecemasan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mendengarkan
keluhan klien dengan empati.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: dengan mendengarkan keluahan klien secara
empati maka klien akan merasa diperhatikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pada klien tentang proses penyakit dan terapi
yang diberikan.<br />
Rasional: menambah pengetahuan klien sehingga klien tahu dan mengerti tentang
penyakitnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo31; tab-stops: list 36.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri dorongan spiritual/support.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: menciptakan ketenangan batin sehingga
kecemasan dapat berkurang</span></div>
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<br /></div>
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<b><span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI;">DAFTAR PUSTAKA</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Doengoes, Marilynn
E.1999. <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan: Pedoman Untuk Perencanaan dan
Pendokumentasian Perawatan Pasien. </i></b>EGC : Jakarta.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manjoer , Arif, et al .2002. Kapita
Selekta Kedokteran edisi ketiga jilid 1. Jakarta: <br />
Media Aesculapius</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 45.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -45.0pt;">
<a href="https://plus.google.com/108994608687603684480" title="author profile"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Yulius
Nuryani </span></a><span class="fn"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.
2012. Asuhan keperawatan olahidatidosa. </span></span><a href="http://perawatyulius.blogspot.com/2012/04/asuhan-keperawatan-molahidatidosa.html"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">http://perawatyulius.blogspot.com/2012/04/asuhan-keperawatan-molahidatidosa.html</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. diakses pada tanggal 29 juni 2015 pukul 04.00 WIB </span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-63248131762164071412015-09-29T07:56:00.001-07:002015-09-29T07:57:05.091-07:00cedera kepala<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">BAB I</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">PENDAHULUAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level2 lfo32; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1.</span></span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> <b style="mso-bidi-font-weight: normal;">Latar Belakang</b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cidera kepala merupakan salah satu penyebab kematian utama pada kelompok
umur produktif dan sebagian besar terjadi akibat kecelakaan lalu lintas. Tidak
hanya berakibat pada tingginya angka kematian pada korban kecelakaan. Justru,
yang harus menjadi perhatian adalah banyaknya kasus kecacatan dari korban
kecelakaan. Khususnya, korban kecelakaan yang menderita cedera kepala.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dari definisi itu saja, kita sudah tahu bahwa cedera kepala sangat
berbahaya dan membutuhkan penanganan segera demi keselamatan penderita.
Sayangnya, kendati kasus terus meningkat, namun masih banyak pihak yang belum
sadar pentingnya kecepatan menolong penderita.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di samping penanganan di lokasi kejadian dan selama transportasi korban ke
rumah sakit, penilaian dan tindakan awal di ruang gawat darurat sangat
menentukan penatalaksanaan dan prognosis selanjutnya ( Mansjoer, 2000 ). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level2 lfo32; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.</span></span></b><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;">
Tujuan </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adapun tujuan dari penyusunan makalah ini adalah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami anatomi fisiologi cranial</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami pengertian cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami tanda dan gejala cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami klasifikasi cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami etiologi cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami patofisiologi cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami prosedur diagnostic cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami manajement medis cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
memahami pengkajian pada klien cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyusun diagnose keperawatan pada klien cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyusun intervensi keperawatan pada klien cedera kepala</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan aspek hokum pada tindakan pasien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">BAB II</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">TINJAUAN TEORI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.</span></span></b><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;">
Anatomi Fisiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tengkorak
terdiri atas delapan tulang kepala dan empat belas tulang wajah. Pada tengkorak
juga terdapat tiga tulang kecil di rongga telinga medial kanan dan kiri serta
tulang hioid yang menopang dasar lidah. Tulang kepala membentuk rangka otak
yang membungkus dan melindungi otak, mata dan telinga. Nama beberapa di
ataranya adalah os frontale, os parientale (dua),
os temporale (dua), os oksipitale, Os Sfenoid dan os etmoidalemerupakan
bagian dasar rangka otak dan orbit (soket) mata. Seluruh sendi pada
os cranial merupakan sendi yang tidak dapat digerakkan,yang disebut
sutura</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cranium
atau Kalvaria</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 29.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cranium
dibentuk oleh beberapa tulang yang dihubungkan satu sama lain oleh tulang
bergerigi yang disebut sutura, banyaknya delapan buah dan terdiri dari 3 bagian</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kubah
cranium</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terdiri dari tulang-tulang :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang frontal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang
frontal membentuk dahi, langit-langit ronggga nasal, dan langit-langit orbita
(kantong mata). Tulang frontal pada tahap kehidupan embrio terbentuk menjadi
dua belahan yang pada masa kanak-kanak awal berfungsi dengan penuh. Tubrositas
frontal adalah dua tonjolan yang berbeda ukuran dan biasanya lebih besar pada
tengkorak muda. Arkus supersiliar adalah dua lengkungan yang mencuat dan
menyatu secara medial oleh suatu elevasi halus yang disebut glabella. Tepi
supraorbital, yang terletak di bawah lengkungan supersiliar dan membentuk tepi orbita
bagian atas. Foramen supraorbital (atau takik pada beberapa tengkorak) merupakan
jalan masuk arteri dan syaraf</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang Parietal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang
parietal membentuk sisi dan langit-langit cranium. Yang terdiri atas sutura
sagital, sutura koronal, dan sutura lamboidal. Sutura sagital adalah sutura
yang menyatukan tulang parietal kiri dan kanan. Sutura koronal menyambung
tulang parietal ke tulang frontal. Sutura Lamboidal menyambung tulang parietal
ke tulang oksipital</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang Oksipital</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang
kepala belakang terletak di belakang kepala pada os oksipital, terdapat sebuah
lubang cocok sekali dengan lubang yang terdapat dalam ruas tulang belakang yang
disebut foramen magnum. Foramen ini menghubungkan rongga cranial dengan rongga
spinal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang
oksipital membentuk bagian dasar dan dan bagian belakang Kranium</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang Temporal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membentuk dasar dan sisi cranium</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dasar
tengkorak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Os Sfenoid (Tulang baji)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang
ini terdapat ditengah dasar tengkorak, bentuknya seperti kupu-kupu yang
mempunyai 3 pasang sayap. Di bagian depan terdapat sebuah rongga yang disebut
kavum sfenoidalis yang berhubungan dengan rongga hidung. Di bagian atasnya agak
meninggi dan berbentuk seperti pelana yang disebut sela tursika yaitu tempat
letaknya kelenjar buntu (hipofise).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Os Etmoidal (Tulang tapis)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terletak
di sebelah depan dari os sfenoidal, diantara lekuk mata, terdiri dari tulang
tipis yang tegak dan mendatar. Bagian yang mendatar mempunyai lubang-lubang
kecil (lempeng tapis) yaitu tempat lalunya saraf pencium ke hidung sedangkan
bagian yang tegak di sebelah depannya membentuk sekat ronggga hidung. Di
samping dua tulang di atas dasar tengkorak ini juga dibentuk oleh bagian
tulang-tulang laing diantaranya tulang-tulang kepala belakang, tulang dahi dan
tulang pelipis. Adapun bentuk dari dasar tengkorak ini tidak rata tetapi
mempunyai lekukan yang terdiri dari lekukan depan, tengah, dan belakang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Temporal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Temporal dibentuk oleh tulang pelipis (os
temporal) dan sebagian dari tulang dahi, tulang ubun-ubun dan tulang baji.
Tulang pelipis terdapat disebelah kiri dan kanan samping kepala dan terbagi
atas 3 bagian yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian tulang karang (Skuamosa), yang membentuk
rongga-rongga yaitu rongga telinga tengah dan rongga telinga dalam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian tulang keras (os petrosum) yang
menjorok ke bagian tulang pipi dan mempunyai taju yang disebut prosesus
stiloid.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian mastoid, terdiri dari tulang yang
mempunyai lubang-lubang halus berisi udara dan mempunyai taju, bentuknya
seperti puting susu yang disebut prosesus mastoid </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Facial
Bones</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 29.45pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Facial
bones terdiri atas empat belas tulang, tulang-tulang ini tidak bersentuhan
dengan otak. Tulang tersebut disatukan sutura yang tidak dapat bergerak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang-tulang
nasal membentuk penyangga hidung dan berartikulasi dengan septum nasal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang-tulang
palatum membentuk bagian posterior langit-langit mulut (langit-langit keras),
bagian tulang orbital, dan bagian rongga nasal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang-tulang
Zigomatik (malar) membentuk tonjolan pada tulang pipi. Setiap prosesus temporal
berartikulasi dengan prosesus zigomatikus pada tulang temporal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang-tulang
maksila membentuk rahang atas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosesus alveolar, mengandung soket gigi
bagian atas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosesus zigomatikus, memanjang ke luar
untuk bersatu dengan tepi infraorbital pada orbita. Foramen infraorbital
memperforasi maksila di setiap sisi untuk mentransmisi saraf dan pembuluh darah
ke wajah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosesus palatines, membentuk bagian
anterior pada langit-langit keras.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sinus Maksilar, yang kosong sampai ke
rongga nasal, merupakan bagian dari sinus paranasal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang
lakrimal, berukuran kecil dan tipis, serta terletak di antara tulang ethmoid
dan maksila pada orbita. Tulang lakrimal berisi suatu celah untuk lintasa duktus
lakrimal, yang mengalirkan air mata ke rongga nasal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tulang
Vomer, membentuk bagian tengah dari langit-langit keras diantara pallatum dan
maksila, serta turut membentuk septum nasal.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konka
nasal inferior (turbinatum)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandibula
adalah tulang rahang bagian bawah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian alveolar berisi soket gigi bawah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ramus mandibular yang terletak di kedua
sisi rahang memiliki dua prosesus yaitu prosesus kondiloid yang berfungsi untuk
artikulasi dengan tulang temporal pada fosa mandibular dan prosesus koronoid yang
berfungsi sebagai tempat perlekatan otot temporal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 22.95pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandibula
membentuk sendi kondiloid dengan masing-masing os temporale. Sendi lain di
antara tulang wajah merupakan sutura. Maksila adalah tulang rahang atas, yang
juga membentuk bagian palatum durum anterior (langit-langit). Soket akar gigi
ditemukan pada maksila dan mandibula </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">(Scanlon, 2007).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.</span></span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> <b style="mso-bidi-font-weight: normal;">Pengertian
Cedera Kepala</b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cedera kepala adalah trauma yang mengenai kulit kepala, tengkorak, dan otak
yang disebabkan oleh trauma tumpul atau trauma tembus ( Mansjoer, 2000; Brunner
& Soddarth, 2002 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cedera kepala paling sering dan penyakit neurologik yang serius di antara
penyakit neurologik, dan merupakan proporsi epidemik sebagai hasil dari
kecelakaan jalan raya ( Brunner & Suddarth, 2002 ). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.</span></span></b><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;">
Tanda dan Gejala Cedera Kepala</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tanda dan Gejala Cedera Kepala (</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arief,
M, Suprohaitta</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">, 2000)</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola pernafasan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pusat pernafasan diciderai oleh
peningkatan TIK dan hipoksia, trauma langsung atau interupsi aliran darah. Pola
pernafasan dapat berupa hipoventilasi alveolar, dangkal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan mobilitas fisik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemisfer atau hemiplegi akibat
kerusakan pada area motorik otak.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ketidakseimbangan hidrasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi karena adanya kerusakan
kelenjar hipofisis atau hipotalamus dan peningkatan TIK</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Aktifitas menelan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Reflek melan dari batang otak
mungkin hiperaktif atau menurun sampai hilang sama sekali</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan komunikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasien mengalami trauma yang
mengenai hemisfer serebral menunjukkan disfasia, kehilangan kemampuan untuk
menggunakan bahasa.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tanda-tanda dan gejala ( mary digiulio dkk, keperawatan
medical bedah, 2012)</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sakit
kepala karena trauma langsung dan atau meningkatnya tekanan intracranial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Disorientasi
atau perubahan kognitif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan
dalam berbicara</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan
dalam gerakan motorik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mual
dan muntah karena meningkatnya tekanan intracranial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ukuran
pupil tidak sama-penting untuk menentukan apakah terkait dengan perubahan
neurologis atau apakah pasien mempunyai ukuran pupil berbeda </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Berkurangnya
atau tiddak adanya reaksi pupil terkait dengan kompromi neurologis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menurunya
tingkat kesadaran atau hilangnya kesadaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo26; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hilangnya
ingatan (amnesia)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4.</span></span></b><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;">
Klasifikasi Cedera Kepala (</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suzanne C. 2001</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan
kerusakan jaringan otak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kamosia serebri (geger otak) gangguan
neurologik ringan tanpa adanya kerusakan struktur otak, terjadi hilangnya kesadaran
kurang dari 10 menit atau tanpa disertai amnesia retrogarde, mual, muntah,
nyeri kepala.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontusio serebri (memar) gangguan fungsi
neurologik disertai kerusakan jaringan otak , tetapi kontinuitas jaringan masih
utuh, hilangnya kesadaran lebih dari 10 menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Laserosio serebri, gangguan fungsi
neurologik disertai kerusakan otak yang berat dengan fraktur tengkorak terbuka,
masa otak terkelupas keluar dari rongga intrakaranial.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan
berat </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">R</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">ingannya
cedera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cidera kepala ringan : jika GCS antara
13- 15, dapat terjadi kehilangan kesadaran kurang dari 30 menit, tidak terdapat
kontrusio/ hematom.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cedera kepala sedang : jika nilai GCS
antara 9- 12 hilang kesadaran antara 30 menit sampai dengan 24 jam, dapat
disertai fraktur tengkorak disorientasi ringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cedera kepala berat : jika GCS antara 3-
8 hilang kesadaran lebih dar 24 jam, biasanya disertai kontusio, laserasi atau
adanya hematom, edema serebral.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5.</span></span></b><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;">
Etiologi Cedera Kepala </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo26; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma oleh benda tajam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyebabkan
cedera setempat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> menimbulkan
cedera lokal. Kerusakan lokal meliputi Contusio serebral, hematom serebral,
kerusakan otak sekunder yang disebabkan perluasan masa lesi, pergeseran otak
atau hernia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level2 lfo26; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma oleh benda tumpul </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> menyebabkan cedera menyeluruh (difusi)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakannya
menyebar secara luas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> terjadi dalam
4 bentuk : cedera akson, kerusakan otak hipoksia, pembengkakan otak menyebar,
hemoragi kecil multiple pada otak koma terjadi karena cedera menyebar pada
hemisfer cerebral, batang otak atau kedua-duanya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 24.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span><span lang="EN-US">( </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Suzanne C. 2001</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> )</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6.</span></span></b><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;">
Patofisiologi Cedera Kepala</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada cedera
kepala, kerusakan otak dapat terjadi dalam dua tahap yaitu cedera primer dan
cedera sekunder. Cedera primer merupakan cedera pada kepala sebagai akibat
langsung dari suatu ruda paksa, dapat disebabkan benturan langsung kepala
dengan suatu benda keras maupun oleh proses aksekrasi- deselerasi gerakan
kepala.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam mekanisme
cedera kepala dapat terjadi peristiwa coup dan contrecoup. Cedera primer yang
diakibatkan oleh adanya benturan pada tulang tegkorak dan daerah sekitarnya
disebut lesi coup. Pada daerah yang berlawanan dengan tempat benturan akan
terjadi karena kepala bergerak dan berhenti secara mendadak dan keras saat
terjadi trauma.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cedera sekunder
merupakan cedera yang terjadi akibat berbagai proses patologis yang timbul
sebagai tahap lanjut dari kerusakan otak primer, berupa perdarahan, edema otak,
kerusakan neuran berkelanjutan, iskemia, peningkatan tekanan intrakranial, dan
perubahan neurokimiawi.</span></div>
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</div>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="mso-fareast-language: IN; mso-no-proof: yes;">
</span>Tekana<span lang="EN-US" style="mso-ansi-language: EN-US;">n</span>
pembuluh darah pulmonal</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal">
Kontusio laserasi </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal">
Kerusakan sel otak meningkat </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal">
Gangguan autoregulasi<span style="mso-spacerun: yes;">
</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Rangsang simpatis</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Stres</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal">
Aliran darah ke otak<span style="mso-spacerun: yes;">
</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoNormal">
<span style="mso-fareast-language: IN; mso-no-proof: yes;">
</span>Tahanan vaskuler sistemik dan TD <span style="mso-fareast-language: IN; mso-no-proof: yes;">
</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 14.2pt; mso-add-space: auto; mso-list: l5 level1 lfo35; text-indent: -14.2pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image002.png" width="6" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Katekolamin</div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 14.2pt; mso-add-space: auto; mso-list: l5 level1 lfo35; text-indent: -14.2pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;"><img alt="*" height="12" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image002.png" width="6" /><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Sekresi asam lambung</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Asupan nutrisi
kurang</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Odema otak<span style="mso-spacerun: yes;"> </span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Gangguan perfusi
jaringan<span style="mso-spacerun: yes;"> </span>cerebral </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Cedera otak
primer</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Cedera otak
sekunder</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
hypokxemia</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Kelainan
metabolisme</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Hematoma </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Cedera kepala</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Rsepon biologis</span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Tik </span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="mso-ansi-language: EN-US;">Odema </span></div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Odema paru </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Difusi O2
terhambat </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Gangguan pola
nafas</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Gangguan perfusi
jaringan</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Hipoksemia
hiperkapnea</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Cardiak out put </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Kebocoran cairan
kapiler </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Tekanan
hidrostatik</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Asam laktat </div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
O2<span style="mso-spacerun: yes;"> </span>mengakibatkan gangguan metabolisme</div>
</div>
</td>
</tr>
</tbody></table>
<table cellpadding="0" cellspacing="0" style="width: 100%px;">
<tbody>
<tr>
<td><div>
<div align="center" class="MsoNormal" style="text-align: center;">
Mual , muntah</div>
</div>
</td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span>
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<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.</span></span></b><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;">
Prosedur Diagnostic Cedera Kepala </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan penunjang yang diperlukan pada klien
dengan cedera kepala meliputi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">CT Scan ( dengan/tanpa kontras)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengidentifikasi luasnya lesi, perdarahan, determinan,
ventrikuler, dan perubahan jaringan otak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">MRI (Magnetic Resonance Imaging)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Digunakan sama dengan CT Scan dengan/tanpa kontras
radio aktif</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cerebral angiografi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukan anomaly sirkulasi serebral seperti
perubahan jaringan otak sekunder menjadi edema, perdarahan, dan trauma.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Serial EEG (Electroencephalography)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat melihat perkembangan gelombang patologis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sinar X</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mendeteksi perubahan struktur tulang (fraktur),
perubahan struktur garis (perdarahan/edema) fragmen tulang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAER (Brainstem Auditory Evoked Response)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengoreksi batas fungsi korteks dan otak kecil</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">CSS (Cairan Serebrospinal)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lumbal fungsi dapat dilakukan jika diduga terjadi
perdarahan subarachnoid</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar elektrolit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengoreksi keseimbangan elektrolit sebagai
peningkatan intracranial</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Screen toxicology</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mendeteksi pengaruh obat yang dapat menyebabkan
penurunan kesadaran</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rontgen thorak 2 arah (PA/AP dan lateral)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rontgen thorak menyatakan akumulasi udara / cairan
pada area pleural.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analisa gas darah (AGD/astrup)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analisa gas darah (AGD/astrup) adalah salah satu tes
diagnostik untuk menentukan status status respirasi. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan laboratorium ; hematokrit, trombosit,
darah lengkap, masa protombin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Azizah,
</span><a href="https://plus.google.com/106904822871263126067" title="author profile"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Hilyatul Husna </span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. 2014. <span style="mso-bidi-font-weight: bold;">Makalah
Asuhan Keperawatan Cedera Kepala </span><span style="mso-spacerun: yes;"> </span></span><a href="http://azizahcute478.blogspot.com/2014/09/makalah-asuhan-keperawatan-cedera-kepala_99.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://azizahcute478.blogspot.com/2014/09/makalah-asuhan-keperawatan-cedera-kepala_99.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.
diakses pada tanggal 08 mei 2015. Pukul 13.00 WIB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span lang="IT"></span></span></div>
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<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.8.</span></span></b><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;">
Manajemen Medis Cedera Kepala</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penatalaksanaan penderita cedera kepala ditentukan
atas dasar beratnya cedera dan dilakukan menurut urutan prioritas. Yang ideal
dilaksanakan oleh suatu tim yang terdiri dari paramedis terlatih, dokter ahli
saraf, bedah asraf, radiologi, anestesi dan rehabilitasi medik. Pasien dengan
cedera kepala harus ditangani dan dipantau terus sejak tempat kecelakaan,
selama perjalanan dari tempat kejadian sampai rumah sakit, diruang gawat
darurat, kamar radiologi, sampai ke ruang operasi, ruang perawatan atau ICU,
sebab sewaktu-waktu bisa memburuk akibat aspirasi, hipotensi, kejang dan
sebagainya.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Macam dan urutan prioritas tindakan cedera kepala
ditentukan atas dalamnya penurunan kesadaran pada saat diperiksa:</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pasien
dalam keadaan sadar (GCS=15)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pasien
yang sadar pada saat diperiksa bisa dibagi dalam 2 jenis:</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Simple
head injury (SHI)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pasien
mengalami cedera kepala tanpa diikuti gangguan kesadaran, dari anamnesa maupun
gejala serebral lain. Pasien ini hanya dilakukan perawatan luka. Pemeriksaan
radiologik hanya atas indikasi. Keluarga dilibatkan untuk mengobservasi
kesadaran.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kesadaran
terganggu sesaat</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pasien
mengalami penurunan kesadaran sesaat setelah cedera kepala dan pada saat
diperiksa sudah sadar kembali. Pemeriksaan radiologik dibuat dan
penatalaksanaan selanjutnya seperti SHI.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pasien
dengan kesadaran menurun</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera
kepala ringan / minor head injury (GCS=13-15)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kesadaran
disoriented atau not obey command, tanpa disertai defisit fokal serebral.
Setelah pemeriksaan fisik dilakukan perawatan luka, dibuat foto kepala. CT Scan
kepala, jika curiga adanya hematom intrakranial, misalnya ada riwayat lucid
interval, pada follow up kesadaran semakin menurun atau timbul lateralisasi.
Observasi kesadaran, pupil, gejala fokal serebral disamping tanda-tanda vital.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera
kepala sedang (GCS=9-12)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pasien
dalam kategori ini bisa mengalami gangguan kardiopulmoner, oleh karena itu
urutan tindakannya sebagai berikut:</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Periksa
dan atasi gangguan jalan nafas, pernafasan dan sirkulasi</span></div>
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</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Periksa
singkat atas kesadaran, pupil, tanda fokal serebral dan cedera organ lain.
Fiksasi leher dan patah tulang ekstrimitas</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Foto
kepala dan bila perlu bagiann tubuh lain</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">CT
Scan kepala bila curiga adanya hematom intracranial</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Observasi
fungsi vital, kesadaran, pupil, defisit fokal serebral</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera
kepala berat (CGS=3-8)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penderita
ini biasanya disertai oleh cedera yang multiple, oleh karena itu disamping
kelainan serebral juga disertai kelainan sistemik. Urutan tindakan menurut
prioritas adalah sebagai berikut:</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Resusitasi
jantung paru (airway, breathing, circulation=ABC) Pasien dengan cedera kepala
berat ini sering terjadi hipoksia, hipotensi dan hiperkapnia akibat gangguan
kardiopulmoner. Oleh karena itu tindakan pertama adalah:</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jalan
nafas (Air way)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jalan
nafas dibebaskan dari lidah yang turun ke belakang dengan posisi kepala
ekstensi,kalau perlu dipasang pipa orofaring atau pipa endotrakheal, bersihkan
sisa muntahan, darah, lendir atau gigi palsu. Isi lambung dikosongkan melalui pipa
nasograstrik untuk menghindarkan aspirasi muntahan</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pernafasan
(Breathing)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan
pernafasan dapat disebabkan oleh kelainan sentral atau perifer. Kelainan
sentral adalah depresi pernafasan pada lesi medulla oblongata, pernafasan
cheyne stokes, ataksik dan central neurogenik hyperventilation. Penyebab
perifer adalah aspirasi, trauma dada, edema paru, DIC, emboli paru, infeksi.
Akibat dari gangguan pernafasan dapat terjadi hipoksia dan hiperkapnia.
Tindakan dengan pemberian oksigen kemudian cari danatasi faktor penyebab dan
kalau perlu memakai ventilator.</span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sirkulasi
(Circulation)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipotensi
menimbulkan iskemik yang dapat mengakibatkan kerusakan sekunder. Jarang
hipotensi disebabkan oleh kelainan intrakranial, kebanyakan oleh faktor
ekstrakranial yakni berupa hipovolemi akibat perdarahan luar atau ruptur alat
dalam, trauma dada disertai tamponade jantung atau peumotoraks dan syok septik.
Tindakannya adalah menghentikan sumber perdarahan, perbaikan fungsi jantung dan
mengganti darah yang hilang dengan plasma, hydroxyethyl starch atau darah</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan
fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Setalah
ABC, dilakukan pemeriksaan fisik singkat meliputi kesadaran, pupil, defisit
fokal serebral dan cedera ekstra kranial. Hasil pemeriksaan fisik pertama ini
dicatat sebagai data dasar dan ditindaklanjuti, setiap perburukan dari salah
satu komponen diatas bis adiartikan sebagai adanya kerusakan sekunder dan harus
segera dicari dan menanggulangi penyebabnya.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan
radiologi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dibuat
foto kepala dan leher, sedangkan foto anggota gerak, dada Dan abdomen dibuat
atas indikasi. CT scan kepala dilakukan bila ada fraktur tulang tengkorak atau
bila secara klinis diduga ada hematom intrakranial</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>Tekanan tinggi intrakranial (TTIK)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Peninggian
TIK terjadi akibat edema serebri, vasodilatasi, hematom intrakranial atau
hidrosefalus. Untuk mengukur turun naiknya TIK sebaiknya dipasang monitor TIK.
TIK yang normal adalah berkisar 0-15 mmHg, diatas 20 mmHg sudah harus
diturunkan dengan urutan sebagai berikut:</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hiperventilasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Setelah resusitas ABC, dilakukan hiperventilasi dengan ventilasi yang
terkontrol, dengan sasaran tekanan CO2 (pCO2) 27-30 mmHg dimana terjadi
vasokontriksi yang diikuti berkurangnya aliran darah serebral. Hiperventilasi
dengan pCO2 sekitar 30 mmHg dipertahankan selama 48-72 jam, lalu dicoba dilepas
dgnmengurangi hiperventilasi, bila TIK naik lagi hiperventilasi diteruskan lagi
selama 24-48 jam. Bila TIK tidak menurun dengan hiperventilasi periksa gas
darah dan lakukan CT-scan ulang untuk menyingkirkan hematom</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Drainase</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tindakan ini dilakukan bil ahiperventilasi tidak berhasil. Untuk jangka pendek
dilakukan drainase ventrikular, sedangkan untuk jangka panjang dipasang
ventrikulo peritoneal shunt, misalnya bila terjadi hidrosefalus</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terapi
diuretic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diuretik
osmotik (manitol 20%)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cairan
ini menurunkan TIK dengan menarik air dari jaringan otak normal melalui sawar
otak yang masih utuh kedalam ruang intravaskuler. Bila tidak terjadi diuresis
pemberiannya harus dihentikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cara
pemberiannya : Bolus 0,5-1 gram/kgBB dalam 20 menit dilanjutkan 0,25-0,5 gram/kgBB,
setiap 6 jam selama 24-48 jam. Monitor osmolalitas tidak melebihi 310 mOSm</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Loop
diuretik (Furosemid)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Frosemid
dapat menurunkan TIK melalui efek menghambat pembentukan cairan cerebrospinal
dan menarik cairan interstitial pada edema sebri. Pemberiannya bersamaan
manitol mempunyai efek sinergik dan memperpanjang efek osmotic serum oleh
manitol. Dosis 40 mg/hari/iv</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terapi
barbiturat (Fenobarbital)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terapi ini diberikan pada kasus-ksus yang tidak responsif terhadap semua
jenis terapi yang tersebut diatas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cara pemberiannya: Bolus 10 mg/kgBB/iv selama 0,5 jam dilanjutkan 2-3
mg/kgBB/jam selama 3 jam, lalu pertahankan pada kadar serum 3-4 mg%, dengan dosis
sekitar 1 mg/KgBB/jam. Setelah TIK terkontrol, 20 mmHg selama 24-48 jam, dosis
diturunkan bertahap selama 3 hari.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Streroid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Berguna untuk mengurangi edema serebri pada tumor otak. Akan tetapi
menfaatnya pada cedera kepala tidak terbukti, oleh karena itu sekarang tidak
digunakan lagi pada kasus cedera kepala</span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Posisi
Tidur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penderita cedera kepala berat dimana TIK tinggi posisi tidurnya ditinggikan
bagian kepala sekitar 20-30, dengan kepala dan dada pada satu bidang, jangan
posisi fleksi atau leterofleksi, supaya pembuluh vena daerah leher tidak
terjepit sehingga drainase vena otak menjadi lancar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keseimbangan
cairan elektrolit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada
saat awal pemasukan cairan dikurangi untuk mencegah bertambahnya edema serebri
dengan jumlah cairan 1500-2000 ml/hari diberikan perenteral, sebaiknya dengan
cairan koloid seperti hydroxyethyl starch, pada awalnya dapat dipakai cairan kristaloid
seperti NaCl 0,9% atau ringer laktat, jangan diberikan cairan yang mengandung
glukosa oleh karena terjadi keadaan hiperglikemia menambah edema serebri. Keseimbangan
cairan tercapai bila tekanan darah stabil normal, yang akan takikardia kembali
normal dan volume urin normal >30 ml/jam. Setelah 3-4 hari dapat dimulai
makanan peroral melalui pipa nasogastrik. Pada keadaan tertentu dimana terjadi
gangguan keseimbangan cairan eletrolit, pemasukan cairan harus disesuaikan,
misalnya pada pemberian obat diuretik, diabetes insipidus, syndrome of
inappropriate anti diuretic hormon (SIADH). Dalam keadaan ini perlu dipantau
kadar eletrolit, gula darah, ureum, kreatinin dan osmolalitas darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nutrisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada
cedera kepala berat terjadi hipermetabolisme sebanyak 2-2,5 kali normal dan
akan mengakibatkan katabolisme protein. Proses ini terjadi antara lain oleh
karena meningkatnya kadar epinefrin dan norepinefrin dalam darah danakan
bertambah bila ada demam. Setelah 3-4 hari dengan cairan perenterai pemberian
cairan nutrisi peroral melalui pipa nasograstrik bisa dimulai, sebanyak
2000-3000 kalori/hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Epilepsi/kejang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Epilepsi
yang terjadi dalam minggu pertama setelah trauma disebut early epilepsi dan
yang terjadi setelah minggu pertama disebut late epilepsy. Early epilelpsi
lebih sering timbul pada anak-anak dari pada orang dewasa, kecuali jika ada
fraktur impresi, hematom atau pasien dengan amnesia post traumatik yang
panjang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengobatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kejang
pertama: Fenitoin 200 mg, dilanjutkan 3-4 x 100 mg/hari</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Status
epilepsi: diazepam 10 mg/iv dapat diulang dalam 15 menit. Bila cendrung
berulang 50-100 mg/ 500 ml NaCl 0,9% dengan tetesan <40 mg/jam. Setiap 6 jam
dibuat larutan baru oleh karena tidak stabil. Bila setelah 400 mg tidak
berhasil, ganti obat lain misalnya Fenitoin. Cara pemberian Fenitoin, bolus 18
mg/KgB/iv pelan-pelan paling cepat 50 mg/menit. Dilanjutkan dengan 200-500
mg/hari/iv atau oral Profilaksis: diberikan pada pasien cedera kepala berat
dengan resiko kejang tinggi, seperti pada fraktur impresi, hematom intrakranial
dan penderita dengan amnesia post traumatik panjang</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komplikasi
sistematik</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Infeksi:
profilaksis antibiotik diberikan bila ada resiko tinggi infeksi seperti: pada
fraktur tulang terbuka, luka luar dan fraktur basis kranii</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Demam:
kenaikan suhu tubuh meningkatkan metabolisme otak dan menambah kerusakan
sekunder, sehingga memperburuk prognosa. Oleh karena itu setiap kenaikan suhu
harus diatasi dengan menghilangkan penyebabnya, disamping tindakan menurunkan
suhu dengan kompres</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gastrointestinal:
pada penderita sering ditemukan gastritis erosi dan lesi gastroduodenal lain,
10-14% diantaranya akan berdarah. Keadan ini dapat dicegah dengan pemberian
antasida atau bersamaan dengan H2 reseptor bloker.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kelainan
hematologi: kelainan bisa berupa anemia, trombosiopenia, hipo hiperagregasi
trombosit, hiperkoagilasi, DIC. Kelainan tersebut walaupun ada yang bersifat
sementara perlu cepat ditanggulangi agar tidak memperparah kondisi pasien.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Neuroproteksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Adanya
waktu tenggang antara terjadinya trauma dengan timbulnya kerusakan jaringan
saraf, memberi waktu bagi kita untuk memberikan neuroprotektan. (</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Priangga, satria dwi. 2014. Asuhan Keperawatan Cedera Kepala.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><a href="http://satriadwipriangga.blogspot.com/2014/01/asuhan-keperawatan-pada-nnf-dengan.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">http://satriadwipriangga.blogspot.com/2014/01/asuhan-keperawatan-pada-nnf-dengan.html</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. diakses pada tanggal 08 mei 2015. Pukul 14.00 WIB</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> )</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.9.</span></span></b><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;">
Pengkajian pada klien Cedera Kepala</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengkajian
Menurut<b style="mso-bidi-font-weight: normal;"> </b></span><span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Doengoes, ME. 2001 :</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level2 lfo3; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengkajian</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Kegawatdaruratan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l50 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Primary Survey</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Airway dan cervical control</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hal pertama yang dinilai
adalah kelancaran airway. Meliputi pemeriksaan adanya obstruksi jalan nafas
yang dapat disebabkan benda asing, fraktur tulang wajah, fraktur mandibula atau
maksila, fraktur larinks atau trachea. Dalam hal ini dapat dilakukan “chin
lift” atau “jaw thrust”. Selama memeriksa dan memperbaiki jalan nafas, harus
diperhatikan bahwa tidak boleh dilakukan ekstensi, fleksi atau rotasi dari
leher.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Breathing dan ventilation</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jalan nafas yang baik tidak
menjamin ventilasi yang baik. Pertukaran gas yang terjadi pada saat bernafas
mutlak untuk pertukaran oksigen dan mengeluarkan karbon dioksida dari tubuh.
Ventilasi yang baik meliputi:fungsi yang baik dari paru, dinding dada dan
diafragma.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Circulation dan hemorrhage
control</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Volume darah dan Curah jantung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
perdarahan klien. Suatu keadaan hipotensi harus dianggap disebabkan oleh
hipovelemia. 3 observasi yang dalam hitungan detik dapat memberikan informasi
mengenai keadaan hemodinamik yaitu kesadaran, warna kulit dan nadi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrol Perdarahan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disability</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penilaian neurologis secara
cepat yaitu tingkat kesadaran, ukuran dan reaksi pupil. </span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Exposure dan Environment
control</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilakukan pemeriksaan fisik
head toe toe untuk memeriksa jejas.</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l50 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secondary</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Survey</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fokus assessment</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo15; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Head to toe assessment</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level2 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identitas pasien.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identitas pasien meliputi : nama, umur, jenis kelamin,
pendidikan, pekerjaan, alamat, status perkawinan, suku bangsa dan tanggal masuk
ruangan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat Kesehatan dan pemeriksaan fisik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Smeltzer & Bare, (2001), riwayat kesehatan
yang perlu dikaji/ ditanyakan adalah kapan cedera terjadi? apa penyebab cedera?
Peluru kecepatan tinggi? Objek apa yang terbentur kepala? Dari mana arah dan
kekuatan pukulan? Apakah ada kehilangan kesadaran? Durasi periode tidak sadar?
Dapatkah pasien dibangunkan? Riwayat tidak sadar atau amnesia terhadap cedera
kepala menunjukkan derajat kerusakan otak yang berarti, dimana perubahan
selanjutnya dapat menunjukkan terjadi pemulihan kerusakan otak sekunder.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas/ Istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala <span style="mso-tab-count: 1;"> </span>: Merasa lemah, lelah, kaku, hilang
kesimbangan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo12; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan kesadaran, <i style="mso-bidi-font-style: normal;">letargi, hemiparese, quadreplegia, ataksia</i>, cara berjalan tak
tegap, masalah dalam kesimbangan, cedera (trauma) ortopedi, kehilangan tonus
otot, otot palstik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo12; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan kekuatan, ketahanan, keterbatasan rentang
gerak pada area yang sakit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo12; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan massa otot, perubahan tonus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sirkulasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala <span style="mso-tab-count: 1;"> </span>: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipotensi
(syok)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan nadi
perifer distal pada ekstremitas yang cedera, vaokontriksi perifer umum dengan kehilangan
nadi, kulit putih dan dingin.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Takikardi
(syok/ <i style="mso-bidi-font-style: normal;">ansietas</i>/ nyeri)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disritmia
(syok) pembentukan edema jaringan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -21.3pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda <span style="mso-tab-count: 1;"> </span>: </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
tekanan darah atau normal (<i style="mso-bidi-font-style: normal;">hipertensi</i>),
perubahan frekuensi jantung (<i style="mso-bidi-font-style: normal;">bradikardi, </i></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">takikardi</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> yang diselingi dengan <i style="mso-bidi-font-style: normal;">bradikardi, disritmia</i>).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Integritas
Ego</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala <span style="mso-tab-count: 1;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tingkah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> laku atau
kepribadian (tenang atau dramatis)</span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah tentang keluarga, pekerjaan, keuangan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: -21.3pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda <span style="mso-tab-count: 1;"> </span>: <span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cemas, mudah
tersinggung, <i style="mso-bidi-font-style: normal;">delirium, agitasi</i>,
bingung, depresi dan impulsif. Menangis, ketergantungan, menyangkal, menarik
diri, marah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eliminasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala <span style="mso-tab-count: 1;"> </span>: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Inkontenensia
kandung </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kemih</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">/ usus atau mengalami gangguan fungsi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-tab-count: 1;"> </span>:
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengeluaran
urine menurun atau tak ada selama fase darurat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diuresis
(setelah kebocoran kapiler dan mobilisasi cairan ke dalam sirkulasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan
bising usus/ tak ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 84.0pt 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mual, muntah
dan mengalami perubahan selera</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan menelan, (</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">batuk</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, air liur keluar, <i style="mso-bidi-font-style: normal;">disfagia</i>)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Edema jaringan umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anoreksia</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">,
mual/muntah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 84.0pt 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensori</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kehilangan kesadaran sementara, <i style="mso-bidi-font-style: normal;">amnesia</i> seputar kejadian, <i style="mso-bidi-font-style: normal;">vertigo,
sinkope, tinitus</i>, kehilangan pendengaran, bingung, baal pada ekstremitas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan dalam penglihatan seperti ketajamannya yang <i style="mso-bidi-font-style: normal;">diplopia</i>, kehilangan sebagian lapang
pandang, fotofobia, gangguan pengecapan dan penciuman. Kesemutan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan kesadaran bisa sampai koma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan status mental orientasi kewaspadaan,
perhatian, konsentrasi pemecahan masalah, perubahan pupil (respons terhadap
cahaya, simetri), deviasi pada mata, ketidakmampuan mengikuti kehilangan
pengindraan seperti pengecapan, penciuman dan pendengaran.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wajah tidak simetris</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan lemah tidak seimbang, refleks tendon dalam
tidak ada atau lemah, <i style="mso-bidi-font-style: normal;">apraksia,
hemiparese quadreplegia,</i> postur (<i style="mso-bidi-font-style: normal;">dekortikasi
desebrasi</i>). Kejang sangat sensitive terhadap sentuhan dan gerakan
kehilangan sensasi sebagai posisi tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan orientasi, efek perilaku. Penurunan refleks
tendon dalam pada cedera extremitas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 84.0pt 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri/
ketidaknyamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sakit kepala dengan intensitas dan lokasi yang berbeda
biasanya lama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wajah menyeringai, respons menarik pada rangsangan
nyeri yang hebat, gelisah, tidak bisa beristirahat, merintih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 84.0pt 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma baru/ trauma karena kecelakaan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">fraktur</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">/ dislokasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan penglihatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kulit laserasi,
abrasi, perubahan warna.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda battle di
sekitar telinga (merupakan tanda adanya trauma). Adanya aliran cairan (<i style="mso-bidi-font-style: normal;">drainase</i>) dari telinga/ hidung
serebrospinal (CSS).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
kognitif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
rentang gerak, tonus otot hilang kekuatan secara umum mengalami paralisis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam, gangguan
dalam regulasi suhu tubuh.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 84.0pt 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interaksi
Sosial.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Afasia</span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> motorik atau sensorik, bicara tanpa arti, bicara berulang-ulang, <i style="mso-bidi-font-style: normal;">disartia, anomia</i>.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; tab-stops: list 84.0pt 102.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pernapasan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Serak, batuk, mengi, partikel karbon dalam sputum,
ketidakmampuan menelan sekresi oral, sianosis, indikasi cedera inhalasi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; tab-stops: list 102.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cemas</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, mudah
tersinggung, <i style="mso-bidi-font-style: normal;">delirium, agitasi,</i>
bingung, depresi dan impulsif. Menangis, ketergantungan, menyangkal, menarik
diri, marah. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.10.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnostic Keperawatan pada klien Cedera Kepala</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa
Menurut Doengoes, ME. 2001</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
tinggi peningkatan TIK yang berhubungan dengan desak ruang sekunder dari
kompresi korteks serebri dari adanya perdarahan baik bersifat intraserebral
hematoma, subdural hematoma, dan epidural hematoma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakefektifnya
pola pernapasan yang berhubungan dengan depresi pusat pernapasan, kelemahan
otot-otot pernapasan, ekspansi paru yang tidak maksimal karena trauma, dan
perubahan perbandingan O<sub>2</sub> dengan CO<sub>2</sub>, kegagalan
ventilator.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak
efektif bersihan jalan napas yang berhubungan dengan adanya jalan napas buatan
pada trakea, peningkatan sekresi sekret, dan ketidakmampuan batuk/batuk efektif
sekunder akibat nyeri dan keletihan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
perfusi serebral berhubungan dengan penghentian aliran darah (nemongi,
nemotuma), edema serebral ; penurunan TD sistemik / hipoksia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gangguan
nutrisi : kurang dari kbutuhan tubuh berhubungan dengan perubahan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.11.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi Keperawatan pada Klien Cedera Kepala</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
dari Doengoes, ME. 2001</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo17; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
tinggi peningkatan TIK yang berhubungan dengan desak ruang sekunder dari
kompresi korteks serebri dari adanya perdarahan baik bersifat intraserebral
hematoma, subdural hematoma, dan epidural hematoma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : dalam waktu 2x24 jam tidak terjadi peningkatan TIK pada klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : klien tidak gelisah, klien tidak mengeluh nyeri kepala,
mual-mual dan muntah, GCS 4, 5, 6, tidak terdapat papiledema. TTV dalam batas
normal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji faktor
penyebab dari situasi/keadaan individu/penyebab koma/penurunan perfusi jaringan
dan kemungkinan penyebab peningkatan TIK</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Deteksi dini untuk memprioritaskan intervensi, mengkaji status
neurologis/tanda-tanda kegagalan untuk menentukan perawatan kegawatan atau
tindakan pembedahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memonitor
tanda-tanda vital tiap 4 jam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Suatu keadaan normal bila sirkulasi serebral terpelihara dengan
baik atau fluktuasi ditandai dengan tekanan darah sistemik, penurunan dari
autoregulator kebanyakan merupakan tanda penurunan difusi local
vaskularisasi darah serebral. Dengan peningkatan tekanan darah (diastolic) maka
dibarengi dengan peningkatan tekanan darah intrakrinial. Adanya peningkatan
tekanan darah, bradikardi, disritmia, dispnea merupakan tanda terjadinya
peningkatan TIK.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi
pupil, amati ukuran, ketajaman, dan reaksi terhadap cahaya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Reaksi pupil dan pergerakan kembali dari bola mata merupakan
tanda dari gangguan nervus/saraf jika batang otak terkoyak. Reaksi pupil diatur
oleh saraf III cranial (okulomotorik) yang menunjukkan keseimbangan antara
parasimpatis dan simpatis. Respon terhadap cahaya merupakan kombinasi fungsi
dari saraf cranial II dan III.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
temperatur dan pengaturan suhu lingkungan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :
Panas merupakan refleks dari hipotalamus. Peningkatan kebutuhan metabolism dan
O<sub>2</sub> akan menunjang peningkatan TIK/ICP (<i>Intracranial Pressure</i>).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertahankan
kepala/leher pada posisi yang netral, usahakan dengan sedikit bantal. Hindari
penggunaan bantal yang tinggi pada kepala.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Perubahan kepala pada satu sisi dapat menimbulkan penekanan pada
vena jugularis dan menghambat aliran darah otak (menghambat drainase pada vena
serebral), untuk itu dapat meningkatkan tekanan intracranial.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cegah/hindarkan
terjadinya valsava maneuver</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mengurangi tekanan intratorakal dan intraabdominal sehingga
menghindari peningkatan TIK.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
tingkat kesadaran dengan GCS</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Perubahan kesadaran
menunjukkan peningkatan TIK dan berguna menentukan lokasi dan perkembangan
penyakit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian O<sub>2</sub> sesuai indikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mengurangi hipoksemia, dimana dapat meningkatkan vasodilatasi
serebral, volume darah, dan menaikkan TIK.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
cairan intravena sesuai indikasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pemberian cairan mungkin di inginkan untuk mengurangi edema
serebral, peningkatan minimum pada pembuluh darah, tekanan darah dan TIK.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo17; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakefektifnya
pola pernapasan yang berhubungan dengan depresi pusat pernapasan, kelemahan otot-otot
pernapasan, ekspansi paru yang tidak maksimal karena trauma, dan perubahan
perbandingan O<sub>2</sub> dengan CO<sub>2</sub>, kegagalan ventilator.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Dalam waktu 3x24 jam setelah intervensi adanya peningkatan, pola
napas kembali efektif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : Memperlihatkan frekuensi pernapasan yang efektif,
mengalami perbaikan pertukaran gas-gas pada paru, adaptif mengatasi
faktor-faktor penyebab</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
posisi yang nyaman, biasanya dengan peninggian kepala tempat tidur. Balik
kesisi yang sakit. Dorong klien untuk duduk sebanyak mungkin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Meningkatkan inspirasi maksimal, meningkatkan ekspansi paru dan
ventilasi pada sisi yang tidak sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
fungsi pernapasan, dispnea, atau perubahan tanda-tanda vital.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Distress pernapasan dan perubahan pada tanda vital dapat terjadi
sebagai akibat stress fisiologi dan nyeri atau dapat menunujukkan terjadinya
syok sehubungan dengan hipoksia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
pada klien bahwa tindakan tersebut dilakukan untuk menjamin keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pengetahuan apa yang diharapkan dapat mengembangkan kepatuhan
klien terhadap rencana terapeutik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantulah
klien untuk mengontrol pernapasan jika ventilator tiba-tiba berhenti</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Melatih klien untuk mengatur napas seperti napas dalam, napas
pelan, napas perut, pengaturan posisi, dan teknik relaksasi dapat membantu
memaksimalkan fungsi dan system pernapasan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo36; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perhatikan
letak dan fungsi ventilator secara rutin. Pengecekan konsentrasi oksigen,
memeriksa tekanan oksigen dalam tabung, monitor manometer untuk menganalisis
batas/kadar oksigen. Mengkaji tidal volume (10-15 ml/kg). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Memerhatikan letak dan fungsi ventilator sebagai kesiapan
perawat dalam memberikan tindakan pada penyakit primer setelah menilai hasil
diagnostik dan menyediakan sebagai cadangan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo17; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak
efektif bersihan jalan napas yang berhubungan dengan adanya jalan napas buatan
pada trakea, peningkatan sekresi sekret, dan ketidakmampuan batuk/batuk efektif
sekunder akibat nyeri dan keletihan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Dalam waktu 3x24 jam terdapat perilaku peningkatan keefektifan
jalan napas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : Bunyi napas terdengar bersih, ronkhi tidak terdengar,
tracheal tube bebas sumbatan, menunjukkan batuk yang efektif, tidak ada lagi
penumpukan sekret di saluran pernapasan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji keadaan
jalan napas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Obstruksi mungkin dapat disebabkan oleh akumulasi sekret, sisa
cairan mucus, perdarahan, bronkhospasme, dan/atau posisi dari
endotracheal/tracheostomy tube yang berubah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi
pergerakan dada dan auskultasi suara napas pada kedua paru (bilateral).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pergerakan dada yang simetris dengan suara napas yang keluar
dari paru-paru menandakan jalan napas tidak terganggu. Saluran napas bagian
bawah tersumbat dapat terjadi pada pneumonia/atelektasis akan menimbulkan
perubahan suara napas seperti ronkhi atau wheezing.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atur/ubah
posisi klien secara teratur (tiap 2jam).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mengatur pengeluaran sekret dan ventilasi segmen paru-paru,
mengurangi risiko atelektasis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo37; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong atau
berikan perawatan mulut yang baik setelah batuk. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Higine mulut yang baik meningkatkan rasa kesejahteraan dan
mencegah bau mulut. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo17; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
perfusi serebral berhubungan dengan penghentian aliran darah (nemongi,
nemotuma), edema serebral ; penurunan TD sistemik / hipoksia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Dalam waktu 2x24 jam fungsi serebral membaik, penurunan fungsi
neurologis dapat d minimalkan /distabilkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : mempertahankan tingkat kesadaran biasanya/membaik, fungsi
kognitif dan motorik/sensorik, mendemonstrasikan vital sign yang stabil dan
tidak ada tanda-tanda peningktan TIK,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo38; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji ulang
tanda-tanda vital<span style="mso-spacerun: yes;"> </span>klien dan status
relirologis klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mengkaji adanya kecenderungan pada tingkat kesadaran dan
potensial peningkatan TIK dan bermanfaat dalam menentukan lokasi, perluasan dan
perkembangankerusakan ssp</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo38; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
Heart Rate, catat adanya bradikardi, takikardi atau bentuk disritmia lainya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Perubahan pada ritme (paling sering bradikardia) dan disritmia
dapat timbul yang mencerminkan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo38; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
pernafasan meliputi pola dan ritme, seperti periode apnea setelah
hiperventilasi (pernafasan cheyne – stokes).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Nafas tidak teratur menunjukkan adanya gangguan<br />
serebral/ peningkatan TIK dan memerlukan intervensi lebih lanjut termasuk
kemungkinan dukungan nafas buatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo38; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji perubahan
pada penglihatan ( penglihatan kabur, ganda, lap. Pandang menyempit dan
kedalaman persepsi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Gangguan penglihatan dapat diakibatkan oleh kerusakan
mikroskopik pada otak, merupakan konsekuensi terhadap keamanan dan juga akan
mempngaruhi pilihan intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo38; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi
pemberian O2 tambahan sesuai indikasi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menurunkan hipoksemia yang mana dapat menaikkan vasodilatasi dan
vol darah serebral yang meningkatkan TIK</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo17; tab-stops: 21.3pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gangguan
nutrisi : kurang dari kbutuhan tubuh berhubungan dengan perubahan kemampuan
mencerna makanan, peningkatan kebutuhan metabolism</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Dalam waktu 3x24 jam kebutuhan nutrisi klien terpenuhi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : mengerti tentang pentingnya nutrisi bagi tubuh,
memperlihatkan kenaikan berat badan sesuai dengan pemeriksaan laboratorium. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo39; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi/timbang
berat badan jika memungkinkan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Tanda kehilangan berat badan (7-10%) dan kekurangan intake
nutrisi menunjang terjadinya masalah katabolisme, kandungan glikogen dalam
otot, dan kepekaan terhadap pemasangan ventilator</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo39; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat
pemasukan peroral jika diindikasikan. anjurkan klien untuk makan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Nafsu makan biasanya berkurang dan nutrisi yang masuk pun
berkurang. menganjurkan klien memilih makanan yang di senangi dapat dimakan (
bila sesuai anjuran).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo39; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
makanan kecil dan lunak</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mencegah terjadinya kelelahan, memudahkan masuknya makanan, dan
mencegah gangguan pada lambung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo39; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aturlah diet
yang diberikan sesuaii keadaan klien </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Diet tinggi kalori, protein, karbohidrat sangat diperlukan
selama pemasangan ventilator untuk mempertahankan fungsi otot-otot respirasi.
karbohidrat dapat berperan dan penggunaan lemak meningkat untuk mencegah
terjadinya produksi co2 dan pengaturan sisa respirasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.12.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Aspek Hukum pada Tindakan Pasien</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut D.
Veronika Komalawati, SH., ”informed consent” dirumuska</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> sebagai
”suatu kesepakatan/persetujuan pasien atas upaya medis yang akan dilakukan
dokter terhadap dirinya setelah memperoleh informasi dari dokter mengenai upaya
medis yang dapat dilakukan untuk menolong dirinya disertai informasi mengenai
segala risiko yang mungkin terjadi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Di Indonesia
perkembangan “informed consent” secara yuridis formal, ditandai dengan
munculnya pernyataan Ikatan Dokter Indonesia (IDI) tentang “informed consent”
melalui SK PB-IDI No. 319/PB/A.4/88 pada tahun 1988. Kemudian dipertegas lagi
dengan PerMenKes No. 585 tahun 1989 tentang “Persetujuan Tindakan Medik atau
Informed Consent”. Hal ini tidak berarti para dokter dan tenaga kesehatan di
Indonesia tidak mengenal dan melaksanakan “informed consent” karena jauh
sebelum itu telah ada kebiasaan pada pelaksanaan operatif, dokter selalu
meminta persetujuan tertulis dari pihak pasien atau keluarganya sebelum
tindakan operasi itu dilakukan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
dasarnya Persetujuan Tindakan Medik berasal dari hak asasi pasien dalam
hubungan dokter pasien yaitu:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hak untuk
menentukan nasibnya sendiri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hak untuk
mendapatkan informasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dari sudut
pandang dokter Persetujuan Tindakan Medik ini berkaitan dengan kewajiban dokter
untuk memberikan informasi kepada pasien dan kewajiban untuk melakukan tindakan
medik sesuai dengan standar profesi medik.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suatu
informed consent baru sah diberikan oleh pasien jika memenuhi minimal 3 (tiga)
unsur sebagai berikut :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l55 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keterbukaan informasi yang cukup diberikan oleh
dokter.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l55 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kompetensi pasien dalam memberikan persetujuan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l55 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesukarelaan (tanpa paksaan atau tekanan) dalam
memberikan persetujuan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ruang
lingkup dan materi informasi yang diberikan tergantung pada pengetahuan medis
pasien saat itu. Jika memungkinkan, pasien juga diberitahu mengenai tanggung
jawab orang lain yang berperan serta dalam pengobatan pasien. Biasanya,
informed consent ini harus meliputi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dokter harus menjelaskan pada pasien mengenai
tindakan, terapi dan penyakitnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien harus diberitahu tentang hasil terapi yang
diharapkan dan seberapa besar kemungkinan keberhasilannya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien harus diberitahu mengenai beberapa alternatif
yang ada dan akibat apabila penyakit tida diobati</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien harus diberitahu mengenai risiko apabila
menerima atau menolak terapi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara umum,
bentuk persetujuan yang diberikan pengguna jasa tindakan medis (pasien) kepada
pihak pelaksana jasa tindakan medis (dokter) untuk melakukan tindakan medis
dapat dibedakan menjadi tiga bentuk, yaitu :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persetujuan Tertulis, biasanya diperlukan untuk
tindakan medis yang mengandung risiko besar, sebagaimana ditegaskan dalam
PERMENKES No. 585/Men.Kes/Per/IX/1989 Pasal 3 ayat (1) dan SK PB-IDI No.
319/PB/A.4/88 butir 3, yaitu intinya setiap tindakan medis yang mengandung
risiko cukup besar, mengharuskan adanya persetujuan tertulis, setelah
sebelumnya pihak pasien memperoleh informasi adekuat tentang perlunya tindakan
medis serta risiko yang berkaitan dengannya (telah terjadi informed consent);</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persetujuan Lisan, biasanya diperlukan untuk tindakan
medis yang bersifat non-invasif dan tidak mengandung risiko tinggi, yang
diberikan oleh pihak pasien;</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persetujuan dengan isyarat, dilakukan pasien melalui
isyarat, misalnya pasien yang akan disuntik atau diperiksa tekanan darahnya,
langsung menyodorkan lengannya sebagai tanda menyetujui tindakan yang akan
dilakukan terhadap dirinya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain itu,
Persetujuan Tindakan Medik (Informed Consent) dapat diklasifikasikan menjadi 2,
yaitu :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Implied Consent, yaitu persetujuan yang dianggap telah
diberikan walaupun tanpa pernyataan resmi, yaitu pada keadaan biasa dan pada
keadaan darurat atau emergency. Pada keadaan gawat darurat yang mengancam jiwa
pasien, tindakan menyelamatkan kehidupan (life saving) tidak memerlukan
Persetujuan Tindakan Medik;</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Expresed Consent, yaitu Persetujuan Tindakan Medik
yang diberikan secara eksplisit, baik secara lisan (oral) maupun tertulis
(written)</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">( </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Forensik_AI_FKUI,
<i style="mso-bidi-font-style: normal;">Informed Consent (Anda Berhak Tahu
Semuanya)</i>, [document on the internet]</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">. Jakarta: 12 Februari Desember 2010.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Diakses pada tanggal 07 Mei 2015, pukul 19.00 )</span></div>
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<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;">BAB
III</span></b></div>
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<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;">LAPORAN
KASUS</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mr. X tidak diketahui identitasnya tertabrak mobil di
jalan raya, dibawa oleh masyarakat ke intalansi gawat darurat rumah sakit umum.
Hasil pemeriksaan perawat : GCS= 7, dilatasi pupil unilateral dan hilangnya
redlek cahaya, perdarahan hidung (+), perdarahan telinga (+), ekhimosis periorbital
(raccoon’s eye). Dokter mengatakan bahwa terdapat tanda-tanda penekanan batang
otak yang disebabkan oleh herniasi uncal. Dokter melakukan tindakan diagnosis
“burr hole”, hasilnya pasien mengalami SDH (subdural hematoma). Dokter
spesialis bedah saraf memutuskan pasien harus segera dilakukan kraniotomi.
Perawat member tahu bahwa kesulitan menemukan keluarga pasien karena Mr. X
tanpa identitas.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo43; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengkajian
</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas<span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mr. X</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis Kelamin<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Laki Laki</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Status Perkawinan<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Agama<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">No. Medrek<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tgl Masuk<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tgl Pengkajian<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diagnosa Medis<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">SDH (subdural hematoma)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas Penanggung Jawab<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nama<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Umur<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jenis Kelamin<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hubungan Dengan Klien<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 219.75pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Alamat<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Penyakit</span></b></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan Utama<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat penyakit Sekang<span style="mso-spacerun: yes;"> </span>:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>Mr. X tidak
diketahui identitasnya tertabrak mobil di jalan raya, dibawa oleh masyarakat ke
intalansi gawat darurat rumah sakit umum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat Penyakit Dahulu<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
Psikologis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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;">-</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
Sosial</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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;">-</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
Spiritual</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<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;">-</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan
Fisik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan
umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">T<span style="mso-spacerun: yes;">
</span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">P<span style="mso-spacerun: yes;">
</span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">R<span style="mso-spacerun: yes;">
</span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 80.25pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">S<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesadaran : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">GCS = 7</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
Panca Indera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mata<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">dilatasi pupil unilateral dan hilangnya redlek cahaya,
ekhimosis periorbital (raccoon’s eye).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Telinga<span style="mso-spacerun: yes;"> </span>:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> perdarahan telinga (+)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hidung<span style="mso-spacerun: yes;"> </span>: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">perdarahan hidung (+)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
kardiovaskular</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
pernafasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
pencernaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
endokrin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
integument dan imunitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
musculoskeletal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
Genitourinaria</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">-</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sistem
persarafan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terdapat
tanda-tanda penekanan batang otak yagn disebabkan oleh herniasi uncal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
Penunjang</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tindakan
diagnostic burr hole, hasilnya pasien mengalami SDH (subdural hematoma).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Analisa
Data</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 54.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.6pt;" width="46"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">No</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 115.25pt;" width="154"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Data</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Etiologi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 116.5pt;" width="155"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Masalah</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.6pt;" valign="top" width="46"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">1</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 115.25pt;" valign="top" width="154"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">S : -</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">O :</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tindakan diagnostic burr hole, hasilnya pasien mengalami SDH (subdural
hematoma).</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-AU;">Cedera kepala</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-AU;">Ekstra cranial</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-AU;">Terputusnya
kontinuitas jaringan</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-AU;">Perdarahan,
hematoma</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-AU;">Perubahan
sirkulasi CSS</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-AU" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-AU;">Peningkatan TIK</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 116.5pt;" valign="top" width="155"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
tinggi peningkatan TIK</span><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;"></span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.6pt;" valign="top" width="46"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">2</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 115.25pt;" valign="top" width="154"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">S : -</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">O : GCS = 7, dilatasi pupil unilateral dan hilangnya reflek cahaya</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera kepala</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera otak
perimer</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera otak sekunder</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
</div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kerusakan sel
otak </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>rangsangan simpatis</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>tahanan vaskuler sistemik dan
TD </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>tekanan pembuluh darah pulmonal</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>tekanan hidrostatik</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kebocoran
cairan kapiler</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Odema paru</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Difusi O<sub>2</sub> terhambat</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
</div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ketidakefektifan pola nafas</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 116.5pt;" valign="top" width="155"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ketidak efektifan pola nafas </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.6pt;" valign="top" width="46"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">3</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 115.25pt;" valign="top" width="154"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">S : -</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">O : penurunan kesadaran GCS =7, terdapat tanda-tanda
penekanan batang otak yang disebabkan oleh herniasi uncal.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera kepala</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan
autoregulasi</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Aliran darah
ke otak </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">O<sub>2 </sub></span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>mengakibatkan gangguan
metabolism</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Asam laktat </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Oedema otak</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan perfusi jaringan serebral</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 116.5pt;" valign="top" width="155"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan perfusi jaringan sereberal </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 34.6pt;" valign="top" width="46"><div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">4</span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 115.25pt;" valign="top" width="154"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">S : -</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">O : dilatasi pupil unilateral dan hilangnya redlek
cahaya, perdarahan hidung (+), perdarahan telinga (+), ekhimosis periorbital
(raccoon’s eye).</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cedera kepala</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jaringan otak rusak</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
</div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Edema serebral</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kejang</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan
neurologis focal</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Deficit
neurologis</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan persepsi sensori</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 116.5pt;" valign="top" width="155"><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan persepsi sensori </span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo43; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnosa</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Keperawatan (Diurutkan sesuai
prioritas)</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo47; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
tinggi peningkatan TIK yang berhubungan dengan desak ruang sekunder dari
kompresi korteks serebri dari adanya perdarahan subdural hematoma.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo47; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakefektifnya
pola pernapasan yang berhubungan dengan depresi pusat pernapasan, kelemahan
otot-otot pernapasan, ekspansi paru yang tidak maksimal karena trauma, dan
perubahan perbandingan O<sub>2</sub> dengan CO<sub>2</sub>, kegagalan
ventilator.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo47; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> perfusi jaringan serebral berhubungan dengan penurunan kesadaran, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">penghentian
aliran darah (nemongi, nemotuma), edema serebral ; penurunan TD sistemik /
hipoksia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo47; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubahan persepsi sensori</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> berhubungan dengan </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">trauma atau
defisit neurologis. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">ditandai
dengan dilatasi pupil unilateral dan hilangnya redlek cahaya, perdarahan hidung
(+), perdarahan telinga (+), ekhimosis periorbital (raccoon’s eye).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo43; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi
Keperawatan</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: -15.9pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 680px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" width="38"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">No</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" width="104"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">Diagnosa</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" width="123"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">Tujuan </span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" width="189"><div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">Intervensi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" width="227"><div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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;">Rasional</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
tinggi peningkatan TIK yang berhubungan dengan desak ruang sekunder dari
kompresi korteks serebri dari adanya perdarahan subdural hematoma.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dalam
waktu 2x24 jam tidak terjadi peningkatan TIK pada klien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil : klien tidak gelisah, klien tidak mengeluh nyeri kepala, mual-mual dan
muntah, GCS 4, 5, 6, tidak terdapat papiledema. TTV dalam batas normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
faktor penyebab dari situasi/keadaan individu/penyebab koma/penurunan perfusi
jaringan dan kemungkinan penyebab peningkatan TIK</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memonitor
tanda-tanda vital tiap 4 jam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi
pupil, amati ukuran, ketajaman, dan reaksi terhadap cahaya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cegah/hindarkan
terjadinya valsava maneuver</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
tingkat kesadaran dengan GCS</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo48; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian
O<sub>2</sub> sesuai indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo49; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deteksi
dini untuk memprioritaskan intervensi, mengkaji status neurologis/tanda-tanda
kegagalan untuk menentukan perawatan kegawatan atau tindakan pembedahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo49; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suatu
keadaan normal bila sirkulasi serebral terpelihara dengan baik atau fluktuasi
ditandai dengan tekanan darah sistemik, penurunan dari autoregulator
kebanyakan merupakan tanda penurunan difusi local vaskularisasi darah
serebral. Dengan peningkatan tekanan darah (diastolic) maka dibarengi dengan
peningkatan tekanan darah intrakrinial. Adanya peningkatan tekanan darah,
bradikardi, disritmia, dispnea merupakan tanda terjadinya peningkatan TIK.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo49; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reaksi
pupil dan pergerakan kembali dari bola mata merupakan tanda dari gangguan
nervus/saraf jika batang otak terkoyak. Reaksi pupil diatur oleh saraf III
cranial (okulomotorik) yang menunjukkan keseimbangan antara parasimpatis dan
simpatis. Respon terhadap cahaya merupakan kombinasi fungsi dari saraf
cranial II dan III.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo49; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengurangi
tekanan intratorakal dan intraabdominal sehingga menghindari peningkatan TIK.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo49; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
kesadaran menunjukkan peningkatan TIK dan berguna menentukan lokasi dan
perkembangan penyakit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo49; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengurangi
hipoksemia, dimana dapat meningkatkan vasodilatasi serebral, volume darah,
dan menaikkan </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakefektifnya
pola pernapasan yang berhubungan dengan depresi pusat pernapasan, kelemahan
otot-otot pernapasan, ekspansi paru yang tidak maksimal karena trauma, dan
perubahan perbandingan O<sub>2</sub> dengan CO<sub>2</sub>, kegagalan
ventilator.</span><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;"></span></b></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam
waktu 3x24 jam setelah intervensi adanya peningkatan, pola napas kembali
efektif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil : Memperlihatkan frekuensi pernapasan yang efektif, mengalami perbaikan
pertukaran gas-gas pada paru, adaptif mengatasi faktor-faktor penyebab</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo50; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
posisi yang nyaman, biasanya dengan peninggian kepala tempat tidur. Balik
kesisi yang sakit. Dorong klien untuk duduk sebanyak mungkin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo50; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
fungsi pernapasan, dispnea, atau perubahan tanda-tanda vital.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo50; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
pada klien bahwa tindakan tersebut dilakukan untuk menjamin keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.4pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo51; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan
inspirasi maksimal, meningkatkan ekspansi paru dan ventilasi pada sisi yang
tidak sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo51; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Distress
pernapasan dan perubahan pada tanda vital dapat terjadi sebagai akibat stress
fisiologi dan nyeri atau dapat menunujukkan terjadinya syok sehubungan dengan
hipoksia.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo51; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengetahuan
apa yang diharapkan dapat mengembangkan kepatuhan klien terhadap rencana
terapeutik.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">3</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> perfusi jaringan serebral
berhubungan dengan penghentian aliran darah (nemongi, nemotuma), edema
serebral ; penurunan TD sistemik / hipoksia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam
waktu 2x24 jam fungsi serebral membaik, penurunan fungsi neurologis dapat d
minimalkan /distabilkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
hasil : mempertahankan tingkat kesadaran biasanya/membaik, fungsi kognitif
dan motorik/sensori, mendemonstrasikan vital sign yang stabil dan tidak ada
tanda-tanda peningktan TIK,</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo52; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji ulang
tanda-tanda vital<span style="mso-spacerun: yes;"> </span>klien dan status
relirologis klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo52; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
Heart Rate, catat adanya bradikardi, takikardi atau bentuk disritmia lainya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo52; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
pernafasan meliputi pola dan ritme, seperti periode apnea setelah
hiperventilasi (pernafasan cheyne – stokes).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo52; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
perubahan pada penglihatan ( penglihatan kabur, ganda, lap. Pandang menyempit
dan kedalaman persepsi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo52; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi
pemberian O2 tambahan sesuai indikasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengkaji
adanya kecenderungan pada tingkat kesadaran dan potensial peningkatan TIK dan
bermanfaat dalam menentukan lokasi, perluasan dan perkembangankerusakan ssp.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
pada ritme (paling sering bradikardia) dan disritmia dapat timbul yang
mencerminkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nafas
tidak teratur menunjukkan adanya gangguan serebral/ peningkatan TIK dan
memerlukan intervensi lebih lanjut termasuk kemungkinan dukungan nafas
buatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
penglihatan dapat diakibatkan oleh kerusakan mikroskopik pada otak, merupakan
konsekuensi terhadap keamanan dan juga akan mempngaruhi pilihan intervensi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l53 level1 lfo53; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurunkan
hipoksemia yang mana dapat menaikkan vasodilatasi dan vol darah serebral yang
meningkatkan TIK</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38"><div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">4</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan persepsi sensori berhubungan dengan </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">trauma atau
defisit neurologis. Ditandai dengan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">dilatasi pupil unilateral dan hilangnya redlek cahaya, perdarahan
hidung (+), perdarahan telinga (+), ekhimosis periorbital (raccoon’s eye).</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Mempertahan-kan tingkat kesadaran dan fungsi persepsi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 5.0cm;" valign="top" width="189"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo57; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Kaji
respons sensori terhadap raba/ sentuhan, panas/ dingin, benda tajam/ tumpul
dan catat perubahan yang terjadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo57; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Observasi
respon perilaku seperti rasa bermusuhan, menangis, afektif yang tidak sesuai,
agitasi, halusinasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo57; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Bicara dengan
suara yang lembut dan pelan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo57; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Berikan keamanan pasien dengan
pengamanan sisi tempat tidur, bentuk latihan jalan dan lindungi cedera
kepala.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 3.0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 6.0cm;" valign="top" width="227"><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo58; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Informasi yang dapat dari pengkajian
sangat penting untuk mengetahui tingkat kegawatan dan kerusakan otak.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo58; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Respon individu mungkin berubah-ubah
namun umumnya setiap emosi yang labil, frustasi, apatis dan muncul tingkah
laku impulsif selama proses penyembuhan dari trauma kepala.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo58; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pasien mungkin mengalami
keterbatasaan perhatian/ pemahaman selama fase akut dan penyembuhan dan
tindakan ini dapat membantu pasien untuk memunculkan komunikasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo58; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Gangguan persepsi sensori dan
buruknya kesimbangan dapat meningkatkan resiko pada pasien.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
</tbody></table>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">BAB IV</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">PENUTUP</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level2 lfo42; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kesimpulan
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cedera
kepala atau cedera otak merupakan suatu gangguan traumatik dari fungsi otak
yang di sertai atau tanpa di sertai perdarahan innterstiil dalm substansi otak
tanpa di ikuti terputusnya kontinuitas otak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi Cedera Kepala adalah </span><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-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma oleh benda
tajam, </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma oleh benda tumpul </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-style: italic; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> menyebabkan cedera menyeluruh (difusi) </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiologi lainnya:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecelakaan lalu lintas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jatuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pukulan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kejatuhan benda</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kecelakaan kerja atau industri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cedera leher</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka tembak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l52 level2 lfo42; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>Saran </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah pembuatan
makalah ini sukses diharapkan agar mahasiswa giat membaca makalah ini, dan
mencari ilmu yang lebih banyak diluar dari makalah ini terkait tentang meteri
dalam pembahasan, dan tidak hanya berpatokan dengan satu sumber ilmu (materi
terkait), sehingga dalam tindakan keperawatan dapat menerapkan asuhan keperawatan
pada klien dengan cedera kepala.</span><span lang="EN-US" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saran yang
disampaikan kepada Mahasiswa Keperawatan adalah :</span><span lang="EN-US" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo54; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat menerapkan asuhan keperawatan
pada klien dengan cedera kepala.</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo54; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat menilai batasan GCS.</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo54; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lebih teliti dalam memberikan
intervensi keperawatan kepada klien dengan cedera kepala.</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo54; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat memberikan pendidikan kesehatan
terhadap keluarga maupun klien, baik di rumah sakit maupun di rumah.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo54; text-align: justify; text-indent: -18.0pt;">
<br /></div>
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<span lang="EN-US"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Arief, M, Suprohaitta,
Wahyu, J.K, Wiewik S. 2000. Kapita Selekta Kedokteran. Jilid 2. Media
Aesculapius FKUI : Jakarta</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Azizah, </span><span lang="EN-US"><a href="https://plus.google.com/106904822871263126067" title="author profile"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">Hilyatul Husna </span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. 2014. <span style="mso-bidi-font-weight: bold;">Makalah Asuhan Keperawatan Cedera Kepala </span><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US"><a href="http://azizahcute478.blogspot.com/2014/09/makalah-asuhan-keperawatan-cedera-kepala_99.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://azizahcute478.blogspot.com/2014/09/makalah-asuhan-keperawatan-cedera-kepala_99.html</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.
diakses pada tanggal 08 mei 2015. Pukul 13.00 WIB</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-indent: -42.55pt;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Brunner & Suddarth. 2002. <i>Buku Ajar Keperawatan Medikal </i></span><i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bedah, Volume 3.</span></i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Jakarta:EGC</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-indent: -42.55pt;">
<span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Doengoes, ME. 2001. Rencana Asuhan Keperawatan. </span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jakarta: EGC</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Forensik_AI_FKUI, <i style="mso-bidi-font-style: normal;">Informed Consent
(Anda Berhak Tahu Semuanya)</i>, [document on the internet]</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Calibri;">. Jakarta: 12 Februari Desember 2010.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-theme-font: minor-bidi;"> Diakses
pada tanggal 07 Mei 2015, pukul 19.00</span><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 3; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Irmawan, Adi . 2012. Anatomi Dan
Fisiologi System Syaraf. </span><span lang="EN-US"><a href="http://ademarvel.blogspot.com/2012/05/anatomi-dan-fisiologi-system-syaraf.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://ademarvel.blogspot.com/2012/05/anatomi-dan-fisiologi-system-syaraf.html</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.
diakses pada tanggal 07 Mei 2015. Pukul 19.00 WIB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 3; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">mary digiulio dkk, 2012. keperawatan
medical bedah,. Yogyakarta : penerbitan rapha publishing. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 3; text-indent: -42.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Priangga, satria dwi. 2014.
Asuhan Keperawatan Cedera Kepala. </span><span lang="EN-US"><a href="http://satriadwipriangga.blogspot.com/2014/01/asuhan-keperawatan-pada-nnf-dengan.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-decoration: none; text-underline: none;">http://satriadwipriangga.blogspot.com/2014/01/asuhan-keperawatan-pada-nnf-dengan.html</span></a></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. diakses pada tanggal 08 mei 2015. Pukul 14.00 WIB</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Scanlon, Valarie C. 2006. Buku Ajar
Anatomi dan Fisiologi. Jakarta: Penerbit Buku Kedokteran EGC.</span></div>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Laporan Pendahuluan</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Kejang Demam</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang demam adalah bangkitan kejang terjadi pada kenaikan suhu tubuh (suhu
rektal di atas 38° c) yang disebabkan oleh suatu proses ekstrakranium. Kejang
demam sering juga disebut kejang demam tonik-klonik, sangat sering dijumpai
pada anak-anak usia di bawah 5 tahun. Kejang ini disebabkan oleh adanya suatu
awitan hypertermia yang timbul mendadak pada infeksi bakteri atau virus. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Sylvia A. Price, Latraine M. Wikson, 1995).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang demam
adalah bangkitan kejang yang terjadi pada kenaikan suhu tubuh (rectal > 38oC)
yang disebabkan oleh suatu proses ekstrakranium. Anak yang pernah mengalami
kejang tanpa demam kemudian kejang demam kembali tidak termasuk dalam kejang
demam. Kejang demam biasanya terjadi pada anak umur 6bln - 5th. Bila anak
berumur kurang dari 6bln atau lebih dari 5th mengalami kejang didahului demam
perlu dipikirkan kemungkinan lain, misalnya infeksi susunan saraf pusat,
epilepsy yang kebetulan terjadi bersamaan dengan demam.Beberapa faktor penting
pada kejang demam adalah demam, umur, dan genetic.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiologi </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut
Mansjoer, dkk (2000: 434) ada beberapa penyebab kejang pada anak yaitu ;</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam itu
sendiri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam yang
disebabkan oleh infeksi saluran pernafasan atas, otitis media, pneumonia,
gastroenteritis, dan infeksi saluran kemih, kejang tidak selalu timbul pada
suhu yang tinggi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek produk
toksik daripada mikroorganisme</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
alergik atau keadaan umum yang abnormal oleh infeksi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
keseimbangan cairan dan elektrolit.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ensefalitis
viral (radang otak akibat virus) yang ringan, yang tidak diketahui atau
enselofati toksik sepintas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut staf
pengajar ilmu kesehatan anak FKUI (1985: 50), faktor presipitasi kejang demam:
cenderung timbul 24 jam pertama pada waktu sakit demam atau dimana demam
mendadak tinggi karena infeksi pernafasan bagian atas. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam lebih sering disebabkan oleh virus daripada bacterial.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klasifikasi Kejang Demam</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut
Livingston (1954, 1963) kejang demam dapat diklasikfikasi sebagai berikut:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang demam
sederhana</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang demam
sederhana yaitu kejang berlangsung kurang dari 15 menit dan umum. Adapun
pedoman untuk mendiagnosa kejang demam sederhana dapat diketahui melalui
kriteria Livingstone yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Umur anak
ketika kejang antara 6 bulan sampai 4 tahun</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang
berlangsung hanya sebentar, tidak lebih dari 15 menit. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang
bersifat umum</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang
timbul dalam 16 jam pertama setelah timbul demam.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
saraf sebelum dan sesudah kejang normal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan EEG
yang dibuat sedikitnya 1 minggu sesudah suhu normal tidak menunjukan kelainan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="DA" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: DA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Frekuensi
kejang bangkitan dalam 1 tahun tidak melebihi 4 kali</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang
kompleks</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang
kompleks adalah tidak memenuhi salah satu lebih dari ketujuh criteria
Livingstone. Menurut Mansyur ( 2000 ) biasanya dari kejang kompleks diandai
dengan kejang yang berlangsung lebih dari 15 menit, fokal atau multiple ( lebih
dari 1 kali dalam 24jam). Di sini anak sebelumnya dapat mempunyai kelainan
neurology atau riwayat kejang dalam atau tanpa kejang dalam riwayat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lalu apa
yang membedakan kejang demam ini dengan epilepsi? Walaupun gejalanya sama yaitu
kejang dan berulang, namun pada anak yang menderita epilepsi, episode kejang
tidak disertai dengan demam.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang yang
merupakan pergerakan abnormal atau perubahan tonus badan dan tungkai dapat
diklasifikasikan menjadi 3 bagian yaitu : kejang, klonik, kejang tonik dan
kejang mioklonik. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang Tonik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang ini biasanya terdapat pada bayi baru lahir
dengan berat badan rendah dengan masa kehamilan kurang dari 34 minggu dan bayi
dengan komplikasi prenatal berat. Bentuk klinis kejang ini yaitu berupa
pergerakan tonik satu ekstrimitas atau pergerakan tonik umum dengan ekstensi
lengan dan tungkai yang menyerupai deserebrasi atau ekstensi tungkai dan fleksi
lengan bawah dengan bentuk dekortikasi. Bentuk kejang tonik yang menyerupai
deserebrasi harus di bedakan dengan sikap epistotonus yang disebabkan oleh
rangsang meningkat karena infeksi selaput otak atau kernikterus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang Klonik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang Klonik dapat berbentuk fokal, unilateral,
bilateral dengan pemulaan fokal dan multifokal yang berpindah-pindah. Bentuk
klinis kejang klonik fokal berlangsung 1 – 3 detik, terlokalisasi dengan baik,
tidak disertai gangguan kesadaran dan biasanya tidak diikuti oleh fase tonik.
Bentuk kejang ini dapat disebabkan oleh kontusio cerebri akibat trauma fokal
pada bayi besar dan cukup bulan atau oleh ensepalopati metabolik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo3; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kejang Mioklonik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gambaran klinis yang terlihat adalah gerakan ekstensi
dan fleksi lengan atau keempat anggota gerak yang berulang dan terjadinya
cepat. Gerakan tersebut menyerupai reflek moro. Kejang ini merupakan pertanda kerusakan
susunan saraf pusat yang luas dan hebat. Gambaran EEG pada kejang mioklonik
pada bayi tidak spesifik.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Manifestasi Klinis </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebanyakan kejang demam berlangsung singkat, bilateral, serangan berupa
klonik atau tonik-klonik. Umumnya kejang berhenti sendiri. Begitu kejang
berhenti anak tidak memberi reaksi apapun untuk sejenak, tetapi setelah
beberapa detik atau menit anak terbangun dan sadar kembali tanpa adanya
kelainan saraf. Kejang demam dapat berlangsung lama dan atau parsial. Pada
kejang yang unilateral kadang-kadang diikuti oleh hemiplegi sementara (Todd’s
hemiplegia) yang berlangsung beberapa jam atau bebarapa hari. Kejang unilateral
yang lama dapat diikuti oleh hemiplegi yang menetap. (Lumbantobing,SM.1989:43)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Behman (2000: 843) kejang demam terkait dengan kenaikan suhu yang
tinggi dan biasanya berkembang bila suhu tubuh mencapai 39C atau lebih ditandai
dengan adanya kejang khas menyeluruh tionik klonik lama beberapa detik sampai
10 menit. Kejang demam yang menetap > 15 menit menunjukkan penyebab organik
seperti proses infeksi atau toksik selain itu juga dapat terjadi mata terbalik
ke atas dengan disertai kekakuan dan kelemahan serta gerakan sentakan terulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Patofisiologi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN; mso-no-proof: yes;"><img height="739" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\03\clip_image002.jpg" width="651" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> mempertahankan kelangsungan hidup sel / organ otak diperlukan energi yang
didapat dari metabolisme. Bahan baku untuk metabolisme otak yang terpenting
adalah glucose,sifat proses itu adalah oxidasi dengan perantara pungsi
paru-paru dan diteruskan keotak melalui system kardiovaskuler.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> hal diatas bahwa energi otak adalah glukosa yang
melalui proses oxidasi, dan dipecah menjadi karbon dioksidasi dan air. Sel
dikelilingi oleh membran sel. Yang terdiri dari permukaan dalam yaitu limford
dan permukaan luar yaitu tonik. Dalam keadaan normal membran sel neuron dapat
dilalui oleh ion NA + dan elektrolit lainnya, kecuali ion clorida.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akibatnya
konsentrasi K+ dalam sel neuron tinggi dan konsentrasi NA+ rendah. Sedangkan
didalam sel </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">neuron</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> terdapat
keadaan sebaliknya,karena itu perbedaan jenis dan konsentrasi ion didalam dan
diluar sel. Maka terdapat perbedaan membran yang disebut potensial nmembran
dari neuron. Untuk menjaga keseimbangan potensial membran ini diperlukan energi
dan bantuan enzim NA, K, ATP yang terdapat pada permukaan sel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keseimbangan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> potensial membran ini dapat diubah dengan perubahan
konsentrasi ion diruang extra selular, rangsangan yang datangnya mendadak
misalnya mekanis, kimiawi atau aliran listrik dari sekitarnya. Perubahan dari
patofisiologisnya membran sendiri karena penyakit/keturunan. Pada seorang anak
sirkulasi otak mencapai 65 % dari seluruh tubuh dibanding dengan orang dewasa
15 %. Dan karena itu pada anak tubuh dapat mengubah keseimbangan dari membran
sel neuron dalam singkat terjadi dipusi di ion K+ maupun ion NA+ melalui
membran tersebut dengan akibat terjadinya lepasnya muatan listrik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lepasnya
muatan listrik ini sedemikian besarnya sehingga dapat meluas keseluruh sel
maupun membran sel sekitarnya dengan bantuan bahan yang disebut
neurotransmitter sehingga mengakibatkan terjadinya kejang. Kejang yang yang
berlangsung singkat pada umumnya tidak berbahaya dan tidak meninggalkan gejala
sisa.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tetapi
kejang yang berlangsung lama lebih 15 menit biasanya disertai apnea, NA
meningkat, kebutuhan O2 dan energi untuk kontraksi otot skeletal yang akhirnya
terjadi hipoxia dan menimbulkan terjadinya asidosis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 94.6pt; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 94.6pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penatalaksanaan </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saat anak
mengalami Kejang Demam, hal hal penting yang harus kita lakukan antara lain:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika anak anda mengalami kejang demam, cepat bertindak
untuk mencegah luka.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Letakkan anak anda di lantai atau tempat tidur dan
jauhkan dari benda yang keras atau tajam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Palingkan kepala ke salah satu sisi sehingga saliva
(ludah) atau muntah dapat mengalir keluar dari mulut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan menaruh apapun di mulut pasien. Anak anda tidak
akan menelan lidahnya sendiri.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hubungi dokter anak anda</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akhirnya
timbul pertanyaan bagaimana cara mencegah agar anak tidak mengalami Kejang
Demam, seperti yang saya tulis diatas kejang bisa terjadi jika suhu tubuh naik
atau turun dengan cepat. Pada sebagian besar kasus, kejang terjadi tanpa
terduga atau tidak dapat dicegah. Dulu digunakan obat anti kejang sebagai
tindakan pencegahan pada anak-anak yang sering mengalami kejang demam, tetapi
hal ini sekarang sudah jarang dilakukan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
anak-anak yang cenderung mengalami kejang demam, pada saat mereka menderita
demam bisa diberikan diazepam (baik yang melalui mulut maupun melalui rektal).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
penanggulangan yang tepat dan cepat, perjalanan penyakitnya baik dan tidak
menimbulkan kematian.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada umumnya kejang pada BBLR merupakan kegawatan, karena kejang
merupakan tanda adanya penyakit mengenai susunan saraf pusat, yang memerlukan
tindakan segera untuk mencegah kerusakan otak lebih lanjut.</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan Umum terdiri dari :</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengawasi
bayi dengan teliti dan hati-hati</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memonitor
pernafasan dan denyut jantung</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Usahakan
suhu tetap stabil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu
dipasang infus untuk pemberian glukosa dan obat lain</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
EEG, terutama pada pemberian pridoksin intravena</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila
etiologi telah diketahui pengobatan terhadap penyakit primer segera dilakukan.
Bila terdapat hipogikemia, beri larutan glukosa 20 % dengan dosis 2 – 4 ml/kg
BB secara intravena dan perlahan kemudian dilanjutkan dengan larutan glukosa 10
% sebanyak 60 – 80 ml/kg secara intravena. Pemberian Ca – glukosa hendaknya
disertai dengan monitoring jantung karena dapat menyebabkan bradikardi.
Kemudian dilanjutkan dengan peroral sesuai kebutuhan. Bila secara intravena
tidak mungkin, berikan larutan Ca glukosa 10 % sebanyak 10 ml per oral setiap
sebelum minum susu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila kejang
tidak hilang, harus pikirkan pemberian magnesium dalam bentuk larutan 50% Mg
SO4 dengan dosis 0,2 ml/kg BB (IM) atau larutan 2-3 % mg SO4 (IV) sebanyak 2 –
6 ml. Hati-hati terjadi hipermagnesemia sebab gejala hipotonia umum menyerupai
floppy infant dapat muncul.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan
dengan antikonvulsan dapat dimulai bila gangguan metabolik seperti hipoglikemia
atau hipokalsemia tidak dijumpai. Obat konvulsan pilihan utama untuk bayi baru
lahir adalah Fenobarbital (Efek mengatasi kejang, mengurangi metabolisme sel
yang rusak dan memperbaiki sirkulasi otak sehingga melindungi sel yang rusak
karena asfiksia dan anoxia). Fenobarbital dengan dosis awal 20 mg . kg BB IV
berikan dalam 2 dosis selama 20 menit.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diazepam jarang
digunakan untuk memberantas kejang pada BBL dengan alasan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek diazepam hanya sebentar dan tidak dapat mencegah
kejang berikutnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian bersama-sama dengan fenobarbital akan
mempengaruhi pusat pernafasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Zat pelarut diazepam mengandung natrium benzoat yang
dapat menghalangi peningkatan bilirubin dalam darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penunjang </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Laboratorium </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu diadakan pemeriksaan laboratorium segera, berupa
pemeriksaan gula dengan cara dextrosfrx dan fungsi lumbal. Hal ini berguna
untuk menentukan sikap terhadap pengobatan hipoglikemia dan meningitis
bakterilisasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain itu pemeriksaan laboratorium lainnya yaitu </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo10; text-align: justify; text-indent: -25.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan darah rutin ; Hb, Ht dan Trombosit.
Pemeriksaan darah rutin secara berkala penting untuk memantau pendarahan intraventikuler.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo10; text-align: justify; text-indent: -25.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan gula darah, kalsium, magnesium, kalium,
urea, nitrogen, amonia dan analisis gas darah.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo10; text-align: justify; text-indent: -25.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi lumbal, untuk menentukan perdarahan,
peradangan, pemeriksaan kimia. Bila cairan serebro spinal berdarah, sebagian
cairan harus diputar, dan bila cairan supranatan berwarna kuning menandakan
adanya xantrokromia. Untuk mengatasi terjadinya trauma pada fungsi lumbal dapat
di kerjakan hitung butir darah merah pada ketiga tabung yang diisi cairan
serebro spinal <span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo10; text-align: justify; text-indent: -25.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan EKG dapat mendekteksi adanya hipokalsemia<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo10; text-align: justify; text-indent: -25.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan EEG penting untuk menegakkan diagnosa
kejang. EEG juga diperlukan untuk menentukan pragnosis pada bayi cukup bulan.
Bayi yang menunjukkan EEG latar belakang abnormal dan terdapat gelombang tajam
multifokal atau dengan brust supresion atau bentuk isoelektrik. Mempunyai
prognosis yang tidak baik dan hanya 12 % diantaranya mempunyai / menunjukkan
perkembangan normal. Pemeriksaan EEG dapat juga digunakan untuk menentukan
lamanya pengobatan. EEG pada bayi prematur dengan kejang tidak dapat meramalkan
prognosis.<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo10; text-align: justify; text-indent: -25.65pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-weight: bold; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila terdapat indikasi, pemeriksaan lab, dilanjutkan
untuk mendapatkan diagnosis yang pasti yaitu mencakup :<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -26.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periksaan urin untuk asam
amino dan asam organic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -26.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biakan darah dan pemeriksaan
liter untuk toxoplasmosis rubella, citomegalovirus dan virus herpes</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -26.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Foto rontgen kepala bila
ukuran lingkar kepala lebih kecil atau lebih besar dari aturan baku</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -26.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">USG kepala untuk mendeteksi
adanya perdarahan subepedmal, pervertikular, dan vertikular</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -26.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penataan kepala untuk mengetahui adanya infark,
perdarahan intrakranial, klasifikasi dan kelainan bawaan otak<span style="mso-bidi-font-weight: bold;"></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 111.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo11; text-align: justify; text-indent: -26.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-weight: bold; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Top coba subdural, dilakukan
sesudah fungsi lumbal bila transluminasi positif dengan ubun – ubun besar
tegang, membenjol dan kepala membesar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komplikasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Arif
Mansjoers ( 2000 ) Komplikasi kejang demam umumnya berlangsung lebih dari 15
menit yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan
otak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi
melalui mekanisme eksitotoksik neuron saraf yang aktif sewaktu kejang
melepaskan glutamat yang mengikat resptor MMDA ( M Metyl D Asparate ) yang
mengakibatkan ion kalsium dapat masuk ke sel otak yang merusak sel neuoran
secara irreversible.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Retardasi
mental</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Retasdasi
mental dapat terjadi karena deficit neurolgis pada demam neonatus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Asuhan Keperawatan </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yang paling penting peran perawat selama pasien kejang
adalah observasi kejangnya dan gambarkan kejadiannya. Setiap episode kejang
mempunyai karakteristik yang berbeda misal adanya halusinasi (aura ), motor
efek seperti pergerakan bola mata , kontraksi otot lateral harus
didokumentasikan termasuk waktu kejang dimulai dan lamanya kejang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat penyakit juga memegang peranan penting untuk
mengidentifikasi faktor pencetus kejang untuk pengobservasian sehingga bisa
meminimalkan kerusakan yang ditimbulkan oleh kejang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas / istirahat : keletihan, kelemahan umum,
perubahan tonus / kekuatan otot. Gerakan involunter</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sirkulasi : peningkatan nadi, sianosis, tanda vital
tidak normal atau depresi dengan penurunan nadi dan pernafasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Integritas ego : stressor eksternal / internal yang
berhubungan dengan keadaan dan atau penanganan, peka rangsangan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eliminasi : inkontinensia episodik, peningkatan
tekanan kandung kemih dan tonus spinkter</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan / cairan : sensitivitas terhadap makanan, mual
dan muntah yang berhubungan dengan aktivitas kejang, kerusakan jaringan lunak /
gigi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensor : aktivitas kejang berulang, riwayat truma
kepala dan infeksi serebra</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo14; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat jatuh / trauma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnose
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko trauma fisik berhubungan dengan kurangnya
koordinasi otot/kejang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertermia berhubungan dengan proses infeksi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa Keperawatan I :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko trauma fisik berhubungan dengan kurangnya
koordinasi otot/kejang</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Risk detection.</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria Hasil :</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak terjadi trauma fisik selama perawatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan tindakan yang mengontrol aktivitas
kejang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengidentifikasi tindakan yang harus diberikan ketika
terjadi kejang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengetahuan tentang risiko</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memonitor faktor risiko dari lingkungan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rencana
Tindakan : NIC : Pencegahan jatuh</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri pengaman pada sisi tempat tidur dan penggunaan
tempat tidur yang</span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">rendah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : meminimalkan injuri saat kejang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tinggalah bersama klien selama fase kejang..</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : meningkatkan keamanan klien.</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan tongue spatel diantara gigi atas dan bawah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : menurunkan resiko trauma pada mulut.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Letakkan klien di tempat yang lembut.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : membantu menurunkan resiko injuri fisik
pada ekstimitas ketika kontrol otot volunter berkurang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat tipe kejang (lokasi,lama) dan frekuensi kejang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : membantu menurunkan lokasi area cerebral
yang terganggu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat tanda-tanda vital sesudah fase kejan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : mendeteksi secara dini keadaan yang
abnormal.</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa Keperawatan II :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertermia berhubungan dengan proses infeksi</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Thermoregulation</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria Hasil :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suhu tubuh dalam rentang normal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nadi dan RR dalam rentang normal</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo17; text-align: justify; text-indent: -22.4pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak ada perubahan warna kulit dan tidak ada pusing</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Rencana Tindakan : NIC : Fever treatment</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji faktor – faktor terjadinya hiperthermi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mengetahui penyebab terjadinya hiperthermi
karena penambahan pakaian/selimut dapat menghambat penurunan suhu tubuh.</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi tanda – tanda vital tiap 4 jam sekali</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pemantauan tanda vital yang teratur dapat
menentukan</span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">perkembangan keperawatan yang selanjutnya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertahankan suhu tubuh normal</span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Suhu tubuh dapat dipengaruhi oleh tingkat
aktivitas, suhu lingkungan, kelembaban tinggiakan mempengaruhi panas atau
dinginnya tubuh.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan pada keluarga memberikan kompres dingin pada
kepala / ketiak .</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Proses konduksi/perpindahan panas dengan
suatu bahan perantara.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan untuk menggunakan baju tipis dan terbuat dari
kain katun</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : proses hilangnya panas akan terhalangi oleh
pakaian tebal dan tidak dapat menyerap keringat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atur sirkulasi udara ruangan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Penyediaan udara bersih.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri ekstra cairan dengan menganjurkan pasien banyak
minum</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Kebutuhan cairan meningkat karena penguapan
tubuh meningkat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batasi aktivitas fisik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : aktivitas meningkatkan metabolismedan
meningkatkan panas.</span><span lang="EN-US" style="font-family: "Times","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Implementasi</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pada langkah ini, perawat memberikan asuhan keperawatan,
yang pelaksanaannya berdasarkan rencana keperawatan yang telah disesuaikan pada
langkah sebelumnya (intervensi).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Evaluasi
Keperawatan</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-tab-count: 1;"> </span>Asuhan keperawatan
dalam bentuk perubahan prilaku pasien merupakan focus dari evaluasi tujuan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Daftar
Pustaka</span></b></div>
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<br /></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-12891167230273548942015-01-17T18:44:00.000-08:002015-01-17T18:44:07.841-08:00iscemik miokard <!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-outline-level: 3; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 13.5pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iskemik
Miokard</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TINJAUAN
TEORITIS</span></b><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KONSEP DASAR MEDIS</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anatomi dan fisiologi sistem kardiovaskuler</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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" /><br />
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jantung merupakan sebuah organ yang terdiri dari otot.
Otot jantung merupakan jaringan istimewa karena kalau dilihat dari bentuk dan
susunannya sama dengan otot serat lintang, tetapi cara bekerjanya menyerupai
otot polos yaitu di luar kemauan kita (dipengaruhi oleh susunan saraf otonom)
(Syarifudin 1996, hal 65).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem kardiovaskuler terdiri dari arteri, vena,
kapiler, saluran limfe, jantung dan siklus jantung.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Arteri<br />
Merupakan pembuluh darah yang keluar dari jantung yang membawa darah ke seluruh
bagian dan alat tubuh. Pembuluh darah arteri yang paling besar yang keluar dari
ventrikel sinistra disebut aorta. Arteri ini mempunyai dinding yang kuat dan
tebal tetapi sifatnya elastis dan terdiri dari 3 lapisan yaitu </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tunika intima/interna. Lapisan yang paling dalam
sekali yang berhubungan dengan darah dan terdiri dari jaringan endotel</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tunika media. Lapisan yang terdiri dari jaringan otot
yang sifatnya elastis dan termasuk otot polos.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tunika eksterna/adventisia. Lapisan yang paling luar
sekali terdiri dari jaringan ikat gembur yang berguna menguatkan dinding
arteri.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vena</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan pembuluh darah yang membawa darah dari
bagian atau alat-alat tubuh masuk ke dalam jantung. Vena-vena yang ukurannya
besar diantaranya vena kava dan vena pulmonalis, vena-vena ini juga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mempunyai
cabang-cabang yang lebih kecil yang disebut venolus yang selanjutnya menjadi
kapiler.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kapiler<br />
Merupakan pembuluh darah yang sangat halus. Diameternya kira-kira 0,008 mm.
dindingnya terdiri dari suatu lapisan endotel.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi kapiler :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alat penghubung antara arteri dan vena</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tempat terjadinya pertukaran zat-zat antara darah dan
cairan jaringa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">n</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengambil hasil-hasil dari kelenjar</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyerap zat makanan yang terdapat di usus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyaring darah yang terdapat di ginjal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saluran limfe</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saluran limfe mengumpulkan, menyaring dan menyalurkan
kembali cairan limfe ke dalam darah yang keluar melalui dinding kapiler halus
untuk membersihkan jaringan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jantun</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">g</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bentuk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyerupai jantung pisang, bagian atasnya tumpul
disebut basis cordis, sebelah bawah agak runcing disebut apeks cordis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Leta</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">k</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam rongga dada sebelah depan (cavum mediastinum
anterior) antara costa 5 dan 6, dua jari di sebelah papila mamae, pada tempat ini
teraba adanya pukulan jantung yang disebut iktus cordis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">L</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">apisan-lapisan
jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Endokardium merupakan lapisan otot jantung sebelah
dalam terdiri dari jaringan endotel dan selaput lendir yang melapisi permukaan
rongga jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Miokardium merupakan lapisan tengah dari jantung
terdiri dari bundalan-bundalan otot-otot jantung, otot atria, otot ventrikuler</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perikardium merupakan pembungkus jantung selaput
parietal dan viseral di bagian paling luar dan selaput viseral yang berhubungan
dengan otot jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan-gerakan jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jantung bergerak mengembang dan menguncup disebabkan
adanya rangsangan yang berasal dari susunan saraf otonom.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam kerja jantung mempunyai tiga periode :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periode kontraksi atau periode sistole</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periode dilatasi atau periode diastole</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periode istirahat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Siklus jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan kejadian yang terjadi dalam jantung selama
peredaran darah, gerakan jantung terdiri dari dua jenis yaitu : kontraksi
(sistole) dan peredaran (diastole). Kontraksi dari kedua atrium terjadi secara
serentak yang disebut sistole atrial dan pengendorannya disebut diastole
atrial. Lama kontriksi ventrikel kurang lebih 0,3 detik. Kontraksi kedua atrium
pendek, sedangkan kontriksi ventrikel lama dan lebih kuat, karena harus
mendorong darah ke seluruh tubuh. Untuk mempertahankan tekanan darah sistemik,
ventrikel kanan juga memompakan darah yang sama, tapi tugasnya hanya
mengalirkan darah ke sekitar paru-paru dimana tekanannya lebih rendah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Debaran jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan pukulan ventrikel kiri terhadap dinding
anterior yang terjadi selama kontriksi ventrikel dan debaran ini dapat diraba
dan sering terlihat pada ruang interkostalis kelima kira-kira 4 cm dari garis
sternum. Otot jantung mempunyai ciri-ciri yang khas, kemampuan berkontraksi
otot jantung sewaktu sistole maupun diastole tidak tergantung pada rangsangan
saraf. Konjungtivitas (daya hantar) kontraksi melalui setiap serabut otot
jantung secara halus sekali dan sangat jelas dalam berkas his, ritme, karotis,
arteri pulpliteal, dorsal plantaris. Yang merupakan gelombang tekanan yang
dialihkan dari aorta ke arteri yang merambat lebih cepat, kecepatan denyut
jantung dalam keadaan sehat dipengaruhi oleh pekerjaan, makanan, emosi, cara
hidup, dan umur.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Daya pompa jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam keadaan istirahat jantung berdebar 70 kali per
menit. Pada waktu banyak pergerakan, kecepatan jantung bisa mencapai 150 kali
per menit dengan gaya pompa 20-25 liter per menit.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Katup-katup jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Katup trikuspidalis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Katup bikuspidalis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Katup seminalis arteri pulmonalis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Katup seminalis aorta</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sirkulasi darah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembuluh darah pada peredaran darah kecil, terdiri
dari :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Arteri pulmonalis merupakan pembuluh darah yang keluar
dari ventrikel dextra menuju paru-paru yang berisi CO2.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vena pulmonalis merupakan vena yang membawa darah dari
paru-paru masuk ke jantung bagian atrium sinistra berisi darah banyak
mengandung O2 yang akan dikeluarkan ke seluruh tubuh.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iskemik miokard adalah suatu keadaan
terjadinya sumbatan aliran darah yang berlangsung progresif, dan suplai darah
yang tidak adekuat yang ditimbulkannya akan membuat sel-sel otot kekurangan
komponen darah yang dibutuhkan untuk hidup (Smeltzer & Bare, 2001).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iskemia myocardial merupakan
peristiwa kejang koroner yang didasari oleh mekanisme sliding myocontractile
element di dalam sel-sel otot pembuluh darah koroner dan mengakibatkan
terganggunya keseimbangan antara penyediaan dan kebutuhan oksigen miokardium
(Ibnu Masud, 1996).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iskemik miokard merupakan proses
penurunan aliran darah arteri, sehingga kebutuhan nutrien jaringan miokard bertambah
(Hudak & Gallo, 1997).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iskemia adalah suatu keadaan
kekurangan oksigen yang bersifat sementara dan reversibel (Price &
Wilson,1995).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiolog</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab yang paling sering pada
iskemik miokard adalah terjadi gangguan suplai darah dan terdapat penyumbatan
aliran darah sehingga darah kekurangan suplai oksigen, kebutuhan oksigen yang
melebihi kapasitas suplai oksigen oleh pembuluh yang terserang penyakit
menyebabkan iskemia miokardium lokal, selain faktor dari suplai darah lemah,
masih banyak faktor penyebab yang memperberat penyakit ini, diantaranya adalah
:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat keluarga positif</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peningkatan usia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis kelamin --- terjadi tiga kali lebih sering pada
pria dibanding wanita</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolesterol darah tinggi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan darah tinggi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merokok</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gula darah tinggi (diabetes mellitus)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obesitas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Inaktivitas fisik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Stress</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan kontrasepsi ora</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">l</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kepribadian, seperti sangat kompetitif, agresif atau
ambisius</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Smeltzer & Bare, 2001)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patofisiologi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan akan oksigen yang melebihi
kapasitas suplai oksigen oleh pembuluh yang terserang penyakit menyebabkan
iskemik miokardium lokal. Iskemia yang bersifat sementara akan menyebabkan
perubahan reversibel pada tingkat sel dan jaringan, dan menekan fungsi
miokardium. Berkurangnya kadar oksigen memaksa miokardium mengubah metabolisme
yang bersifat aerobik menjadi metabolisme anaerobik. Metabolisme anaerobik
lewat lintasan glikolitik jauh lebih tidak efisien apabila dibandingkan dengan
metabolisme aerobik melalui fosforilasi oksidatif dan siklus krebs. Hasil akhir
metabolisme anaerob, yaitu asam laktat akan tertimbun sehingga menurun pH sel.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gabungan efek hipoksia, berkurangnya
energi yang tersedia, serta asidosis dengan cepat mengganggu fungsi ventrikel
kiri. Kekuatan kontraksi daerah miokardium yang terserang berkurang.
Serabut-serabutnya memendek, dan daya serta kecepatannya berkurang. Selain itu
gerakan dinding segmen yang mengalami iskemia menjadi abnormal ; bagian
tersebut akan menonjol keluar setiap kali ventrikel berkontraksi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berkurangnya daya kontraksi dan
gangguan gerakan jantung mengubah hemodinamika. Perubahan hemodinamika
bervariasi sesuai ukuran segmen yang mengalami iskemia, dan derajat respon
refleks kompensasi sistem saraf otonom. Menurunnya fungsi ventrikel kiri dapat
mengurangi curah jantung dengan berkurangnya curah sekuncup (jumlah darah yang
dikeluarkan setiap kali jantung berdenyut). Berkurangnya pengosongan ventrikel
saat sistole akan memperbesar volume ventrikel. Akibatnya tekanan jantung kiri
akan meningkat, tekanan akhir diastolik ventrikel kiri dan tekanan bagi dalam
kapiler paru-paru akan meningkat. Peningkatan tekanan diperbesar oleh perubahan
daya kembang dinding jantung akibat iskemia. Dinding yang kurang lentur semakin
memperberat peningkatan tekanan pada volume ventrikel tertentu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Angina pektoris adalah nyeri dada
yang menyertai iskemia miokard. Reseptor saraf nyeri terangsang oleh metabolik
yang tertimbun oleh suatu zat kimia antara yang belum diketahui, atau oleh
stress mekanik lokal akibat kontraksi miokardium yang abnormal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Price & Wilson, 1995)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.5pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi klinik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri dada seperti diremas-remas, ditekan, ditusuk,
ditindih atau tertimpa barang berat (paling sering).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perasaan mual, muntah, sesak dan pusing.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keringat dingin dan berdebar-debar.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kulit yang pucat dan dingin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peningkatan ringan tekanan darah dan denyut nadi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Diagnostik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">EKG (Elektrokardiogram) menunjukkan dua perubahan
elektrokardiogram akibat perubahan elektrofisiologi selular yaitu gelombang T
terbalik dan depresi segmen ST.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Enzim-enzim jantung ; kreatikinase (CK), laktat
dehidrogenase (LDH), dan transaminase oksaloasetat glutamik serum (SGOT)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekokardiogram ; menentukan dimensi serambi, gerakan
katup/dinding ventrikuler dan konfigurasi/fungsi katup.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Foto dada ; mungkin normal atau menunjukkan pembesaran
jantung.<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan Medis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tirah baring, guna mengurangi kebutuhan oksigen,
hilangnya nyeri merupakan indikator bahwa kebutuhan dan suplai telah mencapai
keseimbangan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diet makanan lunak, serta rendah garam, rendah lemak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian oksigen 2-4 liter per menit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedatif sedang seperti diazepam 3-4 x 2-5 mg per oral </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atasi nyeri :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Morfin 2,5 – 5 mg IV atau pethidine 25-50 mg IM</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lain-lain : nitrat, antagonis kalsium, dan betablocker</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anti koagulan :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Heparin 20.000 – 40.000 u / 24 jam IV tiap 4-6 jam
atau drip IV dilakukan atas indikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diteruskan asefakumarol atau warfarin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo15; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aspilet 81 mg QD.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trombolitik (streptokinase) ; melarutkan setiap
trombus yang telah terbentuk di arteri koroner, memperkecil penyumbatan dan
luasnya infark.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infark miokard</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi nekrosis miokard akibat gangguan aliran darah
ke otot jantung infark merupakan kelanjutan dari iskemik yang berlangsung lama.
Jaringan miokard nekrotik tidak dapat hidup kembali. Area di sekitar jaringan
mati adalah zona jaringan iskemik yang mengalami sedikit kerusakan, masih hidup
pada aliran darah yang sangat terganggu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Edema paru akut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kongesti paru akut terjadi bila dasar vaskuler baru
menerima darah yang berlebihan dari ventrikel kanan, yang tidak mampu
diakomodasi dan diambil oleh jantung kiri. Sedikit ketidakseimbangan antara
aliran masuk pada sisi kanan dan aliran keluar pada sisi kiri jantung tersebut
mengakibatkan konsekwensi yang berat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gagal jantung kongestif</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme yang mendasari gagal jantung meliputi
gangguan kemampuan kontraktilitas jantung, yang menyebabkan curah jantung
paling baik dijelaskan dengan persamaan CO = HR x SV dimana curah jantung (CO :
Cardiac Output) adalah fungsi frekuensi jantung (HR : Heart Rate) x volume
sekuncup (SV : Stroke Volume). Frekuensi jantung adalah fungsi sistem saraf
otonom bila curah jantung berkurang, sistem saraf simpatis akan mempercepat
frekuensi jantung untuk mempertahankan curah jantung. Bila mekanisme kompensasi
ini gagal untuk mempertahankan perfusi jaringan yang memadai, maka volume
sekuncup jantunglah yang harus menyesuaikan diri untuk mempertahankan curah
jantung.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disritmia<br />
Disritmia adalah kelainan denyut jantung yang meliputi gangguan frekuensi atau
irama atau keduanya. Disritmia adalah gangguan mekanisme hantaran yang mungkin
dapat terjadi meliputi bradikardi, takikardi, flutter fibrilasi, denyut premature,
dan penyakit jantung.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KONSEP DASAR KEPERAWATAN</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proses
keperawatan adalah metode dimana suatu konsep diterapkan dalam praktik
keperawatan. Hal ini bisa disebut sebagai pendekatan problem solving (pemecahan
masalah) yang memerlukan ilmu, tehnik, dan ketrampilan interpersonal dan
ditujukan untuk memenuhi kebutuhan klien atau keluarga dengan memberikan asuhan
keperawatannya sesuai dengan lima tahap proses keperawatan, yaitu : pengkajian,
perumusan diagnosa, perencanaaan, pelaksanaaan, dan evaluasi (Nursalam, 2001).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian<br />
Pengkajian merupakan tahap awal dari proses keperawatan dan merupakan suatu
proses yang sistematis dalam pengumpulan data dari berbagai sumber dan untuk
mengevaluasi dan mengidentifikasi status kesehatan klien (Nursalam, 2001).<br />
Dalam tahap ini dilakukan pengumpulan data dengan cara anamnesa yang diperoleh
dengan wawancara, observasi, pemeriksaan fisik, pemeriksaan penunjang, serta
mempelajari status klien.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ada dua tipe data pada pengkajian yaitu ; data
subjektif dan data objektif. Data subjektif adalah data yang diperoleh dari
keluhan yang dirasakan pasien atau keluarga. Data objektif adalah data yang
diperoleh dari data pengukuran, pemeriksaan, dan pengamatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah pengumpulan data langkah berikutnya dalam
pengkajian adalah pengelompokan data yang terdiri atas data fisiologis,
psikologis, sosial, dan spiritual (PPNI, 1994)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk penyakit iskemik miokard, pengkajian yang
dilakukan meliputi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identitas klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nama, umur, jenis kelamin, alamat, tempat tanggal
lahir, nama penanggung jawab, pekerjaan dan pendidikan, status, agama,
suku/bangsa.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan utama </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada umumnya klien dengan iskemik miokard datang
dengan keluhan nyeri dada, sesak, berdebar-debar, keringat dingin dan pusing</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan keluarga</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan tentang riwayat penyakit yang pernah diderita
oleh keluarga, kemungkinan ada yang terkena penyakit yang sama.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat penyakit sekarang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan-keluhan yang dialami klien saat dilakukan
pengkajian</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan masa lalu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hal ini penting untuk memaparkan masalah klien yang
mungkin dapat menyebabkan bertambah beratnya penyakit seperti : merokok,
hipertensi, DM, alkohol atau penggunaan obat-obatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda-tanda vital</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya peningkatan tekanan darah, denyut nadi, serta
pernafasan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan umum klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mula-mula nyeri dada sampai sesak berat yang disertai
kelemahan fisik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem pernafasan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengeluh sesak, dada berdebar-debar. Ada tidaknya
nyeri dada, beratnya nyeri dengan skala 0-10, dimana 0 tidak ada nyeri dan 10
terasa nyeri paling berat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Frekuensi dan irama jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Frekuensi jantung naik atau terjadi penurunan, adanya
irama sinus, dan timbulnya awitan disritmia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bunyi jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya bunyi S3 dan S4 merupakan tanda awal gagal ventrikel
kiri, adanya bunyi murmur jantung menandakan adanya perubahan fungsi otot
miokard.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Warna kulit dan suhu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kulit dingin, lembab atau berkeringat dingin merupakan
tanda kesulitan mempertahankan kebutuhan oksigen.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gastrointestinal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adanya mual dan muntah, perubahan bising usus dan
nyeri tekan pada keempat kuadran, ada tidaknya flatus dan BAB juga sebagai
tanda tidak adanya motoilitas usus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status volume cairan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berkurangnya haluaran urine, cairan yang seimbang akan
lebih baik, karena klien dengan iskemik miokard harus menghindari kelebihan
volume cairan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola koping</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana klien menghadapi masalah, khususnya
bagaimana menghadapi keadaan klien saat ini dengan penyakit yang dideritanya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola persepsi dan konsep diri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana pendapat klien tentang dirinya, lihat ekspresi
klien apakah terlihat cemas.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola peran dan hubungan dengan sesama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana peran klien dalam keluarga, masyarakat, dan
lingkungan. Lihat apakah klien mau bekerja sama dalam tindakan keperawatan
maupun tindakan medis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola interaksi sosial</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji stress, kesulitan istirahat dengan tenang, respon
emosi (marah terus menerus, takut).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa keperawatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa keperawatan adalah suatu pernyataan yang
menjelaskan respon manusia dari individu atau kelompok dimana perawat secara
akuntabilitas dapat mengidentifikasi dan memberikan informasi secara pasti
untuk menjaga status kesehatan, menurunkan, membatasi, mencegah dan merubah.
(Nursalam dikutip dari Carpenito, 2000 hal 35).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa keperawatan adalah masalah aktual dan
potensial dimana berdasarkan pendidikan dan pengalaman dia mampu dan mempunyai
kewenangan, memberikan tindakan keperawatan. (Nursalam dikutip dari Gordon,
1976 hal 25)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iskemik miokard mungkin menyebabkan interaksi fungsi
normal dari sistem tubuh yang dipengaruhi. Berdasarkan data pengkajian diagnosa
keperawatan pasien yang utama yang berhubungan dengan iskemik miokard meliputi
; sesuai teori, bukan asuhan keperawatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri dada berhubungan dengan berkurangnya aliran
darah koroner.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensial pola pernafasan tidak efektif berhubungan
dengan cairan berlebihan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cemas berhubungan dengan takut akan kematian (Smeltzer
& Bare, 2001)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi aktivitas berhubungan dengan
ketidakseimbangan antara suplai oksigen miokard dan kebutuhan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi penurunan curah jantung berhubungan dengan
otot infark, kerusakan struktural.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi terhadap perubahan perfusi jaringan
berhubungan dengan penurunan aliran darah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan mengenai kondisi, kebutuhan
pengobatan berhubungan dengan kurang informasi tentang penyakit.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perencanaan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam menentukan perencanaan perlu menyusun suatu
sistem untuk menentukan diagnosa yang akan diambil tindakan pertama kali. Salah
satu sistem yang bisa digunakan adalah hirarki kebutuhan manusia “Iyer et al,
1996” (Nursalam, 2001 hal 52). Perencanaan meliputi pengembangan strategi untuk
mencegah, mengurangi atau mengoreksi masalah-masalah yang akan diidentifikasi
pada diagnosa kutipan dari Fiyer ,Laptik, dan Bernocchi, 1996 (Nursalam, 2001
hal 51) dalam pengaturan prioritas, perencanaan ada dua hirarki yang bisa
digunakan :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hirarki Maslow</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Maslow menjelaskan kebutuhan manusia dibagi dalam lima
tahap : fisiologi, rasa aman, dan nyamana, sosial, harga diri dan aktualitas
diri. Maslow mengatakan bahwa klien memerlukan suatu tahapan kebutuhan, jika
klien menghendaki suatu tindakan yang memuaskan. Dengan kata lain kebutuhan
fisiologis biasanya sebagai prioritas utama bagi klien daripada kebutuhan lain
(Nursalam, 2001 hal 52).<br />
Dimana Maslow menggambarkan dengan skema piramida yang menunjukkan bagaimana
seseorang bergerak dari pemenuhan kebutuhan dasar dari tingkat kebutuhan yang
lebih tinggi dengan tujuan akhir adalah fungsi dan kesehatan manusia yang terintegrasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hirarki “Kalish”</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kalish 1983 lebih menjelaskan kebutuhan Maslow dengan
membagi kebutuhan fisiologi menjadi kebutuhan untuk “bertahan dan stimulasi”
Kalish mengidentifikasi kebutuhan untuk mempertahankan hidup : udara, air,
temperatur, eliminasi, istirahat dan menghindari nyeri, jika terdapat
kekurangan kebutuhan tersebut, klien cenderung menggunakan prasarana untuk
memuaskan kebutuhan tertentu, hanya saja mereka akan mempertimbangkan terlebih
dahulu kebutuhan yang paling tinggi prioritasnya, misalnya keamanan dan harga
diri. Dikutip dari Iyer et at, 1996 (Nursalam, 2001 hal 53).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan diagnosa keperawatan yang sering muncul
pada klien dengan iskemik miokard maka rencana keperawatan yang dapat
dirumuskan adalah </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri dada berhubungan dengan berkurangnya aliran
darah koroner.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : nyeri berkurang sampai hilang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien menyatakan nyeri dada hilang/terkontrol</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat menggunakan tehnik relaksasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien mengatakan skala nyeri 1-2</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji karakteristik nyeri, catat perubahan respon
verbal dan non verbal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Variasi penampilan dan perilaku pasien
karena <br />
nyeri terjadi sebagai temuan pengkajian</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji skala nyeri 0-10, lamanya, kualitas dan
penyebaran</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Nyeri sebagai pengalaman subjektif dan
harus <br />
digambarkan oleh klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu klien melakukan tehnik relaksasi, misal ; nafas
dalam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Membantu dalam penurunan persepsi/respon
nyeri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan lingkungan tenang, aktivitas perlahan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menurunkan rangsangan eksternal dimana
anxietas dan <br />
regangan jantung membuat keputusan situasi saat ini.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dokter tentang pemberian obat anti nyeri,
contoh ; aspilet, cedocard, betablock, dan lain-lain.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Smeltzer & Bare, 2001 hal 796)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensial pola pernafasan tidak efektif berhubungan
dengan cairan berlebihan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : pola pernafasan tidak terganggu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keseimbangan cairan dibuktikan dengan tekanan darah
DBN</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola nafas efektif</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji pola pernafasan dan kedalamannya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Kecepatan dan upaya mungkin meningkat
karena nyeri, <br />
takut, demam</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi bunyi nafas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Bunyi nafas sering menurun pada dasar paru
selama <br />
periode nyeri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lihat kulit dan membran mukosa untuk adanya sianosis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Sianosis bibir, kuku, atau daun telinga
atau keabu-abuan umum menunjukkan kondisi hipoksia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sehubungan
dengan gagal jantung atau komplikasi paru.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan posisi semi Fowler</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Merangsang fungsi pernafasan/ekspansi paru</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
tambahan oksigen dengan kanula sesuai indikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Meningkatkan pengiriman oksigen ke paru
untuk <br />
kebutuhan sirkulasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Doenges, 2000 hal 124-125)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cemas berhubungan dengan takut akan kematian</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : cemas berkurang sampai teratasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien mengatakan menerima keadaannya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien menyatakan cemas berkurang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identifikasi dan ketahui persepsi pasien terhadap
ancaman atau situasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Koping terhadap nyeri dan trauma emosi karena
iskemik miokard sulit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan rasa percaya klien dengan perawat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Penjelasan yang jujur dapat menghilangkan
kecemasa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">n</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan informasi konsisten ; ulangi sesuai indikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Informasi yang tepat tentang situasi
menurunkan takut</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan istirahat/tidur dengan lingkungan tenang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Penyimpanan energi dan meningkatkan
kemampuan koping</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi aktivitas berhubungan dengan
ketidakseimbangan antara suplai oksigen miokard dan kebutuhan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : dapat melakukan perawatan diri secara mandiri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dapat berjalan sendiri ke kamar mandi/WC</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tanda-tanda vital dalam batas normal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">saat beraktivitas tidak mengeluh sesak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji frekuensi jantung, irama, dan perubahan tekanan
darah sebelum dan sesudah aktivitas.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Kecenderungan menentukan pasien terhadap aktivitas
dan dapat mengidentifikasi penurunan oksigen miokard</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkatkan istirahat, batasi aktivitas pada dasar
nyeri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menurunkan kerja miokardium / konsumsi
oksigen, menurunkan resiko komplikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien menghindari peningkatan tekanan
abdomen, contoh ; mengejan saat defekasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Aktivitas yang perlu menahan nafas dan
menunduk dapat mengakibatkan bradikardi, juga menurunkan curah jantung.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Smeltzer & Bare, 2001 hal 796)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi penurunan curah jantung berhubungan
dengan otot infark, kerusakan struktural</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : penurunan curah jantung tidak terjad</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">i</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien dapat istirahat dengan cukup</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">nadi teraba kuat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kulit teraba hanga</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">t</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau dan auskultasi tekanan darah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Hipotensi dapat terjadi berhubungan dengan <br />
disfungsi ventrikel.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji perubahan sensori</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Dapat menunjukkan tidak adekuatnya perfusi cerebral
sekunder terhadap penurunan curah jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atur posisi semi Fowler</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Memperbaiki efisiensi kontraksi jantung dan
memudahkan ekspansi paru</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganjurkan klien makan makanan yang lunak, misal ;
bubur, roti, dan batasi asupan kafein ; kopi, coklat, cola</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Makanan keras dapat meningkatkan kerja
miokard dan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">menyebabkan bradikardi. Kafein
adalah perangsang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">langsung
pada jantung yang dapat meningkatkan frekuensi jantung</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Doenges, 2000, hal 91-92)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko tinggi terhadap perubahan perfusi jaringan
berhubungan dengan penurunan aliran darah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : mempertahankan perfusi jaringan adekuat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kulit hangat, kering, nadi perifer teraba kuat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sadar penuh dan berorientasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo24; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keseimbangan masukan dan haluaran</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji kekuatan nadi perifer dan observasi pucat,
sianosis, kulit dingin, lembab</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Vasokonstriksi sistemik diakibatkan oleh
penurunan curah jantung mungkin dibuktikan oleh penurunan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">perfusi
kulit dan penurunan nadi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau pernafasan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pompa jantung gagal dapat mencetuskan
distres Pernafasan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji fungsi gastrointestinal, penurunan / tidak ada
bising usus, konstipasi, mual muntah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Penurunan aliran darah ke mesentri dapat mengakibatkan
disfungsi gastrointestinal ; kehilangan peristaltik.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(Doenges, 2000 hal 93)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan mengenai kondisi, kebutuhan
pengobatan berhubungan dengan kurang informasi tentang penyakit.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : kebutuhan pengetahuan teratasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien mampu menyebutkan tentang penyakit yang
dideritanya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">klien memutuskan untuk mencoba mengubah pola hidup
buruk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat pengetahuan klien dan keluarga.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Belajar lebih mudah bila dimulai dari
pengetahuan peserta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">belajar.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan penjelasan kepada klien tentang proses
penyakit.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Informasi menurunkan cemas dan rangsangan
simpatis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan dengan klien dan keluarga tentang
pengobatan serta pencegahan supaya menurunkan kekambuhan, serta berikan waktu
untuk klien dan keluarga bertanya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pertanyaan dan diskusi dapat menandakan masalah
yang dapat diklarifikasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengarkan dengan cermat apa yang dikatakan klien dan
keluarga tentang penyakit yang diderita.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mendengar memungkinkan deteksi dan koreksi terhadap
kesalahpahaman dan kesalahan informasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelaksanaan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iyer (1996) mengatakan bahwa pelaksanaan tindakan
keperawatan adalah inisiatif dari rencana tindakan untuk mencapai tujuan yang
spesifik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pelaksanaan atau implementasi
merupakan aplikasi dari perencanaan keperawatan oleh perawat dan klien. Hal-hal
yang harus kita perhatikan ketika akan melakukan implementasi adalah intervensi
yang dilakukan sesuai dengan rencana. Setelah dilakukan validasi, pengasahan
ketrampilan interpersonal, intelektual, dan psikologi individu. Terakhir
melakukan pendokumentasian keperawatan berupa pencatatan dan pelaporan (Nursalam,
2001).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam pelaksanaan tindakan ada tiga fase yang harus
dilalui yaitu : persiapan, perencanaan dan dokumentasi (Griffith, 1986),
berikut penjelasannya :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase persiapan meliputi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Review antisipasi tindakan keperawatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganalisa pengetahuan dan ketrampilan yang
diperlukan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui komplikasi yang mungkin timbul.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persiapan alat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persiapan lingkungan yang kondusif.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengidentifikasi aspek hukum dan etik.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase intervensi terdiri atas :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Independen : tindakan yang dilakukan oleh perawat
tanpa petunjuk atau perintah dokter atau tim kesehatan lain.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interdependen : tindakan perawat yang memerlukan kerja
sama dengan tim kesehatan lain (gizi, dokter, laboratorium, dan lain-lain).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dependen : berhubungan dengan tindakan medis atau
menandakan dimana tindakan medis dilaksanakan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo34; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase dokumentasi merupakan suatu catatan lengkap dan
akurat dari tindakan yang telah dilaksanakan. Dalam pelaksanaan tindakan asuhan
keperawatan, pemberi support, pendidik, advokasi, konselor dan pencatatan atau
penghimpun data.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi adalah suatu yang direncanakan dan
dibandingkan yang sistematis pada status kesehatan klien (Griffith dan
Christensen, 1996). Sedangkan Ignatavicius dan Bayne (1994) mengatakan evaluasi
adalah tindakan intelektual untuk melengkapi proses perawatan yag menandakan
seberapa jauh diagnosa keperawatan, rencana tindakan dan pelaksanaannya sudah
berhasil dicapai.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi terdiri atas dua jenis yaitu : evaluasi
formatif dan evaluasi sumatif. Evaluasi formatif disebut juga evaluasi proses,
evaluasi jangka pendek atau evaluasi berjalan, dimana evaluasi dilakukan sampai
tujuan tercapai, sedangkan evaluasi sumatif bisa disebut juga evaluasi hasil,
evaluasi akhir, evaluasi jangka panjang. Evaluasi ini dilakukan pada akhir
tindakan keperawatan paripurna dan menjadi suatu metode memonitor kualitas dan
efisiensi tindakan yang diberikan. Bentuk evaluasi ini lazimnya menggunakan
format SOAP (Nursalam, 2001).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan evaluasi adalah untuk mendapatkan umpan balik
rencana keperawatan, nilai serta meningkatkan mutu asuhan keperawatan melalui
hasil perbandingan standar yang telah ditentukan sebelumnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam hal ini penilaian yang diharapkan pada klien dengan
iskemik miokard adalah :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri berkurang sampai hilang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola pernafasan tidak terganggu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cemas berkurang sampai hilang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat melakukan aktivitas harian.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan curah jantung tidak terjadi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan perfusi jaringan yang adekuat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan pengetahuan teratasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perencanaan pulang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyuluhan yang diberikan pada klien untuk perawatan sendiri
di rumah :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian dan proses penyakit agar klien tahu tentang
penyakit yang dideritanya dan cepat mendapatkan pertolongan bila timbul hal
yang tiba-tiba dan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memperburuk
keadaan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menganjurkan untuk istirahat yang cukup dan
menghindari kemarahan ataupun emosional dan mengurangi aktivitas yang
melelahkan, misalnya : mengangkat sesuatu yang berat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dianjurkan membatasi konsumsi makanan yang banyak
mengandung natrium/garam, dan makanan yang mengandung kolesterol karena akan
mempengaruhi kerja jantung.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyuluhan obat ; minum obat sesuai dosis dan
aturannya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batasi masukan cairan, untuk mengurangi asites /
edema. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">By Alfreed Richardson </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<a href="http://www.blogger.com/share-post.g?blogID=7649298514172371821&postID=1314084347753337133&target=email" target="_blank" title="Kirimkan Ini lewat Email"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kirimkan Ini lewat Email</span></a><a href="http://www.blogger.com/share-post.g?blogID=7649298514172371821&postID=1314084347753337133&target=blog" target="_blank" title="BlogThis!"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BlogThis!</span></a><a href="http://www.blogger.com/share-post.g?blogID=7649298514172371821&postID=1314084347753337133&target=twitter" target="_blank" title="Berbagi ke Twitter"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berbagi ke Twitter</span></a><a href="http://www.blogger.com/share-post.g?blogID=7649298514172371821&postID=1314084347753337133&target=facebook" target="_blank" title="Berbagi ke Facebook"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berbagi ke Facebook</span></a><a href="http://www.blogger.com/share-post.g?blogID=7649298514172371821&postID=1314084347753337133&target=pinterest" target="_blank" title="Bagikan ke Pinterest"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagikan ke Pinterest</span></a><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Labels: </span><a href="http://fiedz-619.blogspot.com/search/label/ASKEP%20UMUM"><span style="color: blue; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ASKEP
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Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-80632759303928387472014-10-09T05:13:00.000-07:002014-10-09T05:26:59.794-07:00fraktur <!--[if !mso]>
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<div class="Section1">
<div align="center" class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<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%;">BAB I</span></b></div>
<div align="center" class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<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%;">PENDAHULUAN</span></b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level2 lfo3; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Skenario</span></b></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sdr.
D 21 tahun dirawat di ruang bedah RSUD Ciamis setelah mengalami kecelakaan lalu
lintas dengan keluhan paha kanan tengah bengkak dan nyeri bila digerakkan,
tangan kanan terdapat luka terbungkus perban. Pada inspeksi tampak tungkai
kanan lebih pendek dibandingkan tungkai kiri dan bagian distal dari fraktur
mengalami rotasi eksternal Sdr. D di duga mengalami fraktur femur complit. </span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level2 lfo3; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kata-Kata
Sulit</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<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%;">No</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.4pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<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%;">Kata
Sulit</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 9.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<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%;">Definisi</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 253.65pt;" valign="top" width="338">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<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%;">Arti
yang Sebenarnya</span></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur femur complit</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patah tulang paha menyeluruh</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 253.65pt;" valign="top" width="338">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur femur adalah rusaknya kontinuitas tulang
pangkal paha yang dapat disebabkan oleh trauma langsung (kecelakaan lalu
lintas, jatuh dari ketinggian), kelelahan otot, kondisi-kondisi tertentu
seperti degenerasi tulang/osteoporosis. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur komplit adalah patah pada seluruh garis
tengah tulang dan biasanya megalami pergeseran (bergeser dari posisi
normal).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jadi fraktur femur complit adalah rusaknya
kontinuitas tulang pangkal paha yang dapat disebabkan oleh trauma langsung
pada seluruh garis tengah tulang dan biasanya megalami pergeseran
(bergeser dari posisi normal).</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Rotasi eksternal </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perputaran keluar</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 253.65pt;" valign="top" width="338">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">suatu rotasi femur disekitar axis longitudinal
sehingga knee terputar keluar.juga merupakan suatu rotasi femur disekitar
axis sagital sehingga knee ter-putar kedalam.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 33.75pt;" valign="top" width="45">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 7.1pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Distal </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bawah </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 253.65pt;" valign="top" width="338">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Distal(=bawah): lebih jauh dari batang tubuh atau
pangkal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level2 lfo3; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Daftar
Pertanyaan</span></b></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengapa paha kanan
tengah bengkak dan nyeri bila di gerakkan?</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-indent: -2.0cm;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Jawaban : </span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">karena
setelah terjadi fraktur, periosteum dan pembuluh darah serta saraf dalam
korteks, marrow dan jaringan lunak yang membungkus tulang rusak sehingga
terjadi pendarahan serta terbentuk hematom.<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"> </i></b></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa penanganan pertama
dengan adanya keluhan bengkak dan nyeri bila di gerakkan?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-indent: -2.0cm;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Jawaban:</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penanganan pertama pada keluhan bengkak
dengan di lakukan kompres hangat, dan untuk mengatasi nyeri dilakukan teknik
relaksasi dan distraksi ( mengalihkan perhatian klien), anjurkan untuk tidak
banyak gerak.</span></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo4; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Apa yang dikaji bila
menemukan pasien dengan fraktur femur complit?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Jawaban</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>: </span></i></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo34; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data Biografi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identitas pasien seperti umur, jenis kelamin, alamat,
agama, penaggung jawab, status perkawinan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo34; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat Kesehatan</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat medis dan kejadian yang lalu</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kejadian cedera kepala,
seperti kapan terjadi dan penyebab terjadinya</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan alkohol dan obat-obat
terlarang lainnya.</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo34; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo35; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas/istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: Keterbatasab/kehilangan fungsi pada bagian yang
terkena (mungkin segera, fraktur itu sendiri, atau terjadi secara sekunder,
dari pembengkakan jaringan, nyeri).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo35; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sikulasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: Hipertensi (kadang-kadang terlihat sebagai
respon terhadap nyeri/ansietas) atau hipotensi (kehilangan darah).
Takikardia (respon stres, hipovolemia). Penurunan/tak ada nadi pada bagian
distal yang cedera, pengisian kapiler lambat, pucat pada bagian yang terkena.
Pembengkakan jaringan atau massa hematoma pada sisi cedera.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo35; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensori</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala: hilang gerakan/sensasi, spasme otot,
kebas/kesemutan (parestesis).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: deformitas lokal, angulasi abnormal,
pemendekan, rotasi, krepitasi (bunyi berderit), spasme otot, terlihat
kelemahan/hilang fungsi. Agitasi (mungkin berhubungan dengan nyeri/ansietas
atau trauma lain).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo35; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri/kenyamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : nyeri berat tiba-tiba pada saat cedera
(mungkin terlokalisasi pada<span style="mso-spacerun: yes;"> </span>area
jaringan/kerusakan tulang, dapat berkurang pada imobilisasi), tidak ada nyeri
akibat kerusakan saraf. Spasme/kram otot (setelah imobilisasi)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo35; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: laserasi kulit, avulsi jaringan,
perdarahan, perubahan warna. Pembengkakan lokal (dapat meningkat secara
bertahap atau tiba-tiba).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo34; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan diagnostic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Ronsen : menentukan
lokasi/luasnya fraktur femur/trauma.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Scan tulang, tomogram, scan CT/MRI:
memperlihatkan fraktur, juga dapat digunakan untuk mengidentifikasi kerusakan
jaringan lunak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Arteriogram : dilakukan bila
kerusakan vaskuler dicurigai.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hitung darah lengkap: Ht mungkin
meningkat (hemokonsentrasi) atau menurun (perdarahan bermakna pada sisi fraktur
atau organ jauh pada trauma multipel). Peningkatan jumlah SDP adalah respon
stres normal setelah trauma.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kreatinin : trauma otot mungkin
meningkatkan beban kreatinin untuk klirens ginjal.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Profil koagulasi : perubahan dapat
terjadi pada kehilangan darah, transfusi multipel, atau cedera hati.</span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormalCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo4; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana cara
perawatan pada klien yang mengalami fraktur femur complit?</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt; text-indent: -2.0cm;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Jawaban:</span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></i></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level5 lfo23; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan fraktur
prinsipnya adalah dengan 4-R :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo36; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Recognisi : riwayat dari
terjadinya fraktur sampai didiagnosa fraktur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo36; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi : upaya memanipulasi
fragmen tulang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo36; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Retensi : memelihara reduksi
sampai penyembuhan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo36; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rehabilitasi : upaya untuk
pencapai kembali fungsi tulang secara normal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level5 lfo23; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa intervensi yang
diperlukan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo36; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi Terapeutik atau
konservatif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proteksi dengan mitela atau
pembebatan fraktur diatas dan dibawah sisi cidera sebelum memindahkan pasien.
Pembebatan atau pemdidaian mencegah luka dan nyeri yang lebih jauh dan
mengurangi adanya komplikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Immobilitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilakukan dalam jangka waktu berbeda-beda untuk
kesembuhan fragmen yang dipersatukan dengan pemasangan gips.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberikan kompres dingin untuk
menentukan perdarahan, edema dan nyeri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meninggikan tungkai untuk
menurunkan edema nyeri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrol perdarahan dan memberikan
penggantian cairan untuk mencegah syock.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Traksi untuk fraktur tulang
panjang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai upaya menggunakan kekuatan tarikan untuk
meluruskan dan immobilisasi fragmen tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reposisi
tertutup atau fiksasi dengan gips</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada fraktur supra kondilus, reposisi dapat
dilaksanakan dengan anestesi umum atau lokal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo36; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian Diet </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian diet TKTP dan zat besi untuk mencegah
terjadinya anemia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo36; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi farmakologis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anestesi local, analgesic
narkotik, relaksasi otot atau sedative diberikan untuk membantu klien selama
prosedur reduksi tertutup.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anestesi dapat diberikan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analgesic diberikan sesuai
petunjuk untuk mengontrol nyeri pada pasca operasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ATS diberikan pada pasien tulang
complicated</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level2 lfo36; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi operatif </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi untuk memperbaiki
kontinuitas tulang </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo38; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi Tertutup </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fragmen tulang disatukan dengan manipulasi dan traksi
manual untuk memperbaiki kesejajaran gips atas bebat dipasang, untuk
mengimmobilisasi ekstremitas dan mempertahankan reduksi. Diperlukan suatu
kontrol radiology yang diikuti fiksasi interna.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo38; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi terbuka dan fiksasi
internal / ORIF</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fiksasi interna dengan pembedahan terbuka akan
mengimmobilisasi fraktur. Memasukkan paku, sekrup atau pen atau plat ke dalam
tempat fraktur untuk memfiksasi bagian tulang yang fraktur secara bersamaan.
Fragmen tulang secara langsung terlihat dan alat fiksasinya digunakan untuk
memegang fragmen tulang dalam posisi. Terjadi penyembuhan tulang dan dapat
diangkat bila tulang sembuh. Setelah penutupan luka, beban atau gips untuk
stabilisasi dan sokong tambahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggantian endoprostetik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggantian fragmen dengan alat logam terimplantasi
dan digunakan bila terakhir mengganggu nutrisi tulang atau pengobatan pilihan
adalah penggantian tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br /></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level2 lfo2; text-indent: -35.45pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan
Pembelajaran</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
Definisi fraktur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
Anatomi fraktur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
Etiologi fraktur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
Manifestasi fraktur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
Klasifikasi fraktur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">P</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">atofisiologi <a href="https://www.blogger.com/null" name="_GoBack"></a>fraktur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">P</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">enatalaksanaan fraktur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
Pemeriksaan penunjang fraktur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
Komplikasi fraktur </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo6; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengetahui
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">A</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">suhan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">eperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">P</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">asien dengan fraktur </span></div>
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<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: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">BAB II</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PEMBAHASAN</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Definisi Fraktur</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Fraktur </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur adalah Terputusnya
kontinuitas jaringan tulang dan atau tulang rawan yang umumnya disebabkan oleh
ruda paksa. (Sjamsuhidajat R., 1997)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur adalah Patah tulang,
biasanya disebabkan oleh trauma atau tenaga fisik.(Price and Wilson, 2006).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur adalah Terputusnya
kontinuitas tulang dan tulang rawan (Mansjoer,dkk, 2000).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur adalah terputusnya hubungan
normal suatu tulang atau tulang rawan yang disebabkan oleh kekerasan. Patah
tulang dapat terjadi dalam keadaan normal atau patologis. Pada keadaan
patologis, misalnya kanker tulang atau osteoporosis, tulang menjadi lebih
lemah. Dalam keadaan ini, kekerasan sedikit saja akan menyebabkan patah tulang.
(Oswari , 2005 : 144).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo7; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur
femur </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur femur adalah rusaknya
kontinuitas tulang pangkal paha yang dapat disebabkan oleh trauma langsung
(kecelakaan lalu lintas, jatuh dari ketinggian), kelelahan otot,
kondisi-kondisi tertentu seperti degenerasi tulang/osteoporosis. Ada 2 tipe
dari fraktur femur, yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo8; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur
Intrakapsuler; femur yang terjadi di dalam tulang sendi,
panggul dan kapsula.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melalui kepala femur (capital
fraktur)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hanya di bawah kepala femur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melalui leher dari femur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo8; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur
Ekstrakapsuler; </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi di luar sendi dan kapsul, melalui
trokhanter femur yang lebih besar/yang lebih kecil /pada daerah
intertrokhanter.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo9; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi di bagian distal menuju
leher femur tetapi tidak lebih dari 2 inci di bawah trokhanter kecil.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Anatomi Fisiologi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang terdiri dari sel-sel yang berada
pada intra-seluler. Tulang berasal dari embrionic hyaline cartilage yang mana
melalui proses “Osteogenesis” menjadi tulang. Proses ini dilakukan oleh sel-sel
yang disebut “Osteoblast”. Proses mengerasnya tulang akibat penimbunan garam
kalsium. Ada 206 tulang dalam tubuh manusia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang dapat diklasifikasikan dalam lima kelompok berdasarkan bentukannyaitu
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang
panjang (Femur, Humerus</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">terdiri dari batang tebal panjang yang
disebut diafisis dan dua ujung yang disebut epifisis. Di sebelah
proksimal dari epifisis terdapat metafisis. Di antara epifisis dan
metafisis terdapat daerah tulang rawan yang tumbuh, yang disebutlempeng
epifisis atau lempeng pertumbuhan. Tulang panjang tumbuh karena akumulasi
tulang rawan di lempeng epifisis. Tulang rawan digantikan oleh sel-sel tulang
yang dihasilkan oleh osteoblas, dan tulang memanjang. Batang dibentuk oleh
jaringan tulang yang padat. Epifisis dibentuk dari spongi bone (cancellous atau
trabecular). Pada akhir tahun-tahun remaja tulang rawan habis, lempeng epifisis
berfusi, dan tulang berhenti tumbuh. Hormon pertumbuhan, estrogen, dan
testosteron merangsang pertumbuhan tulang
panjang. Estrogen, bersama dengan testosteron, merangsang
fusi lempeng epifisis. Batang suatu tulang panjang memiliki rongga yang
disebut kanalis medularis. Kanalis medularis berisi sumsum tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang
pendek (carpals)</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> bentuknya tidak teratur dan inti dari cancellous
(spongy) dengan suatu lapisan luar dari tulang yang padat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang
pendek datar (tengkorak</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">) terdiri atas dua lapisan tulang
padat dengan lapisan luar adalah tulang concellous.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang yang
tidak beraturan (vertebrata</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">) sama seperti dengan tulang pendek.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo11; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang
sesamoid</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> merupakan tulang kecil, yang terletak di sekitar
tulang yang berdekatan dengan persediaan dan didukung oleh tendon dan jaringan
fasial, misalnya patella (kap lutut).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang tersusun atas sel,
matriks protein dan deposit mineral. Sel-selnya terdiri atas tiga jenis
dasar-osteoblas, osteosit dan osteoklas. Osteoblas berfungsi dalam pembentukan
tulang dengan mensekresikan matriks tulang. Matriks tersusun
atas 98% kolagen dan 2% subtansi dasar (glukosaminoglikan, asam
polisakarida) dan proteoglikan). Matriks merupakan kerangka dimana garam-garam
mineral anorganik ditimbun.Osteosit adalah sel dewasa yang terlibat dalam pemeliharaan
fungsi tulang dan terletak dalam osteon (unit matriks
tulang). Osteoklas adalah sel multinuclear (berinti banyak) yang
berperan dalam penghancuran, resorpsi dan remosdeling tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Osteon merupakan unik fungsional
mikroskopis tulang dewasa. Ditengah osteon terdapat kapiler. Dikelilingi
kapiler tersebut merupakan matriks tulang yang dinamakan lamella. Didalam
lamella terdapat osteosit, yang memperoleh nutrisi melalui prosesus yang
berlanjut kedalam kanalikuliyang halus (kanal yang menghubungkan dengan
pembuluh darah yang terletak sejauh kurang dari 0,1 mm).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang diselimuti dibagian oleh
membran fibrous padat dinamakan periosteum. Periosteum memberi nutrisi ke
tulang dan memungkinkannya tumbuh, selain sebagai tempat perlekatan tendon dan
ligamen. Periosteum mengandung saraf, pembuluh darah, dan limfatik.
Lapisan yang paling dekat dengan tulang mengandung osteoblast, yang merupakan
sel pembentuk tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Endosteum adalah membran
vaskuler tipis yang menutupi rongga sumsum tulang panjang dan rongga-rongga
dalam tulang kanselus. Osteoklast , yang melarutkan tulang untuk
memelihara rongga sumsum, terletak dekat endosteum dan dalam
lacuna Howship (cekungan pada permukaan tulang).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otot</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otot dibagi dalam tiga kelompok,
dengan fungsi utama untuk kontraksi dan menghasilkan pergerakan dari bagian
tubuh atau seluruh tubuh. Kelompok otot terdiri dari :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level2 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otot rangka (otot lurik) :
didapatkan pada sistem skeletal danberfungsi untuk memberikan pengontrolan
pergerakan mempertahnakan sikap dan menghasilkan panas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level2 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otot viseral (otot
polos) : didapatkan pada saluran pencernaan, saluran perkemihan
dan pembuluih darah. Dipengaruhi oleh sistem saraf otonom dan kontraksinya tidak
dibawah kontrol keinginan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level2 lfo10; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otot jantung : didapat hanya
pada jantung dan kontraksinya tidak kontorl keinginan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otot rangka merupakan otot yang
mempunyai variasi ukuran dan bentuk dari panjang dan tipis sampai dengan yang
lebar dan datar atau dapat berbentuk massa-massa yang besar sekali. Kontraksi
otot rangka hanya dapat dirangsang. Energi kontraksi otot dipenuhi dari
pemecahan adenosin triphospate (ATP) dan kegiatan kalsium. Serat-serat dengan
oksigenasi secara adekuat dapat berkontraksi lebih kuat, bila dibandingkan
dengan oksigenisasi tidak adekuat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pergerakan ditimbulkan oleh tarikan
otot pada tulang yang berperan sebagai pengungkit dan sendi berpungsi sebagai
tumpuan/penopang. Otot rangka lebih besar dari pembuluh darah. Selama kontraksi
otot akan terjadi perubahan kimia. Akibatnya terjadi pembentukan produk-produk
sisa metabolisme. Otot yang lelah dan nyeri terjadi pada saat otot kekurangan
oksigen dan produk buangan tidak dapat dikeluarkan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kartilago</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kartilago terdiri dari serat-serat dilekatkan pada
suatu gelatin yang kuat. Kartilago sangat kuat
tetapi fleksible dan tidak bervaskuler. Nutrisi mencapai
kesel-sel kartilago dengan proses difusi melalui gelatin dari
kapiler-kapiler yang berada di perichondrium (fibrous yang menutupi
kartilago ) atau sejumlah serat-serat kolagen didapatkan pada kartilago, dimana
tipenya: fibrous, hyaline, atau elastik. Fibrous atau (fifibrocartilago)
mempunyai banyak serat-serat dan oleh karena itu paling besar kekuatannya untuk
merenggang . Fibrocartilagomenyusun diskus intervertebralis. Arthicular
(Hyaline) cartilage-halus, putih, putih, berkilau dan kenyal membungkus
permukaan persediaan dari tulang dan beberapa sebagian bantalan. Kartilago
elastik mempunyai paling sedikit serat-serat dan sering didapatkan pada daerah
telinga luar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sumsum Tulang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">jaringan vaskuler dalam rongga sumsum (batang) tulang
panjang dan dalam tulang pipih. Sumsum tulang merah, yang terutama terletak di
sternum, ilium, vertebra dan rusuk pada orang dewasa, bertanggung jawab
pada produksi sel darah merah dan putih. Pada orang dewas, tulang panjang
terisi oleh sumsum lemak kuning. Biopsi sumsum tulang dilakukan pada tulang
pipih.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ligament</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ligament adalah sekumpulan dari jaringan fibrous yang
tebal dimana merupakan akhiran dari suatu aoat dan berfungsi mengikat suatu
tulang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tendon</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tendon adalah suatu perpanjangan dari pembungkus fibon
yang membungkus setiap otot dan berkaitan dengan prioteum jaringan penyambung
yang mengelilingi tendon tertentu khususnya pada pergelangan tangan dan tumit.
Pembungkus ini dibatasi oleh membram synovial lumbrika untuk memudahkan
pergerakan tendon.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fasia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fasia adalah suatu permukaan jaringan penyambun
longgar yang didapatkan langsung dibawah kulit sebagai fasisupervisial atau
pembungkus tebal, jaringan penyambung fibrous yang membungkus otot, saraf dan
pembuluh darah. Bagian akhir diketahui sebagai fasia dalam.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bursae</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Burse adalah suatu kantong kecil dair jaringan
penyambung disuatu tempat, dimana digunakan diatas bagian yang bergerak,
misalnya terjadi antara kulit dan tulang, anatar tendon dan tulang atau antara
otot. Burse bertindak sebagai penampang antara bagian yang bergerak, seperti
pada olecra non bursae, terletak antara presesus dan kulit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Persendian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pergerakan tidak akan mungkin terjadi bila kelenturan
dalam rangka tulang tidak ada. Kelenturan dimungkinkan karena adanya
persendian, atau letak dimana tulang-tulang berada bersama-sama. Bentuk dari
persendian akan ditetapkan berdasarkan jumlah dan tipe pergerakan yang
memungkinkan, dan klasifikasi didasarkan pada jumlah pergerakan yang dilakukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Etiologi </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut Sachdeva (1996), penyebab fraktur dapat dibagi
menjadi tiga, yaitu:</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cedera
traumatic </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo14; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">cedera
langsung, berarti pukulan langsung pada tulang sehingga tulang patah secara
spontan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo14; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">cedera tidak
langsung, berarti pukulan langsung berada jauh dari benturan, misalnya jatuh
dengan tangan menjulur dan menyebabkan fraktur klavikula.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo14; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur yang
disebabkan kontraksi keras dari otot yang kuat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fraktur patologik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam hal ini kerusakan tulang akibat proses penyakit,
diman dengan trauma minor dapat mengakibatkan fraktur, dapat juga terjadi pada
keadaan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tumor tulang (jinak atau ganas)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi seperti osteomielitis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 64.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo15; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rakhitis, suatu penyakti tulang yang
disebabkan oleh devisiensi vitamin D yang mempengaruhi semua jaringan skelet
lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo13; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara spontan, disebabkan oleh
stress tulang yang terus menerus misalnya pada penyakit polio dan orang yang
bertugas di kemiliteran.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Manifestasi</span></b><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-fareast-font-family: "Times New Roman";"> Klinis</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Daerah paha yang patah tulangnya
sangat membengkak, ditemukan tanda functio laesa, nyeri tekan dan nyeri
gerak. Tampak adanya deformitas angulasi ke lateral atau angulasi ke anterior.
Ditemukan adanya perpendekan tungkai bawah. Pada fraktur 1/3 tengah femur, saat
pemeriksaan harus diperhatikan pula kemungkinan adanya dislokasi sendi panggul
dan robeknya ligamentum didaerah lutut. Selain itu periksa juga nervus siatika
dan arteri dorsalis pedis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda Dan Gejala :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri terus menerus dan bertambah
beratnya sampai fragmen tulang diimobilisasi. Spasme otot yang menyertai
fraktur merupakan bentuk bidai alamiah yang dirancang untuk meminimalkan
gerakan antar fragmen tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deformitas dapat disebabkan
pergeseran fragmen pada eksremitas. Deformitas dapat di ketahui dengan
membandingkan dengan ekstremitas normal. Ekstremitas tidak dapat berfungsi
dengan baik karena fungsi normal otot bergantung pada integritas tulang tempat
melengketnya obat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemendekan tulang, karena kontraksi
otot yang melekat diatas dan dibawah tempat fraktur. Fragmen sering saling
melingkupi satu sama lain sampai 2,5 sampai 5,5 cm</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Krepitasi yaitu pada saat
ekstremitas diperiksa dengan tangan, teraba adanya derik tulang. Krepitasi yang
teraba akibat gesekan antar fragmen satu dengan lainnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembengkakan dan perubahan warna
lokal pada kulit terjadi akibat trauma dan perdarahan yang mengikuti fraktur.
Tanda ini baru terjadi setelah beberapa jam atau beberapa hari setelah cedera.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peningkatan temperatur local</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pergerakan abnormal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Echymosis (perdarahan subkutan yang
lebar-lebar)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo16; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kehilangan fungsi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.5.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo21; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur komplit adalah
patah pada seluruh garis tengah tulang dan biasanya megalami pergeseran<span style="mso-spacerun: yes;"> </span>(bergeser dari posisi normal). </span><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo21; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur Tidak komplit
(inkomplit) adalah patah yang hanya terjadi pada sebagian dari garis tengah
tulang.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo21; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur tertutup
(fraktur simple) tidak menyebabkan robeknya kulit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo21; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur terbuka
(fraktur komplikata/kompleks) merupakan fraktur dengan luka pada kulit atau
mebran mukosa sampai ke patahan kaki. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur terbuka terbagi atas tiga
derajat, yaitu :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Derajat I :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Luka < 1 cm</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan jaringan
lunak sedikit, tidak ada tanda luka remuk</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur sederhana,
tranversal, oblik, atau kominutif ringan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontaminasi minima</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">l</span><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%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Derajat II :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">laserasi > 1 cm</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kerusakan jaringan
lunak, tidak luas, flap/avulse</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fraktur kominutif
sedang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kontaminasi sedang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Derajat III :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi kerusakan jaringan lunak yang
luas, meliputi struktur kulit, otot. dan neurovascular serta kontaminasi
derajat tinggi. Fraktur derajat tiga terbagi atas:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jaringan lunak yang
menutupi fraktur tulang adekuat, meskipun terdapat laserasi luas/flap/avulse
atau fraktur segmental/sangat kominutif yang disebabkan oleh trauma berenergi
tinggi tanpa melihat besarnya ukuran<span style="mso-spacerun: yes;">
</span>luka.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo22; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehilangann jaringan
lunak dengan fraktur tulang yang terpapar atau kontaminasi massif.Luka pada
pembuluh arteri/saraf perifer yang harus diperbaiki tanpa melihat kerusakan
jaringan lunak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo21; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sesuai pergerseran anatomisnya
fraktur dibedakan menjadi tulang bergeser/tidak bergeser. Jenis khusus fraktur
dibagi menjadi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Greensick, fraktur
dimana salah satu sisi tulang patah sedang sisi lainnya membengkok.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Transversal, fraktur
sepanjang garis tengah tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Oblik, fraktur
membentuk sudut dengan garis tengah tulang (lebih tidak stabil dibanding
transversal).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Spiral, fraktur
memuntir seputar batang tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kominutif, fraktur
dengan tulang pecah menjadi beberapa fragmen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Depresi, fraktur dengan
fragmen patahan terdorng ke dalam (sering terjadi pada tulang tengkorak dan
tulang wajah).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kompresi, fraktur
dimana tulang mengalami kompresi (terjadi pada tulang belakang).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Patologik, fraktur yang
terjadi pada daerah tulang berpenyakit (kista tulang, penyakit Paget, metastasi
tulang, tumor).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Avulsi,
tertariknya fragmen tulang oleh ligamen atau tendo pada perlengkatannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Epfiseal,
fraktur melalui epifisis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level4 lfo23; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Impaksi,
fraktur dimana fragmen tulang terdorong ke fragmen tulang lainnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Patofisiologi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tulang bersifat rapuh namun cukup mempunyai
kekeuatan dan gaya pegas untuk menahan tekanan (Apley, A. Graham, 1993). Tapi
apabila tekanan eksternal yang datang lebih besar dari yang dapat diserap
tulang, maka terjadilah trauma pada tulang yang mengakibatkan rusaknya atau
terputusnya kontinuitas tulang (Carpnito, Lynda Juall, 1995). Setelah terjadi
fraktur, periosteum dan pembuluh darah serta saraf dalam korteks, marrow, dan
jaringan lunak yang membungkus tulang rusak. Perdarahan terjadi karena
kerusakan tersebut dan terbentuklah hematoma di rongga medula tulang. Jaringan
tulang segera berdekatan ke bagian tulang yang patah. Jaringan yang mengalami
nekrosis ini menstimulasi terjadinya respon inflamasi yang ditandai denagn
vasodilatasi, eksudasi plasma dan leukosit, dan infiltrasi sel darah putih. ini
merupakan dasar penyembuhan tulang (Black, J.M, et al, 1993).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-no-proof: yes;"><img height="644" src="file:///C:\Users\ACER\AppData\Local\Temp\msohtmlclip1\02\clip_image003.jpg" width="787" /></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 2.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level5 lfo23; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan fraktur
prinsipnya adalah dengan 4-R :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo39; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Recognisi : riwayat dari terjadinya fraktur sampai didiagnosa fraktur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo39; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi : upaya memanipulasi fragmen tulang</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo39; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Retensi : memelihara reduksi sampai penyembuhan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo39; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rehabilitasi : upaya untuk
pencapai kembali fungsi tulang secara normal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level5 lfo23; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa intervensi yang
diperlukan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo40; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi Terapeutik atau
konservatif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proteksi dengan mitela atau
pembebatan fraktur diatas dan dibawah sisi cidera sebelum memindahkan pasien.
Pembebatan atau pemdidaian mencegah luka dan nyeri yang lebih jauh dan
mengurangi adanya komplikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Immobilitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dilakukan dalam jangka waktu berbeda-beda untuk
kesembuhan fragmen yang dipersatukan dengan pemasangan gips.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberikan kompres dingin untuk
menentukan perdarahan, edema dan nyeri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meninggikan tungkai untuk
menurunkan edema nyeri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kontrol perdarahan dan memberikan
penggantian cairan untuk mencegah syock.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Traksi untuk fraktur tulang
panjang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai upaya menggunakan kekuatan tarikan untuk
meluruskan dan immobilisasi fragmen tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reposisi
tertutup atau fiksasi dengan gips</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada fraktur supra kondilus, reposisi dapat
dilaksanakan dengan anestesi umum atau lokal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo40; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian Diet </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian diet TKTP dan zat besi untuk mencegah
terjadinya anemia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo40; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi farmakologis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anestesi local, analgesic
narkotik, relaksasi otot atau sedative diberikan untuk membantu klien selama
prosedur reduksi tertutup.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anestesi dapat diberikan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analgesic diberikan sesuai
petunjuk untuk mengontrol nyeri pada pasca operasi </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ATS diberikan pada pasien tulang
complicated</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo40; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi operatif </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi untuk memperbaiki
kontinuitas tulang </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo38; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi Tertutup </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fragmen tulang disatukan dengan manipulasi dan
traksi manual untuk memperbaiki kesejajaran gips atas bebat dipasang, untuk
mengimmobilisasi ekstremitas dan mempertahankan reduksi. Diperlukan suatu
kontrol radiology yang diikuti fiksasi interna.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo38; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">ü<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi terbuka dan fiksasi
internal / ORIF</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fiksasi interna dengan pembedahan terbuka akan
mengimmobilisasi fraktur. Memasukkan paku, sekrup atau pen atau plat ke dalam
tempat fraktur untuk memfiksasi bagian tulang yang fraktur secara bersamaan.
Fragmen tulang secara langsung terlihat dan alat fiksasinya digunakan untuk
memegang fragmen tulang dalam posisi. Terjadi penyembuhan tulang dan dapat
diangkat bila tulang sembuh. Setelah penutupan luka, beban atau gips untuk
stabilisasi dan sokong tambahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo37; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggantian endoprostetik </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggantian fragmen dengan alat logam terimplantasi
dan digunakan bila terakhir mengganggu nutrisi tulang atau pengobatan pilihan
adalah penggantian tulang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Penunjang</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
Radiologi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai penunjang, pemeriksaan yang penting adalah
“pencitraan” menggunakan sinar rontgen (x-ray). Untuk mendapatkan gambaran 3
dimensi keadaan dan kedudukan tulang yang sulit, maka diperlukan 2 proyeksi
yaitu AP atau PA dan lateral. X-Ray dapat dilihat gambaran fraktur, deformitas
dan metalikment. Venogram/anterogram menggambarkan arus vascularisasi. CT scan untuk
mendeteksi struktur fraktur yang kompleks.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
Laboratorium</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kalsium Serum dan Fosfor Serum
meningkat pada tahap penyembuhan tulang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Alkalin Fosfat meningkat pada
kerusakan tulang dan menunjukkan kegiatan osteoblastik dalam membentuk tulang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Enzim otot seperti Kreatinin Kinase,
Laktat Dehidrogenase (LDH-5), Aspartat Amino Transferase (AST), Aldolase yang
meningkat pada tahap penyembuhan tulang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo18; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
lain-lain</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan mikroorganisme kultur
dan test sensitivitas: didapatkan mikroorganisme penyebab infeksi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biopsi tulang dan otot: pada intinya
pemeriksaan ini sama dengan pemeriksaan diatas tapi lebih dindikasikan bila
terjadi infeksi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elektromyografi: terdapat kerusakan
konduksi saraf yang diakibatkan fraktur.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Arthroscopy: didapatkan jaringan
ikat yang rusak atau sobek karena trauma yang berlebihan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Indium Imaging: pada pemeriksaan ini
didapatkan adanya infeksi pada tulang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo19; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">MRI: menggambarkan semua kerusakan
akibat fraktur.(Ignatavicius, Donna D, 1995)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Komplikasi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi dini dari fraktur femur
ini dapat terjadi syok dan emboli lemak. Sedangkan komplikasi lambat yang dapat
terjadi delayed union, non-union, malunion, kekakuan sendi lutut, infeksi dan
gangguan saraf perifer akibat traksi yang berlebih.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Malunion, adalah suatu keadaan
dimana tulang yang patah telah sembuh dalam posisi yang tidak pada seharusnya,
membentuk sudut atau mirin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Delayed union adalah proses
penyembuhan yang berjalan terus tetapi dengan kecepatan yang lebih lambat dari
keadaan normal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nonunion, patah tulang yang tidak
menyambung kembali</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Compartment syndroma adalah suatu
keadaan peningkatan takanan yang berlebihan di dalam satu ruangan yang
disebabkan perdarahan masif pada suatu tempat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Shock terjadi karena kehilangan
banyak darah dan meningkatnya permeabilitas kapiler yang bisa menyebabkan
menurunnya oksigenasi. Ini biasanya terjadi pada fraktur.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fat embalism syndroma, tetesan lemak
masuk ke dalam pembuluh darah. Faktor resiko terjadinya emboli lemak ada
fraktur meningkat pada laki-laki usia 20-40 tahun, usia 70 sam pai 80 fraktur
tahun.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tromboembolic complicastion, trombo
vena dalam sering terjadi pada individu yang imobiil dalam waktu yang lama
karena trauma atau ketidak mampuan lazimnya komplikasi pada perbedaan
ekstremitas bawah atau trauma komplikasi paling fatal bila terjadi pada bedah
ortopedil</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi, Sistem pertahanan tubuh
rusak bila ada trauma pada jaringan. Pada trauma orthopedic infeksi dimulai
pada kulit (superficial) dan masuk ke dalam. Ini biasanya terjadi pada kasus
fraktur terbuka, tapi bisa juga karena penggunaan bahan lain dalam pembedahan
seperti pin dan plat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Avascular necrosis, pada umumnya
berkaitan dengan aseptika atau necrosis iskemia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo20; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Refleks symphathethic dysthropy, hal
ini disebabkan oleh hiperaktif sistem saraf simpatik abnormal syndroma ini
belum banyak dimengerti. Mungkin karena nyeri, perubahan tropik dan vasomotor
instability.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Asuhan</span></b><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-fareast-font-family: "Times New Roman";"> Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo24; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengkajian</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level3 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data Biografi</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identitas pasien seperti umur, jenis kelamin, alamat,
agama, penaggung jawab, status perkawinan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level3 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat Kesehatan</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
medis dan kejadian yang lalu</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
kejadian cedera kepala, seperti kapan terjadi dan penyebab terjadinya</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo25; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan
alkohol dan obat-obat terlarang lainnya.</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level3 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo26; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas/istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: Keterbatasab/kehilangan fungsi pada bagian yang
terkena (mungkin segera, fraktur itu sendiri, atau terjadi secara sekunder,
dari pembengkakan jaringan, nyeri).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo26; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sikulasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: Hipertensi (kadang-kadang terlihat sebagai
respon terhadap nyeri/ansietas) atau hipotensi (kehilangan darah). Takikardia
(respon stres, hipovolemia). Penurunan/tak ada nadi pada bagian distal yang
cedera, pengisian kapiler lambat, pucat pada bagian yang terkena. Pembengkakan
jaringan atau massa hematoma pada sisi cedera.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo26; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensori</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala: hilang gerakan/sensasi, spasme otot,
kebas/kesemutan (parestesis).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: deformitas lokal, angulasi abnormal,
pemendekan, rotasi, krepitasi (bunyi berderit), spasme otot, terlihat
kelemahan/hilang fungsi. Agitasi (mungkin berhubungan dengan nyeri/ansietas
atau trauma lain).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo26; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri/kenyamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : nyeri berat tiba-tiba pada saat cedera
(mungkin terlokalisasi pada<span style="mso-spacerun: yes;"> </span>area
jaringan/kerusakan tulang, dapat berkurang pada imobilisasi), tidak ada nyeri
akibat kerusakan saraf. Spasme/kram otot (setelah imobilisasi)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo26; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: laserasi kulit, avulsi jaringan,
perdarahan, perubahan warna. Pembengkakan lokal (dapat meningkat secara
bertahap atau tiba-tiba).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level3 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan diagnostic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Ronsen : menentukan
lokasi/luasnya fraktur femur/trauma.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Scan tulang, tomogram, scan CT/MRI:
memperlihatkan fraktur, juga dapat digunakan untuk mengidentifikasi kerusakan
jaringan lunak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Arteriogram : dilakukan bila
kerusakan vaskuler dicurigai.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hitung darah lengkap: Ht mungkin
meningkat (hemokonsentrasi) atau menurun (perdarahan bermakna pada sisi fraktur
atau organ jauh pada trauma multipel). Peningkatan jumlah SDP adalah respon
stres normal setelah trauma.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kreatinin : trauma otot mungkin
meningkatkan beban kreatinin untuk klirens ginjal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo27; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Profil koagulasi : perubahan dapat
terjadi pada kehilangan darah, transfusi multipel, atau cedera hati.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo24; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span></b><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-fareast-font-family: "Times New Roman";">Diagnosa</span></b><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Keperawatan</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level4 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri berhubungan dengan terputusnya
jaringan tulang, gerakan fragmen tulang, edema dan cedera pada jaringan, alat
traksi/immobilisasi, stress, ansietas.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level4 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan integritas kulit
berhubungan dengan tekanan, perubahan status metabolik, kerusakan sirkulasi dan
penurunan sensasi dibuktikan oleh terdapat luka / ulserasi, kelemahan,
penurunan berat badan, turgor kulit buruk, terdapat jaringan nekrotik.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level4 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hambatan mobilitas fisik berhubungan
dengan nyeri/ketidak nyamanan, kerusakan muskuloskletal, terapi pembatasan
aktivitas, dan penurunan kekuatan/tahanan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level4 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko infeksi berhubungan dengan
stasis cairan tubuh, respons inflamasi tertekan, prosedur invasif dan jalur
penusukkan, luka/kerusakan kulit, insisi pembedahan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level4 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan tantang kondisi,
prognosis dan kebutuhan pengobatan berhubungan dengan keterbatasan kognitif,
kurang terpajan/mengingat, salah interpretasi informasi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo24; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span>Intervensi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level5 lfo17; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri
berhubungan dengan terputusnya jaringan tulang, gerakan fragmen tulang, edema
dan cedera pada jaringan, alat traksi/immobilisasi, stress, ansietas.</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : nyeri dapat berkurang atau hilang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria Hasil : Nyeri berkurang atau hilang, Klien
tampak tenang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan
pendekatan pada klien dan keluarga</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ hubungan yang baik membuat klien dan keluarga
kooperatif</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat
intensitas dan frekwensi nyeri</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ tingkat intensitas nyeri dan frekwensi menunjukkan
skala nyeri</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
pada klien penyebab dari nyeri</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ memberikan penjelasan akan menambah pengetahuan
klien tentang nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
tanda-tanda vital.</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ untuk mengetahui perkembangan klien</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melakukan
kolaborasi dengan tim medis dalam pemberian analgesic</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ merupakan tindakan dependent perawat, dimana analgesik
berfungsi untuk memblok stimulasi nyeri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level5 lfo17; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan integritas kulit
berhubungan dengan tekanan, perubahan status metabolik, kerusakan sirkulasi dan
penurunan sensasi dibuktikan oleh terdapat luka / ulserasi, kelemahan,
penurunan berat badan, turgor kulit buruk, terdapat jaringan nekrotik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Mencapai penyembuhan luka pada waktu yang
sesuai.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria Hasil : tidak ada tanda-tanda infeksi seperti
pus., luka bersih tidak lembab dan tidak kotor, Tanda-tanda vital dalam batas
normal atau dapat ditoleransi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji kulit dan identifikasi pada
tahap perkembangan luka.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ mengetahui sejauh mana perkembangan luka
mempermudah dalam melakukan tindakan yang tepat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji lokasi, ukuran, warna, bau,
serta jumlah dan tipe cairan luka</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ mengidentifikasi tingkat keparahan luka akan
mempermudah intervensi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau peningkatan suhu tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ suhu tubuh yang meningkat dapat diidentifikasikan
sebagai adanya proses peradangan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan perawatan luka dengan tehnik
aseptik. Balut luka dengan kasa kering dan steril, gunakan plester kertas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ tehnik aseptik membantu mempercepat penyembuhan
luka dan mencegah terjadinya infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika pemulihan tidak terjadi
kolaborasi tindakan lanjutan, misalnya debridement.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ agar benda asing atau jaringan yang terinfeksi tidak
menyebar luas pada area kulit normal lainnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah debridement, ganti balutan
sesuai kebutuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ balutan dapat diganti satu atau dua kali sehari
tergantung kondisi parah/ tidak nya luka, agar tidak terjadi infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi pemberian antibiotik
sesuai indikasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R / antibiotik berguna untuk mematikan mikroorganisme
pathogen pada daerah yang berisiko terjadi infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level5 lfo17; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hambatan mobilitas fisik berhubungan
dengan nyeri/ketidak nyamanan, kerusakan muskuloskletal, terapi pembatasan
aktivitas, dan penurunan kekuatan/tahanan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Pasien akan menunjukkan tingkat mobilitas
optimal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : penampilan yang seimbang, melakukan
pergerakkan dan perpindahan., mempertahankan mobilitas optimal yang dapat di
toleransi, dengan karakteristik :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo30; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">0<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: mandiri penuh</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo30; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: memerlukan alat bantu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo30; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: memerlukan bantuan dari orang lain
untuk bantuan, pengawasan, dan pengajaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo30; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: membutuhkan bantuan dari orang
lain dan alat bantu</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo30; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: ketergantungan; tidak
berpartisipasi dalam aktivitas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji kebutuhan akan pelayanan
kesehatan dan kebutuhan akan peralatan.<br />
R/ mengidentifikasi masalah, memudahkan intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tentukan tingkat motivasi pasien
dalam melakukan aktivitas. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ mempengaruhi penilaian terhadap kemampuan aktivitas
apakah karena ketidakmampuan ataukah ketidakmauan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan dan pantau pasien dalam hal
penggunaan alat bantu.<br />
R/ menilai batasan kemampuan aktivitas optimal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan dan dukung pasien dalam
latihan ROM aktif dan pasif.<br />
R/ mempertahankan /meningkatkan kekuatan dan ketahanan otot.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo31; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dengan ahli terapi fisik
atau okupasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ sebagai suaatu sumber untuk mengembangkan
perencanaan dan mempertahankan/meningkatkan mobilitas pasien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level5 lfo17; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko infeksi berhubungan dengan
stasis cairan tubuh, respons inflamasi tertekan, prosedur invasif dan jalur
penusukkan, luka/kerusakan kulit, insisi pembedahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : infeksi tidak terjadi / terkontrol.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : Tidak ada tanda-tanda infeksi seperti
pus. Luka bersih tidak lembab dan tidak kotor. Tanda-tanda vital dalam batas
normal atau dapat ditoleransi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo32; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau tanda-tanda vital.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ mengidentifikasi tanda-tanda peradangan terutama
bila suhu tubuh meningkat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo32; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan perawatan luka dengan teknik
aseptic</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ mengendalikan penyebaran mikroorganisme patogen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo32; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan perawatan terhadap prosedur
inpasif seperti infus, kateter, drainase luka, dll.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ untuk mengurangi risiko infeksi nosokomial.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo32; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika ditemukan tanda infeksi
kolaborasi untuk pemeriksaan darah, seperti Hb dan leukosit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ penurunan Hb dan peningkatan jumlah leukosit dari
normal bisa terjadi akibat terjadinya proses infeksi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo32; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi untuk pemberian
antibiotik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ antibiotik mencegah perkembangan mikroorganisme
patogen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level5 lfo17; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan tantang kondisi,
prognosis dan kebutuhan pengobatan berhubungan dengan keterbatasan kognitif,
kurang terpajan/mengingat, salah interpretasi informasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : pasien mengutarakan pemahaman tentang
kondisi, efek prosedur dan proses pengobatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria Hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melakukan prosedur yang diperlukan
dan menjelaskan alasan dari suatu tindakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memulai perubahan gaya hidup yang
diperlukan dan ikut serta dalam regimen perawatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo33; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat pengetahuan klien dan
keluarga tentang penyakitnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ mengetahui seberapa jauh pengalaman dan pengetahuan
klien dan keluarga tentang penyakitnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo33; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan penjelasan pada klien
tentang penyakitnya dan kondisinya sekarang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ dengan mengetahui penyakit dan kondisinya sekarang,
klien dan keluarganya akan merasa tenang dan mengurangi rasa cemas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo33; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan klien dan keluarga untuk memperhatikan
diet makanan nya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ diet dan pola makan yang tepat membantu proses
penyembuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo33; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Minta klien dan keluarga mengulangi
kembali tentang materi yang telah diberikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">R/ mengetahui seberapa jauh pemahaman klien dan
keluarga serta menilai keberhasilan dari tindakan yang dilakukan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo24; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Implementasi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Merupakan inisiatif
dari rencana tindakan untuk mencapai tujuan yang spesifik. Tahap pelaksanaan
dimulai setelah rencana tindakan disusun dan ditujukan pada nursing orders
untuk membantu klien mencapai tujuan yang diharapkan. Oleh karena itu rencana
tindakan yang spesifik dilaksanakan untuk memodifikasi faktor-faktor yang
mempengaruhi masalah kesehatan klien.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo24; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Evaluasi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Evaluasi adalah
perbandingan yang sistemik atau terencana tentang kesehatan pasien dengan
tujuan yang telah ditetapkan, dilakukan dengan cara berkesinambungan, dengan
melibatkan pasien, keluarga dan tenaga kesehatan lainnya</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;">BAB III</span></b></div>
<div align="center" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;">PENUTUP</span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level2 lfo5; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-list: Ignore;">3.1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>Kesimpulan </span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Fraktur adalah Terputusnya kontinuitas jaringan tulang dan
atau tulang rawan yang umumnya disebabkan oleh ruda paksa. (Sjamsuhidajat R.,
1997)<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
Fraktur femur adalah rusaknya kontinuitas tulang pangkal paha
yang dapat disebabkan oleh trauma langsung (kecelakaan lalu lintas, jatuh dari
ketinggian), kelelahan otot, kondisi-kondisi tertentu seperti degenerasi
tulang/osteoporosis. <b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 35.45pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level2 lfo5; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Saran</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebagai perawat kita
harus mampu mengenali tanda–tanda terjadinya fraktur femur complit dan
memberikan asuhan keperawatan pada pasien dengan fraktur femur complit dengan
benar. Perawatan tidak kalah pentingnya dengan pengobatan karena bagaimanapun
teraturnya pengobatan tanpa perawatan yang sempurna maka penyembuhan yang
diharapkan tidak tercapai.</span><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-fareast-font-family: "Times New Roman";"></span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
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</o:shapelayout></xml><![endif]-->Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-92002456998294515892014-06-12T05:57:00.000-07:002014-06-12T05:57:21.855-07:00aksep keluarga<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
I</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">PENDAHULUAN</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l52 level2 lfo81; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1.</span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;">
Scenario </span></b></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 18.0pt; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Batukku
tak kunjung sembuh</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Ny.A berusia 50 tahun
di rawat di rumahnya, anggota keluarga mengatakan mengalami batuk sudah hampir
satu bulan tak kunjung sembuh, batuk klien produktif. Klien dibawa berobat ke
puskesmas oleh keluarga. Dokter puskesmas menyarankan agar klien melakukan
pemeriksaan fhoto thorax dan pemeriksaan laboratorium diantaranya darah dan
dahak. Perawat komunitas (keluarga) melakukan pengkajian terhadap tempat
tinggal klien, didapatkan data kondisi rumah lembab, ukuran 4x5 meter,
ventilasi dan pencahayaan kurang baik, mempunyai 4orang a</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">nak, anak yang paling
kecil berusia 3tahun. Suami klien bekerja sebagai buruh bangunan.</span></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 21.3pt; mso-add-space: auto; mso-list: l14 level2 lfo1; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;">Jawaban
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pertanyaan :</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; mso-list: l53 level1 lfo82; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa
masalah keperawatan utama pada klien ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jawab
: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bersihan
jalan nafas tidak efektif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Resiko
penyebaran penyakit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 63.8pt; mso-add-space: auto; mso-list: l19 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Potensial
meningkatnya status kesehatan berhubungan dengan mau memanfaatkan fasilitas
kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; mso-list: l53 level1 lfo82; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa
masalah resiko pada keluarga klien ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jawab
: Resiko penularan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; mso-list: l53 level1 lfo82; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa
pengkajian lanjutan yang harus dilakukan oleh perawat komunitas (keluarga) ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jawab
: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Data
umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Riwayat
dan tahap perkembangan keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Data
lingkungan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Struktur
keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Fungsi
keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Stress
dan koping keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Pemeriksaan
kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l30 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Harapan
keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; mso-list: l53 level1 lfo82; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa
diagnosa keperawatan yang bisa di tegakkan pada keluarga klien ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jawab
: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bersihan
jalan nafas tidak efektif pada Ny. A b.d ketidakmampuan keluarga merawat
anggota keluarga dengan masalah penyakit TB paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Resiko
penularan pada keluarga Ny. A b.d ketidak mampuan keluarga memodifikasi lingkungannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l15 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Potensial
meningkatnya status kesehatan pada keluarga Ny. A b.d kemampuan keluarga Ny. A
dalam memanfaatkan fasilitas kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 39.3pt; mso-add-space: auto; mso-list: l53 level1 lfo82; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Buat
prioritas diagnosa keperawatan pada keluarga klien lengkap dengan skoring !</span></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Jawab
:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bersihan
jalan nafas tidak efektif pada Ny. A b.d ketidakmampuan keluarga merawat
anggota keluarga dengan masalah penyakit TB paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KRITERIA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PERHITUNGAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">SKOR</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">JUSTIFIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sifat
masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aktual</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3/3
x1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondisi
Ny.A mengalami batuk sudah hampir satu bulan dan tak kunjung sembuh, batuk
Ny. A juga mengalami batuk produktif.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemungkinan
masalah untuk dirubah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mudah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/2x
2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga membawa Ny. A ke
puskesmas. Biaya pengobatan terjangkau. </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potensi
pencegahan masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sedang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/3
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kondisi rumah Ny. A lembab, ukuran
rumah 4x5 meter, jumlah anggota keluarga 6 orang, ventilasi dan pencahayaan
kurang baik. Pendapatan suami sebagai buruh hanya bisa <span style="mso-spacerun: yes;"> </span>memperbaiki sebagian saja. </span></div>
</td>
</tr>
<tr style="height: 109.1pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menonjolnya
masalah: Masalah dirasakan berat,harus segera ditangani</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/2
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kondisi Ny. A sudah hampir satu
bulan tak kunjung sembuh, batuk produktif adalah gejala-gejala yang dirasa
keluarga harus segera d tangani.<span style="mso-spacerun: yes;"> </span></span></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TOTAL
SKOR</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo6; text-align: center; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264"><br /></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Masalah keperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Resiko
penularan pada keluarga Ny. A b.d ketidak mampuan keluarga merawat anggota
keluarga dengan masalah penyakit TB paru.</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KRITERIA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PERHITUNGAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SKOR</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">JUSTIFIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sifat
masalah:</span></div>
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3 x1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ditangani
segera karena resiko penularan TB Paru pada anggota keluarga yang lain.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemungkinan
masalah untuk dirubah:</span></div>
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mudah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/2x 2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat
dirubah dengan memberikan informasi tentang pencegahan penularan<span style="mso-spacerun: yes;"> </span>TB paru kepada Ny. A melalui penyuluhan.
Tidak membuang dahak sembarangan dan membuka jendela setiap harinya.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensi
pencegahan masalah:</span></div>
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3 x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
penularan sulit dicegah karena kondisi rumah yang lembab, sempit serta
ventilasi dan pencahayaan kurang baik kecuali keluarga mampu dan mau
memodifikasi keadaan lingkungan rumahnya.</span></div>
</td>
</tr>
<tr style="height: 160.95pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menonjolnya
masalah: Masalah dirasakan dengan ada upaya/segera ditangani</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/2 x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah
perlu ditangani segera karena resiko penularan pada anggota keluarga yang
lain dengan melakukan pemeriksaan pada anggota keluarga yang lain (screening
kesehatan) dan anjurkan keluarga untuk memanfaatkan fasilitas (puskesmas)
yang terdekat dan sesuai kemampuan.</span></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TOTAL SKOR</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoListParagraph" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l58 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248"><br /></td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Potensial
meningkatnya status kesehatan pada keluarga Ny. A b.d kemampuan keluarga Ny. A
dalam memanfaatkan fasilitas kesehatan</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.95pt;" valign="top" width="125">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KRITERIA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.55pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PERHITUNGAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.6pt;" valign="top" width="103">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">SKOR</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.8pt;" valign="top" width="225">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">JUSTIFIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.95pt;" valign="top" width="125">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sifat
masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potensial
</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.55pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1/3
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.6pt;" valign="top" width="103">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.8pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ada kemungkinan keluarga untuk
menuju kesehatan keluarga yang lebih baik.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.95pt;" valign="top" width="125">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemungkinan
masalah untuk dirubah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mudah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.55pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/2
x 2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.6pt;" valign="top" width="103">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.8pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kemungkinan masalah untuk
diperbaiki di rumah Ny. A mudah karena sudah terbiasa memanfaatkan pelayanan kesehatan.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.95pt;" valign="top" width="125">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potensi
pencegahan masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sedang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.55pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3/3
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.6pt;" valign="top" width="103">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.8pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sebelum terjadi penularan perlu
dilakukan<span style="mso-spacerun: yes;"> </span>pencegahan agar tidak
menular kepada anggota keluarganya yang lain</span></div>
</td>
</tr>
<tr style="height: 160.95pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.95pt;" valign="top" width="125">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menonjolnya
masalah: Masalah tidak dirasakan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.55pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0/2
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.6pt;" valign="top" width="103">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.8pt;" valign="top" width="225">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">keluarga<span style="mso-spacerun: yes;"> </span>tidak merasakan adanya masalah yang
terjadi.</span></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.95pt;" valign="top" width="125">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TOTAL
SKOR</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.55pt;" valign="top" width="121"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.6pt;" valign="top" width="103">
<div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: center; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1/3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 168.8pt;" valign="top" width="225"><br /></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="mso-list: l58 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Buat rencana intervensi berdasarkan
prioritas masalah yang telah anda buat ?</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: -30.05pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 718px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIAGNOSA KEPERAWATAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.05pt;" valign="top" width="217">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUJUAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INTERVENSI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">EVALUASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.0pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">UMUM</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KHUSUS</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KRITERIA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">STANDART</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 119.5pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 119.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 119.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85">
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bersihan jalan nafas
tidak efektif pada Ny. A b.d ketidakmampuan keluarga merawat anggota keluarga
dengan masalah penyakit TB paru</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 119.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.0pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 2 minggu diharapkan jalan nafas Ny.A
efektif</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 119.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Setelah
dilakukan pertemuan 1x45’, keluarga mampu mengenal masalah TB Paru dengan
cara menyebutkan pengertian, penyebab, tanda dan gejala TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Setelah
dilakukan pertemuan 1x45’ keluarga mampu mengambil keputusan yang tepat untuk
mengatasi maslaah TB Paru dengan cara menyebutkan akibat dari TB Paru dan
memutuskan untuk merawat Ny. A dengan TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Setelah
dilakukan pertemuan 2x45’ keluarga mampu melakukan perawatan pada anggota
keluarga yang menderita penyakit TB Paru dengan cara menjelaskan cara
perawatan dan pencegahan penularan TB Paru, mendemonstrasikan cara batuk
efektif dan pembuangan dahak pada pasien TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d. Setelah
dilakukan pertemuan 1x45’ keluarga mampu memodifikasi lingkungan untuk
mencegah terjadinya penularan dengan cara menyebutkan lingkungan-lingkungan
yang baik bagi pasien penyakit TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">e. Setelah
dilakukan pertemuan 1x45’ keluarga mampu memanfaatkan fasilitas kesehatan
yang tersedia dengan cara menyebutkan manfaat kunjungan ke pelayanan
kesehatan, menyebutkan jenis-jenis pelayanan kesehatan yang tersedia dam
memanfaatkan fasilitas kesehatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 119.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pengertian, tanda dan
gejala, serta penyebab dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali tentang
pengertian, tanda dan gejala, serta penyebab dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
kemampuan keluarga</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pada keluarga Ny.A akibat
dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali pada keluarga
akibat TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keliuarga untuk mengambil
keputusan dalam mengatasi TB Paru Ny.A</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
keputusan yang diambil keluarga dalam mengatasi TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo11; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan cara perawatan,
pencegahan penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo11; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan klien cara batuk efektif
dan membuang dahak yang benar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo11; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali cara perawatan,
pencegahan penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo11; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan keluarga mempraktekkan
kembali cara batuk efektif dan membuang dahak ke tempatnya</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo11; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
hasil yang dicapai</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan hal-hal yang dapat dilakukan
untuk memodifikasi lingkungan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keluarga untuk
mengungkapkan kembali cara memodifikasi lingkungan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -16.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
hasil yang telah dicapai</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo13; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan dengan keluarga tentang
manfaat kunjungan ke pelayanan kesehatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 119.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal dari keluarga terkait pengertian, penyebab, tanda dan gejala TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal dan sikap dari keluarga tentang akibat TB Paru dan keputusan keluarga
untuk mengatasi TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal, sikap, dan psikomotor keluarga tentang cara perawatan TB Paru dan
pencegahan penularan TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal, sikap dan psikomotor keluarga tentang lingkungan yang dapat mendukung
penyembuhan penyakit TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal, sikap, dan psikomotor keluarga tentang manfaat pelayanan kesehatan
dan penggunaan pelayanan kesehatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 119.5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TB Paru
adalah suatu penyakit yang menular yang dapat menyerang siapa saja yang
disebabkan oleh bakteri mycobacterium tuberculosae, tanda dan gejalanya
adalah batuk-batuk terus menerus selama kurang lebih 3 minggu dan berdahak,
sesak nafas, keluar keringat dingin pada malam hari, dan berat badan menurun.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akibat
dari TB Paru adalah tuberkulosis meningen, pnemonia tuberkulosis, dan
kematian. Keluarga memutuskan untuk mengatasi dan merawat TB Paru Tn. I</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara
perawatan penyakit TB Paru adalah minum obat secara teratur, makan makanan
yang bergizi, istirahat cukup, menjaga kebersihan lingkungan. Cara pencegahan
penularan TB Paru dengan memisahkan perlengkapan makan anggota keluarga
dengan pasien, menutup mulut saat bersin dan batuk, serta membuang dahak pada
tempatnya. Proses batuk efektif: tarik nafas dalam melalui hidung dan
hembuskan seperti meniup balon sebanyak 3x dan waktu yang ketiga batukkan
lalu buang dahak ke tempat yang berisi lysol lalu tutup.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara
memodifikasi lingkungan yang dapat mendukung penyembuhan penyakit TB Paru
adalah pencahayaan ruangan yang cukup, ventilasi rumah yang cukup, jendela
dibuka agar sinar matahari bisa masuk kedalam rumah, menjemur kasur, bantal
minimal 1minggu sekali dijemur, tidak membuang dahak sembarangan tempat, tapi
gunakan kaleng yang didalamnya sudah diisi cairan desinfektan seperti lysol,
air sabun, bayclean, agar kuman TB Paru dapat mati.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: -2.4pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manfaatkan kunjungan ke pelayanan
kesehatan adalah untuk memperoleh informasi dan pengobatan, jenis pelayanan
kesehatan adalah untuk memperoleh informasi dan pengobatan, jenis pelayanan
kesehatan: Puskesmas, bidan praktek, klinik swasta, posyandu, keluarga
berkunjung ke pelayanan kesehatan (Puskesmas).</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.8pt;" valign="top" width="85">
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Masalah keperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Resiko penularan pada
keluarga Ny. A b.d ketidak mampuan keluarga merawat anggota keluarga dengan
masalah penyakit TB paru.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 78.0pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 2 minggu diharapkan pengetahuan
keluarga Ny. A bertambah/ teratasi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a. Setelah
kunjungan selama 1x30 menit keluarga Ny. A mampu mengenal masalah dengan
menyebutkan pengertian, tanda & gejala, serta penyebab dari TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b. Setelah
diberikan penjelasan 1x30’ keluarga: mengambil keputusan untuk mengatasi
masalah TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">c. Setelah
1x30’ diberikan penjelasan, keluarga mampu melakukan tindakan untuk merawat
anggota keluarga yang menderita penyakit TB Parudengan menjelaskan cara
perawatan dan melaksanakannya pada penderita TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">d. Setelah
3x60’ kunjungan keluarga Ny. A memodifikasi lingkungan untuk mencegah
terjadinya penularan dengan cara menyebutkan lingkungan-lingkungan yang baik
bagi penderita TB Paru</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan pengertian dan gejala
serta penyebab dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali
tentang pengertian, tanda dan gejala serta penyebab dan akibat dari penyakit
TB Paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan pujian yang
positif/jawaban yang tepat</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pada keluarga Ny. S
akibat dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keluarga untuk mengambil
keputusan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali pada keluarga akibat
dari penyebab TB Paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan kesempatan keluarga untuk
bertanya</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo17; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara perawatan TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo17; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan contoh menu makanan yang
bergizi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo17; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali tentang cara
merawat TB Paru dan menu yang bergizi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l46 level1 lfo17; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan tentang pentingnya perawatan
di rumah</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengidentifikasi pengetahuan
keluarga tentang lingkungan rumah yang baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memodifikasi keluarga untuk
mengungkapkan kembali lingkungan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo18; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memotivasi keluarga untuk
memanfaatkan fasilitas sesuai kemampuan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 77.95pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal dari keluarga dengan menyebutkan tentang pengertian, penyakit TB Paru,
tanda dan gejala serta penyebabnya</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal keluarga mampu menjelaskan kembali akibat TB Paru dan mengambil
keputusan untuk mengatasai TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal keluarga mampu menjelaskan cara perawatan TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon
verbal keluarga dapat menjelaskan lingkungan yang dapat mendukung penyembuhan
penyakit TB Paru</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo16; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga mampu menyebutkan TB Paru
adalah suatu penyakit yang menular.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo16; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan gejalanya adalah batuk
terus-menerus dan berdahak, sesak nafas, keluar keringat dingin pada malam
hari, berat badan menurun.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo16; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga menyebutkan penyebab T B
paru adalah: kuman mikrobakteri tuberkulosa</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga
dapat menyebutkan akibat dari tidak minum obat secara teratur maka
kuman-kuman TB akan kebal didalam tubuh, maka penyakit akan sulit disembuhkan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga
mampu menyebutkan cara perawatan penyakit TB Paru adalah: Minum obat teratur,
makan-makanan yang bergizi, istirahat cukup, menjaga kebersihan lingkungan</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga dapat menyebutkan cara
memodifikasi lingkungan yang dapat mendukung penyembuhan penyakit TB Paru
adalah pencahayaan ruangan yang cukup</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilasi rumah yang cukup</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jendela rajin dibuka agar sinar
matahari bisa masuk kedalam rumah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjemur kasur, bantal, minimal 1
minggu sekali</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l51 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak membuang dahak sembarangan
tempat, tapi gunakan kaleng yang didalamnya di isi cairan desinfektan seperti
tysol, air sabun, bayclin, agar kuman TB dapat mati</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l58 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apa evaluasi yang dapat dilakukan pada
keluarga Ny.A ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l59 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apakah
keluarga Ny.A sudah mengetahui tentang penyakit TB paru ?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l59 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apakah
keluarga Ny.A sudah mengetahui cara pencegahan penularan TB paru?</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l59 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Apakah
keluarga Ny.A telah mengetahui tentang pentingnya ventilasi dan pencahayaan?</span></div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">BAB
II</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">LAPORAN
PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level2 lfo51; text-align: justify; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
dasar</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengertian</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis
(TBC) adalah penyakit akibat kuman <em>Mycobakterium tuberkculosis</em>
sistemis sehingga dapat mengenai semua organ tubuh dengan lokasi terbanyak di
paru paru yang biasanya merupakan lokasi infeksi primer (Arif Mansjoer, 2000). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis
paru adalah penyakit infeksius yang terutama menyerang parenkim paru.
Tuberculosis dapat juga ditularkan ke bagian tubuh lainnya, terutama meningen,
ginjal, tulang, dan nodus limfe (Suzanne dan Brenda, 2001). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">penyakit</span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Tuberculosis adalah bakteri <i>Mycobacterium Tuberculosis dan
Mycobacterium Bovis</i>. </span><span lang="EN-US" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patofisologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penularan tuberculosis paru terjadi karena kuman dibersinkan
atau dibatukkan keluar </span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">menjadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> droplet nuclei dalam udara. Partikel infeksi ini dapat
menetap dalam udara bebas selama 1-2 jam, tergantung pada ada tidaknya sinar
ultraviolet, ventilasi yang buruk dan kelembaban. Dalam suasana lembab dan
gelap kuman dapat tahan selama berhari-hari sampai berbulan-bulan. Bila
partikel infeksi ini terhisap oleh orang sehat akan menempel pada jalan nafas
atau paru-paru. </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Partikel dapat masuk ke alveolar bila ukurannya kurang
dari 5 mikromilimeter. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tuberculosis
adalah penyakit yang dikendalikan oleh respon imunitas perantara sel. Sel
efektornya adalah makrofag sedangkan limfosit ( biasanya sel T ) adalah
imunoresponsifnya. Tipe imunitas seperti ini basanya lokal, melibatkan makrofag
yang diaktifkan ditempat infeksi oleh limposit dan limfokinnya. Raspon ini
desebut sebagai reaksi hipersensitifitas (lambat). </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Nekrosis pada
bagian sentral menimbulkan gambangan seperti keju yang biasa disebut nekrosis
kaseosa. Daerah yang terjadi nekrosis kaseosa dan jaringan granulasi
disekitarnya yang terdiri dari sel epiteloid dan fibroblast menimbulkan respon
yang berbeda. Jaringan granulasi menjadi lebih fibrosa membentuk jaringan parut
yang akhirnya akan membentuk suatu kapsul yang mengelilingi tuberkel.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembagian secara patologis :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis primer ( Child hood
tuberculosis ). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis post primer ( Adult
tuberculosis ).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berdasarkan pemeriksaan dahak, TB Paru
dibagi menjadi 2 yaitu :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis Paru BTA positif. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis Paru BTA negative </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pembagian secara aktifitas radiologis :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis paru ( Koch pulmonal )
aktif. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis non aktif . </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo22; tab-stops: 70.9pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis
quiesent ( batuk aktif yang mulai sembuh ). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo21; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Manifestasi Klinis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gambaran klinik TB paru dapat dibagi menjadi 2
golongan, gejala respiratorik dan gejala sistemik:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala respiratorik, meliputi:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batuk</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala batuk timbul paling dini dan merupakan gangguan
yang paling sering dikeluhkan. Mula-mula bersifat non produktif kemudian
berdahak bahkan bercampur darah bila sudah ada kerusakan jaringan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batuk darah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Darah yang dikeluarkan dalam dahak bervariasi, mungkin
tampak berupa garis atau bercak-bercak darak, gumpalan darah atau darah segar
dalam jumlah sangat banyak. Batuk darak terjadi karena pecahnya pembuluh darah.
Berat ringannya batuk darah tergantung dari besar kecilnya pembuluh darah yang
pecah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sesak napas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala ini ditemukan bila kerusakan parenkim paru
sudah luas atau karena ada hal-hal yang menyertai seperti efusi pleura,
pneumothorax, anemia dan lain-lain.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l48 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri dada</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri dada pada TB paru termasuk nyeri pleuritik yang
ringan. Gejala ini timbul apabila sistem persarafan di pleura terkena.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala sistemik, meliputi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l64 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan gejala yang sering dijumpai biasanya timbul
pada sore dan malam hari mirip demam influenza, hilang timbul dan makin lama
makin panjang serangannya sedang masa bebas serangan makin pendek.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan </span></b><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;">diagnostic</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l80 level1 lfo38; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Laboratorium</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kultur Sputum : Positif untuk Mycobacterium
tuberculosis pada tahap aktif penyakit </span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ziehl-Neelsen (pemakaian asam cepat pada gelas kaca
untuk usapan cairan darah) : Positif untuk basil asam-cepat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tes kulit (Mantoux, potongan Vollmer) : Reaksi positif
(area indurasi 10 mm atau lebih besar, terjadi 48-72 jam setelah injeksi
intradcrmal antigen) menunjukkan infeksi masa lalu dan adanya antibodi tetapi
tidak secara berarti menunjukkan penyakit aktif. Reaksi bermakna pada pasien
yang secara klinik sakit berarti bahwa TB aktif tidak dapat diturunkan atau
infeksi disebabkan oleh mikobakterium yang berbeda. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anemia bila penyakit berjalan menahun </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Leukosit ringan dengan predominasi limfosit </span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">LED meningkat terutama pada fase akut umumnya nilai
tersebut kembali normal pada tahap penyembuhan. </span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">GDA : mungkin abnormal, tergantung lokasi, berat dan
sisa kerusakan paru. </span></div>
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<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biopsi jarum pada jaringan paru : Positif untuk
granuloma TB; adanya sel raksasa menunjukkan nekrosis. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elektrolit : Dapat tak normal tergantung pada lokasi
dan beratnya infeksi; contoh hiponatremia disebabkan oleh tak normalnya retensi
air dapat ditemukan pada TB paru kronis luas. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l80 level1 lfo38; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Radiologi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Foto thorax : Infiltrasi lesi awal pada area paru atas
simpanan kalsium lesi sembuh primer atau efusi cairan perubahan menunjukan
lebih luas TB dapat termasuk rongga akan fibrosa. Perubahan mengindikasikanTB
yang lebih berat dapat mencakup area berlubang dan fibrous. Pada foto thorax
tampak pada sisi yang sakit bayangan hitam dan diafragma menonjol ke atas. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bronchografi : merupakan pemeriksaan khusus untuk
melihat kerusakan bronchus atau kerusakan paru karena TB. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gambaran radiologi lain yang sering menyertai TBC
adalah penebalan pleura, efusi pleura atau empisema, penumothoraks
(bayangan hitam radio lusen dipinggir paru atau pleura). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l80 level1 lfo38; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
fungsi paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo39; tab-stops: 2.0cm; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penurunan kualitas vital, peningkatan ruang mati,
peningkatan rasio udara residu: kapasitas paru total dan penurunan saturasi
oksigen sekunder terhadap infiltrasi parenkim/fibrosis, kehilangan jaringan
paru dan penyakit pleural.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo21; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan tuberkulosis antara lain :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; tab-stops: 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan Tuberkulosis Paru</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo25; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Imunisasi BCG pada anak balita, Vaksin
BCG sebaiknya diberikan sejak anak masih kecil agar terhindar dari penyakit
tersebut. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo25; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila ada yang dicurigai sebagai
penderita TBC maka harus segera diobati sampai tuntas agar tidak menjadi
penyakit yang lebih berat dan terjadi penularan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo25; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<strong><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></strong><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jangan minum susu sapi
mentah dan harus dimasak.<strong> </strong></span><strong><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></strong></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo25; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<strong><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></strong><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagi penderita untuk
tidak membuang ludah sembarangan.<strong> </strong></span><strong><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></strong></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo25; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<strong><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></strong><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pencegahan terhadap
penyakit TBC dapat dilakukan dengan tidak melakukan kontak udara dengan
penderita, minum obat pencegah dengan dosis tinggi dan hidup secara sehat.
Terutama rumah harus baik ventilasi udaranya dimana sinar matahari pagi masuk
ke dalam rumah.<strong> </strong></span><strong><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></strong></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo25; tab-stops: 99.25pt; text-align: justify; text-indent: -18.0pt;">
<strong><span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span></strong><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tutup mulut dengan sapu
tangan bila batuk serta tidak meludah/mengeluarkan dahak di sembarangan tempat
dan menyediakan tempat ludah yang diberi lisol atau bahan lain yang dianjurkan
dokter dan untuk mengurangi aktivitas kerja serta menenangkan pikiran.<strong> </strong></span><strong><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></strong></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 99.25pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 99.25pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 99.25pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; tab-stops: 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan Tuberkulosis Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Menggunakan
paduan OAT jangka pendek selama 6 bulan Terdiri dari :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Isoniazid (H)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dikenal dengan INH, bersifat bakterisid, dapat
membunuh 90 % populasi kuman dalam beberapa hari pertama pengobatan. Sangat
efektif terhadap kuman dalam keadaan metabolik aktif yaitu kuman yang sedang
berkembang. Dosis harian 5 mg/kg berat badan, sedangkan untuk pengobatan
intermiten 3 kali seminggu diberikan dengan dosis 10 mg/kg berat badan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rifampisin (R)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersifat bakterisid, membunuh kuman semi dormant yang
tidak dapat dibunuh oleh isoniasid. Dosis 10 mg/kg berat badan. Dosis sama
untuk pengobatan harian maupun intermiten 3 kali seminggu.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pirazinamid (Z)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersifat bakterisid, membunuh
kuman yang berada dalam sel dengan suasana asam. Dosis harian 25 mg/kg berat
badan, sedangkan untuk pengobatan intermiten 3 kali seminggu diberikan dengan
dosis 35 mg/kg berat badan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.3pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Streptomisin (S</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersifat bakterisid, dosis 15 mg/kg berat badan,
sedangkan untuk pengobatan intermiten 3 kali seminggu digunakan dosis yang
sama.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etambutol (E)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersifat menghambat pertumbuhan bakteri
(bakteriostatik). Dosis harian 15 mg/kg berat adan, sedangkan untuk intermiten
3 kali seminggu diberikan dengan 30 mg/kg berat badan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kategori
OAT: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l69 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kategori-1</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2HRZE/4H3R3. Dalam kategori jenis
pertama ini penderita selama 2 bulan minum obat INH, rifampisin, pirazinamid,
dan etambutol setiap hari (tahap intensif), dan 4 bulan selanjutnya minum obat
INH dan rifampisin tiga kali dalam seminggu (tahap lanjutan). Pemberian obat TBC
ini diberikan kepada pasien baru TBC paru dengan hasil BTA positif, penderita
TBC ekstra paru (TBC di luar paru-paru) yang berat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l69 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kategori-2</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">HRZE/5H3R3E3. PengobatanDiberikan
kepada penderita yang kambuh. Pasien yng mengalami gagal terapi dan juga kepada
penderita dengan pengobatan setelah lalai minum obat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l69 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Kategori-3</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2HRZ/4H3R3. Pengobatan Tuberkulosis
kategori ketiga ini diberikan kepada penderita BTA (+) dan rontgen paru
mendukung aktif. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l69 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Sisipan (HREZ)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-language: IN;">Setiap
kategori pengobatan terdiri ats 2 tahap pemberian, yaitu fase awal dan fase
lanjutan berkala.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo21; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi</span></b><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-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> TB Paru
bila tidak ditangani dengan benar akan menimbulkan komplikasi, diantaranya :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; tab-stops: list 21.3pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi dini : pleuritis, efusi pleura, empiema,
faringitis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo27; tab-stops: list 21.3pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi lanjut : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo28; tab-stops: 63.8pt; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obstruksi jalan nafas, seperti SOPT ( Sindrom
Obstruksi Pasca Tubercolosis) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo28; tab-stops: 63.8pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan parenkim berat, seperti SOPT atau fibrosis
paru, Cor pulmonal,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">amiloidosis,
karsinoma paru, ARDS.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 63.8pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level2 lfo35; text-align: justify; text-indent: -1.0cm;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-language: IN;">Asuhan Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Asuhan keperawatan keluarga adalah suatu rangkaian kegiatan yang
diberikan melalui praktek keperawatan, keluarga untuk membantu menyelesaikan
masalah kesehatan keluarga tersebut dengan menggunakan pendekatan proses
keperawatan (Depkes RI, 1998:3).</span><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-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Proses keperawatan adalah metode ilmiah yang digunakan secara sistematis
untuk mengkaji dan menentukan masalah kesehatan dan keperawatan keluarga,
merencanakan asuhan keperawatan dan melaksanakan intervensi keperawatan
terhadap keluarga sesuai rencana yang telah disusun dan mengevaluasi mutu hasil
asuhan keperawatan yang dilaksanakan terhadap keluarga (Effendi, 1998:55)</span><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-weight: bold;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo29; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pengkajian</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lima
tahap proses keperawatan terdiri dari pengkajian terhadap keluarga,
identifikasi masalah keluarga dan individu (diagnosa keperawatan), rencana
keperawatan, implementasi rencana pengerahan sumber-sumber dan evaluasi
perawatan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Proses keperawatan memiliki tahapan-tahapan yang
saling bergantung dan disusun secara sistematis untuk menggambarkan
perkembangan dari tahap satu ke tahap lain, (Friedman,1998:55). Menurut
Friedman (1998:56) proses pengkajian keperawatan dengan pengumpulan informasi
secara terus-menerus terhadap arti yang melekat pada informasi yang sedang
dikumpulkan tersebut. Pengkajian yang dilakukan meliputi pengumpulan informasi
dengan cara sistematis, diklasifikasi dianalisa artinya.</span><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-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo50; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pengumpulan data</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengumpulan data dapat dilakukan
dengan cara wawancara, pengamatan, studi dokumentasi (melihat KMS, kaetu
keluarga) dan pemeriksaan fisik (Effendi,1998:47).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Data yang
dikumpulkan meliputi:</span><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-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Identitas keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">yang dikaji adalah umur,pekerjaan dan tempat tinggal.<br />
Yang beresiko menjadi penderita tuberculosis adalah: individu tanpa perawatan
kesehatan yang adekuat (tuna wisma,tahanan), dibawah umur 15 tahun dan dewasa
muda antara 15-44 tahun ,tinggal ditempat kumuh dan perumahan di bawah standart
dan pekerjaan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Latar
<span style="mso-bidi-font-weight: bold;">belakang</span> budaya atau kebiasaan
keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kebiasaan
makan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada penderita tuberculosis
mengalami nafsu makan menurun bila terjadi terus menerus akan menyebabkan
penderita menjadi lemah. Bagi penderita tuberculosis dianjurkan diet Tinggi
Kalori Tinggi Protein (TKTP) (Tempointeraktif, 23 Juli 2005).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemanfaatkan<span style="mso-bidi-font-weight: bold;"> fasilitas kesehatan</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemampuan keluarga dalam
memanfaatkan pelayanan kesehatan sangat berpengaruh dalam perawatan
tuberculosis baik untuk mendapatkan informasi maupun pengobatan. Beberapa
tempat yang memberikan pelayanan kesehatan bagi tuberculosis adalah Puskesmas,
BP4, Rumah Sakit dan Dokter pratek swasta (Depkes RI, 2002).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Status Sosial Ekonomi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pendidikan yang rendah berpengaruh
terhadap pola pikir dan tindakan keluarga dalam mengatasi masalah dalam
keluarga (Effendy, 1998). Sebaliknya dengan tingkat pendidikan tinggi keluarga
akan mampu mengenal masalah dan mampu mengambil keputusan untuk menyelesaikan
masalah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pekerjaan dan Penghasilan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pekerjaan dan penghasilan merupakan
hal yang sangat berkaitan. Penghasilan keluarga akan menentukan kemampuan
mengatasi masalah kesehatan yang ada. Kemampuan menyediakan perumahan yang
sehat, kemampuan pengobatan anggota keluarga yang sakit dan kemampuan
menyediakan makanan dengan Gizi yang seimbang. 60% penderita tuberculosis
adalah penduduk miskin (Sinar Harapan, 23 Juli 2005).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Aktivitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Selain kebutuhan makanan, kebutuhan
istirahat juga harus diperhatikan. Bagi penderita tuberculosis dianjurkan
istirahat minimal 8 jam perhari (Depkes RI, 2002).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat
perkembangan dan riwayat keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat perkembangan pada tahap
pembentukan keluarga akan didapati masalah dengan social ekonomi yang rendah
karena harus belajar menyesuaikan dengan kebutuhan yang harus dipenuhi.
Keluarga baru belajar memecahkan masalah. Dengan keadaan tersebut berpengaruh
pada tingkat kesehatan keluarga. Social ekonomi yang rendah pada umumnya
berkaitan erat dengan masalah kesehatan yang mereka hadapi disebabkan karena
ketidak mampuan dan ketidak tahuan dalam mengatasi masalah yang mereka hadapi
(Effendy,1998). Tidak adanya riwayat keluarga yang mempunyai masalah kesehatan
tidak berpengaruh pada status kesehatan keluarga.<span class="apple-converted-space"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Data
lingkungan</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik
rumah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keadaan rumah yang sempit,
ventilasi kurang, udara yang lembab termasuk rumah dengan kondisi di bawah
standart kesehatan. Salah satu factor yang bisa menyebabkan kuman tuberculosis
bertahan hidup adalah kondisi udara yang lembab (Depkes RI, 2002).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Karakteristik<span style="mso-bidi-font-weight: bold;"> lingkungan</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lingkungan rumah yang bersih, pembuangan
sampah dan pembuangan limbah yang benar dapat mengurangi penularan TBC dan
menghambat pertumbuhan bakteri tuberkulosa. TBC sangat erat berhubungan dengan
kondisi lingkungan yang kumuh .</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Perkumpulan keluarga dan interaksi dengan masyarakat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kuman tuberculosis dapat menular
dari ke orang melalui udara. Semakin sering kontak langsung dengan penderita
bereksiko sekali tertular TBC. Terutama yang merawat di rumah berkesempatan
terkena TBC dari pada yang berada di tempat umu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">m.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Struktur<span style="mso-bidi-font-weight: bold;"> keluarga</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola
komunikasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila dalam keluarga komunikasi yang
terjadi secara terbuka dan dua arah akan sangat mendukung bagi penderita TBC.
Saling mengingatkan dan memotivasi penderita untuk terus melakukan pengobatan
dapat mempercepat proses penyembuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Struktur
peran keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila anggota keluarga dapat
menerima dan melaksanakan perannya dengan baik akan membuat anggota keluarga
puas dan menghindari terjadinya konflik dalam keluarga dan masyarakat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Struktur
kekuatan keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kemampuan anggota keluarga untuk
mempengaruhi dan mengendalikan orang lain untuk mengubah perilaku keluarga yang
mendukung kesehatan. Penyelesaian masalah dan pengambilan keputusan secara
musyawarah akan dapat menciptakan suasana kekeluargaan. Akan timbul perasaan
dihargai dalam keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nilai
atau norma keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perilaku individu masing-masing
anggota keluarga yang ditampakan merupakan gambaran dari nilai dan norma yang
berlaku dalam keluarga.(Suprajitno,.2004: 7)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 103.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l54 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Fungsi Keluarga (Friedman, 1998)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
Afektif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluarga yang saling menyayangi dan
peduli terhadap anggota keluarga yang sakit TBC akan mempercepat proses
penyembuhan. Karena adanya partisipasi dari anggota keluarga dalam merawat
anggota keluarga yang sakit.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
Sosialisasi dan Tempat Bersosialisasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi keluarga mengembangkan dan
melatih untuk berkehidupan sosial sebelum meninggalkan rumah untuk berhubungan
dengan orang lain. Tidak ada batasan dalam bersosialisasi bagi penderita dengan
lingkungan akan mempengaruhi kesembuhan penderita asalkan penderita tetap
memperhatikan kondisinya .Sosialisasi sangat diperlukan karena dapat mengurangi
stress bagi penderita.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi
Perawatan/Pemeliharaan Kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dikaitkan dengan kemampuan keluarga
dalam melaksanakan 5 tugas keluarga di bidang kesehatan yaitu :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span class="apple-converted-space"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengenal masalah kesehatan keluarga<span class="apple-converted-space"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kesehatan merupakan kebutuhan
keluarga yang tidak boleh diabaikan karena tanpa kesehatan segala sesuatu tidak
akan berarti dan karena kesehatanlah kadang seluruh kekuatan sumber daya dan
dana keluarga habis. Ketidak sanggupan keluarga dalam mengenal masalah kesehatan
pada keluarga salah satunya disebabkan oleh kurangnya pengetahuan . Kurangnya
pengetahuan keluarga tentang pengertian, tanda dan gejala, akibat, pancegahan,
perawatan dan pengobatan TBC.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Memutuskan tindakan kesehatan yang tepat bagi
keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Tugas ini
merupakan upaya keluarga yang utama untuk mencari pertolongan yang tepat sesuai
dengan keadaan keluarga,dengan pertimbangkan siapa diantara keluarga yang
mempunyai kemampuan memutuskan menentukan tindakan keluarga. Tindakan kesehatan
yang dilakukan oleh keluarga diharapkan tepat agar masalah kesehatan dapat
dikurangi bahkan teratasi. Ketidak sanggupan keluarga mengambil keputusan dalam
melakukan tindakan yang tepat, disebabkan karena keluarga tidak memahami
mengenai sifat, berat dan luasnya masalah serta tidak merasakan menonjolnya
masalah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Merawat keluarga yang mengalami gangguan kesehatan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Keluarga
dapat mengambil tindakan yang tepat dan benar, tetapi keluarga memiliki
keterbatasan. Ketidakmampuan keluarga merawat anggota keluarga yang sakit
dikarenakan tidak mengetahui cara perawatan pada penyakitnya. Jika demikian,
anggota keluarga yang mengalami gangguan kesehatan perlu memperoleh tindakan
lanjutan atau perawatan dapat dilakukan di institusi pelayanan kesehatan.</span><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-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Memodifikasi lingkungan keluarga untuk menjamin
kesehatan keluarga.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pemeliharaan
lingkungan yang baik akan meningkatkan kesehatan keluarga dan membantu
penyembuhan. Ketidakmampuan keluarga dalam memodifikasi lingkungan bisa di
sebabkan karena terbatasnya sumber-sumber keluarga diantaranya keuangan,
kondisi fisik rumah yang tidak memenuhi syarat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Memanfaatkan fasilitas pelayanan kesehatan di
sekitarnya bagi keluarga.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Kemampuan
keluarga dalam memanfaatkan fasilitas pelayanan kesehatan akan membantu anggota
keluarga yang sakit memperoleh pertolongan dan mendapat perawatan segera agar
masalah teratasi.</span><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-weight: bold;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 138.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Fungsi<span style="mso-bidi-font-weight: bold;"> Reproduksi</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluarga berfungsi untuk
mempertahankan generasi dan menjaga kelangsungan keluarga.Dan juga tempat
mengembangkan fungsi reproduksi secara universal, diantaranya : seks yang sehat
dan berkualitas, pendidikan seks pada anak sangat penting.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Fungsi Ekonomi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluarga berfungsi untuk memenuhi
kebutuhan keluarga, seperti kebutuhan makan, pakaian dan tempat untuk
berlindung (rumah).Dan tempat untuk mengembangkan kemampuan individu
meningkatkan penghasilan untuk memenuhi kebutuhan keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Koping keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila koping keluarga tidak efektif
terhadap stressor yang akan menyebabkan stress yang berkepanjangan.Hal ini akan
mempengaruhi daya tahan tubuh .</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo50; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analisa </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Data</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam
menganalisa data ada 3 norma yang perlu diperhatikan dalam perkembangan
kesehatan keluarga yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan
kesehatan keluarga yang normal dari setiap anggota keluarga yang meliputi :
keadaan fisik, mental, sosial dan pertumbuhan dan penghargaan gizi, kehamilan,
status imunisasi, KB dan lain – lainnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan
rumah dan sanitasi lingkungan meliputi : ventilasi, penerangan, kebersihan,
tempat pembuangan air limbah serta pemanfaatan pekarangan yang ada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo40; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karakteristik
keluarga meliputi : sifat – sifat keluarga, dinamika dalam keluarga, komunikasi
dalam keluarga, kebiasaan nilai – nilai yang berlaku dalam keluarga</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo50; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perumusan
Masalah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah data
di analisis maka selanjutnya dapat dirumuskan masalah kesehatan dan keperawatan
keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam
menyusun masalah kesehatan dan keperawatan keluarga selalu mengacu kepada
tipologi masalah kesehatan dan keperawatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam
tipologi masalah kesehatan keluarga ada 3 kelompok masalah besar, yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ancaman
kesehatan adalah keadaan yang dapat memungkinkan terjadinya penyakit,
kecelakaan dan kegagalan mencapai potensi kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang /
tidak sehat adalah kegagalan dalam memantapkan kesehatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo41; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Situasi
krisis adalah saat – saat banyak menuntut individu / keluarga dalam
menyesuaikan diri termasuk juga dalam hal sumber daya keluarga.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain
mengacu pada tipologi masalah kesehatan, juga mengacu pada berbagai alasan dari
ketidakmampuan dalam melaksanakan tugas–tugas keluarga dalam bidang kesehatan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo50; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prioritas
Masalah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
merumuskan masalah, langkah selanjutnya adalah menentukan prioritas masalah
kesehatan dan keperawatan. Beberapa hal yang perlu diperhatikan dalam prioritas
masalah adalah sebagai berikut:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak
mungkin masalah-masalah kesehatan dan keperawatan yang ditemukan dalam keluarga
dapat diatasi sekaligus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu pertimbangan
masalah-masalah yang dapat mengancam kehidupan keluarga seperti masalah
penyakit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perlu
mempertimbangkan respon dan perhatian keluarga terhadap suatu keperawatan yang
akan diberikan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keterkaitan
keluarga dalam memecahkan masalah yang mereka hadapi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sumber daya
keluarga yang dapat menunjang pemecahan masalah kesehatan/keperawatan keluarga</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l47 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengetahuan
dan kebudayaan keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skala
prioritas dalam menyusun masalah kesehatan keluarga, Untuk dapat menentukan
prioritas kesehatan dan keperawatan keluarga perlu disusun skala prioritas
sebagai berikut :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tabel </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.2 Skala Prioritas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 69.2pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 444px;">
<tbody>
<tr style="height: 17.05pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 17.05pt; mso-border-alt: solid windowtext .75pt; mso-border-bottom-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 248.05pt;" valign="top" width="331">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; height: 17.05pt; mso-border-left-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skor</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: none; border-left: none; border-right: solid windowtext 1.0pt; border-top: solid windowtext 1.0pt; height: 17.05pt; mso-border-left-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bobot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 38.3pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 38.3pt; mso-border-alt: solid windowtext .75pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 248.05pt;" valign="top" width="331">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sifat
masalah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 58.4pt 93.8pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skala<span style="mso-tab-count: 1;"> </span>: - Tidak / kurang
sehat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 65.45pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>- Ancaman
kesehatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 65.45pt 93.8pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>- Krisis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 38.3pt; mso-border-alt: solid windowtext .75pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 38.3pt; mso-border-alt: solid windowtext .75pt; mso-border-bottom-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: .5pt; mso-border-color-alt: windowtext; mso-border-left-alt: .75pt; mso-border-right-alt: .75pt; mso-border-style-alt: solid; mso-border-top-alt: .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 248.05pt;" valign="top" width="331">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemungkinan
masalah dapat diubah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 58.4pt 65.45pt 79.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>- Dengan mudah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>- Hanya sebagian </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>-</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak dapat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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-bottom-alt: .5pt; mso-border-color-alt: windowtext; mso-border-left-alt: .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: .75pt; mso-border-style-alt: solid; mso-border-top-alt: .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">0</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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-bottom-alt: .5pt; mso-border-color-alt: windowtext; mso-border-left-alt: .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: .75pt; mso-border-style-alt: solid; mso-border-top-alt: .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-bottom-alt: .5pt; mso-border-color-alt: windowtext; mso-border-left-alt: .75pt; mso-border-right-alt: .75pt; mso-border-style-alt: solid; mso-border-top-alt: .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 248.05pt;" valign="top" width="331">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensi
masalah untuk diubah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 58.4pt 65.45pt 79.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skala<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>- Tinggi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>- Cukup<span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>- Rendah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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-bottom-alt: .5pt; mso-border-color-alt: windowtext; mso-border-left-alt: .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: .75pt; mso-border-style-alt: solid; mso-border-top-alt: .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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-bottom-alt: .5pt; mso-border-color-alt: windowtext; mso-border-left-alt: .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: .75pt; mso-border-style-alt: solid; mso-border-top-alt: .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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 .75pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 248.05pt;" valign="top" width="331">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menonjolnya
masalah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 58.4pt 65.45pt 85.25pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skala<span style="mso-tab-count: 1;"> </span>: -</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah berat harus ditangani </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -72.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>- Masalah yang tidak
perlu<span style="mso-spacerun: yes;"> </span>segera ditangani </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 65.5pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">- Masalah tidak dirasakan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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 .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">0</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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 .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .75pt; mso-border-top-alt: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 248.05pt;" valign="top" width="331"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: solid windowtext .75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.55pt;" valign="top" width="57"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-bottom-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-left-alt: solid windowtext .75pt; mso-border-right-alt: solid windowtext .75pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" width="57"><br /></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skoring<span style="mso-bidi-font-style: italic;"> :</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tentukan
skor untuk setiap kriteria.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skor dibagi
dengan angka tertinggi dikalikan dengan bobot </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jumlah skor
untuk semua kriteria.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo31; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skor
tertinggi adalah 5 dan sama untuk seluruh bobot</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo29; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Diagnosa</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Keperawatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;">Resiko penyebaran infeksi
sehubungan dengan perilaku kurang higienis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;">Kurang pengetahuan tentang
penyakit, penyebab, cara pencegahan, perawatan dan pengobatann s.d kurangnya
informasi dan keterbatasan mencerap informasi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo43; text-align: justify; text-indent: -18.0pt;">
<span style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-font-kerning: 18.0pt;">Resiko kerusakan manajemen
terapeutik / tatalaksana pengobatan dirumah (pengobatan terputus) s.d. efek samping
obat dan pengobatan jangka panjang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo29; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Rencana</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Asuhan Keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l77 level1 lfo44; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko penyebaran infeksi TBC</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan umum
:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">
terhindarnya penularan dan penyebaran kuman TBC ke orang-orang terdekat maupun
pada masyarakat sekitar</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan penyebab TB paru adalah<span style="mso-spacerun: yes;"> </span>basil mycobacterium tuberculosa, dimana dapat
menyerang semua orang<span style="mso-spacerun: yes;"> </span>baik kecil, tua,
muda, kaya, miskin.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan dengan bahasa sederhana tentang cara
penularan<span style="mso-spacerun: yes;"> </span>TB paru yaitu melalui percikan
ludah atau sputum pada waktu klien TB paru : bersin , batuk dan menguap. Daya
tahan tubuh<span style="mso-spacerun: yes;"> </span>yang dipengaruhi<span style="mso-spacerun: yes;"> </span>oleh usia, nutrisi dan faktor faali.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji cara keluarga<span style="mso-spacerun: yes;">
</span>dalam mengambil keputusan untuk mencegah<span style="mso-spacerun: yes;">
</span>terjadinya penularan penyakit TB paru.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan akibat<span style="mso-spacerun: yes;">
</span>bila tidak<span style="mso-spacerun: yes;"> </span>dilakukan perawatan
pada anggota <span style="mso-spacerun: yes;"> </span>keluarga<span style="mso-spacerun: yes;"> </span>misal<span style="mso-spacerun: yes;">
</span>penularan pada anggota<span style="mso-spacerun: yes;"> </span>keluarga.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan cara menghindari penularan TB paru seperti
menjaga kondisi tubuh sebaik mungkin karena<span style="mso-spacerun: yes;">
</span>dalam kondisi tubuh yang buruk mudah tertular.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keluarga untuk melakukan usaha pencegahan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan dan demontrasikan<span style="mso-spacerun: yes;"> </span>cara hidup sehat seperti : pada saat batuk,
bersin dan menguap sebaiknya<span style="mso-spacerun: yes;"> </span>mulut dan
hidung ditutup ; cara membuang dahak atau ludah<span style="mso-spacerun: yes;">
</span>yaitu di kloset kemudian di siram, apabila dahak dibuang dihalaman maka
harus diuruk dengan tanah ; alat makan sebaiknya tersendiri, setelah dipakai
sebaiknya disiram<span style="mso-spacerun: yes;"> </span>dengan air mendidih
kemudian<span style="mso-spacerun: yes;"> </span>dicuci bersih.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan<span style="mso-spacerun: yes;"> </span>dan
demontrasikan<span style="mso-spacerun: yes;"> </span>tentang rumah yang
mendukung tidak terjadinya penularan TB paru, seperti menjaga kebersihan
lingkungan<span style="mso-spacerun: yes;"> </span>dari polusi<span style="mso-spacerun: yes;"> </span>udara, ventilasi rumah harus cukup<span style="mso-spacerun: yes;"> </span>sehingga udara dapat tertukar dengan leluasa,
pencahayaan dalam rumah harus cukup, sinar matahari bisa masuk secukupnya
karena kuman TB dan beberapa kuman lain akan mati bila terkena sinar matahari.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan bahwa klien TB<span style="mso-spacerun: yes;"> </span>perlu dukungan semangat untuk hidup panjang
umur dan jangan putus asa . </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan bahwa klien butuh udara segar.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Demontrasikan cara menciptakan linkungan rumah yang
sehat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keluarga untuk mewujudkan lingkungan rumah
yang sehat dengan syarat yaitu fisik (kontruksi harus baik dan kuatserta tidak
lembab.).psikologis (pembagian ruangan yang baik, penataan perabot yang rapi,
kelengkapan fasilitas sanitasi) dan fisiologis (fentilasi harus baik,
pencahayaan harus cukup dan terhindar dari kebisingan)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l68 level1 lfo45; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">m.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji pengetahuan keluarga dalam memanfaatkan fasilitas
kesehatan yang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ada di masyarakat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l77 level1 lfo44; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang
pengetahuan tentang penyakit, penyebab, cara pencegahan, perawatan dan
pengobatann s.d kurangnya informasi dan keterbatasan mencerap informasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan Umum
:</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> keluarga
mampu<span style="mso-spacerun: yes;"> </span>melakukan tindakan untuk mencegah
terjadinya penularan penyakit TB paru pada anggota.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
dengan menggunakan bahasa yang sederhana dan mudah dimengerti tentang gejala
penyakit Tb paru seperti klien merasa lesu, pucat, anorexia, demam dimalam hari
dengan atau tanpa berkeringat dingin, sesak nafas, batuk/batuk darah.</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan<span style="mso-spacerun: yes;"> </span>bahwa batuk darah yang hebat dapat
mengakibatkan<span style="mso-spacerun: yes;"> </span>pneumonia aspirasi,
tersumbatnya jalan nafas. </span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kaji
pengetahuan keluarga tentang cara – cara pemecahan masalah yang tepat.</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
cara prinsip pemecahan masalah pada TB paru yaitu dengan pengobatan<span style="mso-spacerun: yes;"> </span>dan perawatan yang tepat dan teratur.</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
akibat bila Tb paru tidak diobati<span style="mso-spacerun: yes;"> </span>dalam
jangka waktu yang lama<span style="mso-spacerun: yes;"> </span>dapat menimbulkan
komplikasi seperti batuk darah.</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kaji
pengetahuan keluarga tentang tata cara perawatan klien TB paru.</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan<span style="mso-spacerun: yes;"> </span>dengan bahasa yang mudah dimengerti tentang
perawatan klien<span style="mso-spacerun: yes;"> </span>TB<span style="mso-spacerun: yes;"> </span>paru : makan yang banyak dan bergizi tinggi,
istirahat yang cukup ,<span style="mso-spacerun: yes;"> </span>pikiran
diusahakan<span style="mso-spacerun: yes;"> </span>santai hindari stres yang
berlarut – larut, berhenti merokok dan hindari polusi udara. Gerak badan<span style="mso-spacerun: yes;"> </span>dianjurkan bila penyakit tampak sembuh.</span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l62 level1 lfo46; text-align: justify; text-indent: -18.0pt;">
<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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
pengobatan TB paru<span style="mso-spacerun: yes;"> </span>dan cara minum obat
serta berapa lama harus minum obat. </span><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l77 level1 lfo44; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
kerusakan manajemen terapeutik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> : Keluarga
memahami tentang kondisi, tindakan pencegahan infeksi, penatalaksanaan stress,
faktor pemberat, tanda dan gejala komplikasi, dan sumber-sumber di komunitas
yang dapat digunakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> :<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l60 level1 lfo47; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukkan niat untuk berbagi masalah dengan anggota
keluarga yang lain atau teman yang dapat dipercaya. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l60 level1 lfo47; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyebutkan efek samping obat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l60 level1 lfo47; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengidentifikasi strategi untuk mengurangi stress.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l60 level1 lfo47; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengidentifikasi tanda-tanda dan gejala yang harus
dilaporkan pada tenaga kesehatan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l60 level1 lfo47; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menggambarkan penatalaksanaan jangka panjang penyakit.
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 106.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l60 level1 lfo47; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyebutkan manfaat penggunaan gelang
Kewaspadaan-Medis. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 81.8pt; mso-add-space: auto; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span></b><b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.8pt; mso-add-space: auto; mso-list: l72 level1 lfo48; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan mengenai diagnosis dan penatalaksanaan
penyakit jangka panjang untuk menentukan tingkat pembelajaran klien-keluarga. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.8pt; mso-add-space: auto; mso-list: l72 level1 lfo48; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan strategi penatalaksanaan stess : gunakan
tehnik relaksasi, bimbingan imajinasi, rujuk ke sumber komunitas untuk program
penatalaksanaan stress. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.8pt; mso-add-space: auto; mso-list: l72 level1 lfo48; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan konservasi energi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.8pt; mso-add-space: auto; mso-list: l72 level1 lfo48; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Informasikan klien tentang faktor yang diketahui
mencetuskan eksaserbasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.8pt; mso-add-space: auto; mso-list: l72 level1 lfo48; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan tanda dan gejala yang harus dilaporkan pada
profesional pelayanan kesehatan : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 99.8pt; mso-add-space: auto; mso-list: l72 level1 lfo48; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan<span style="mso-spacerun: yes;"> </span>tehnik
mengunyah dan menelan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo29; text-align: justify; text-indent: -21.25pt;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Implementasi</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Pelaksanaan
tindakan keperawatan terhadap keluarga, didasarkan pada rencana keperawatan
yang telah disusun. Hal-hal yang perlu diperhatikan dalam pelaksanaan tindakan
keperawatan terhadap keluarga dengan TBC adalah </span><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-weight: bold;">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Sumber daya
Keluarga (keuangan)</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Sumber
daya (keuangan) yang memadai diharapkan mampu menunjang proses penyembuhan pada
anggota keluarga yang menderita TBC</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Tingkat
pendidikan keluarga</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Tingkat
pendidikan keluarga dapat mempengaruhi kemampuam keluarga dalam mengenal
masalah TBC dan mengambil keputusan mengenai tindakan yang tepat terhadap
anggota keluarga yang menderita TBC.</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Adat istiadat
yang berlaku</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Adat istiadat
yang berlaku berpengaruh pada kemampuan kelurga dalam merawat anggota keluarga
yang menderita TBC</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l71 level1 lfo49; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Respon dan
penerimaan keluarga</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold;">Respon
dan penerimaan keluarga sangat berpengaruh pada penyembuhan karena keluarga
mampu memberi motivasi.</span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sarana dan <span style="mso-bidi-font-weight: bold;">prasarana</span> yang ada pada keluarga</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengan adanya sarana dan prasarana
yang baik pada keluarga akan memudahkan keluarga dalam memberikan perawatan dan
pengobatan pada anggota keluarga yang menderita TBC. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 218.25pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l44 level1 lfo29; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Evaluas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">i</span><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Evaluasi adalah tahap yang
menentukan apakah tujuan tercapai. Menurut Friedman (1998) evaluasi didasarkan
pada bagaimana efektifnya intervensi-intervensi yang dilakukan oleh keluarga,
perawat dan yang lainnya. Ada beberapa metode evaluasi yang dipakai dalam
perawatan. Faktor yang paling penting adalah bahwa metode tersebut harus
disesuaikan dengan tujuan dan intervensi yang sedang dievaluasi. Bila tujuan
tersebut sudah tercaapai maka kita membuat rencana tindak lanjut.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">BAB
III</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">LAPORAN
KASUS</span></b></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ascii-theme-font: major-bidi; mso-bidi-theme-font: major-bidi; mso-hansi-theme-font: major-bidi;">Ny.
A berusia 50 tahun dirawat di rumahnya, anggota keluarga mengatakan mengalami
batuk sudah hamper satu bulan tak kunjung sembuh, batuk klien produktif. Klien
dibawa berobat ke puskesmas oleh keluarga. Dokter puskesmas menyarankan agar
klien melakukan pemeriksaan fhoto thorax dan pemeriksaan laboratorium diantaranya
darah dan dahak. Perawat komunitas (keluarga) melakukan mengkajian terhadap
tempat tinggal klien, didapatkan data kondisi rumah lembab,ukuran rumah 4x5
meter, ventilasi dan pencahayaan kurang baik, mempunyai 4 orang anak, anak yang
paling kecil berusia 3 tahu. Suami klien bekerja sebagai buruh bangunan.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l75 level3 lfo52; text-align: justify; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengkajian</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l74 level2 lfo55; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengkajian
keluarga</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Nama : Ny. A</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Usia<span style="mso-spacerun: yes;"> </span>: 50 th</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo61; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Type Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ny.
A memiliki Type keluarga nuclear family, terdapat ayah ibu dan anak sebagai
keluarga inti didalamnya. Rumah yang dihuni Ny. A bersama keluarga hanya
berukuran 4x5 meter, dengan keadaan lembab, sehingga memungkinkan kuman TBC
dapat menular dengan cepat, apalagi Ny. Mengalami batuk batuk yang tidak
kunjung sembuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo61; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tahap Perkembangan Keluarga Saat Ini</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tahap
perkembangan keluarga saat ini adalah keluarga dengan usia remaja. Keadaan
ketika anak tertua keluarga Ny. A sudah berusia 14 tahun, atau dikategorikan
sebagai remaja awal. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo61; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tugas Perkembangan Keluarga yang
Belum Terpenuhi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarga
belum dapat memodifikasi lingkungan. Artinya, keluarga Ny. A belum dapat
memperbaiki tempat tinggal mereka menjadi tempat tinggal yang lebih sehat dan
nyaman. Hal ini dikarenakan, kesulitan ekonomi yang dialami oleh keluarga Ny.
A. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo62; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keadaan Biologis Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo63; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keadaan Kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Seluruh
anggota keluarga Ny. A, sehat. Tidak terpapar kuman TBC atau menunjukkan gejala
TBC.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo63; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebersihan Keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarga
bersih, hanya saja tempat tinggalnya tidak terawatt dengan baik. Tempatnya
lembab dan ventilasi serta percahayaan kurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo63; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit yang Sering Diderita</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarga
klien tidak pernah menderita penyakit apapun yang serius, selain TBC yang
sedang dialami Ny. A saat ini.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo63; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit Kronis/Menular</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
TB paru adalah salah satu penyakit yang penularannya sangat cepat karena
menular melalui udara <i>(droplet</i>), oleh karena itu sangat perlu dikaji ada
tidaknya anggota keluarga yang menderita penyakit TB atau penyakit lain yang
dapat ditularkan atau yang diturunkan, karena keadaan kesehatan yang menurun
akibat menderita suatu penyakit tertentu dapat menurunkan daya immunitas
seseorang sehingga mempermudah terjadinya penyakit TB paru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo62; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Lingkungan Rumah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo64; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebersihan dan Kerapihan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kebersihan
rumah kurang. Kondisi rumah, lembab..</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo64; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penerangan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penerangan
dari sinar matahari, kurang baik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo64; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ventilasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ventilasi
yang ada di rumah, kurang baik. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 126.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l74 level2 lfo55; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Pengkajian
Individu </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l74 level3 lfo55; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Identitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Nama
: Ny. A</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Umur<span style="mso-spacerun: yes;"> </span>: 50 tahun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l74 level3 lfo55; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Riwayat
Kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l65 level1 lfo65; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Masalah Kesehatan yang Pernah
Dialami</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Klien
batuk batuk sudah lebih dari satu bulan, dan batuk klien produktif.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo53; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Analisa Data</span></b></div>
<table align="left" border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 6.75pt; margin-right: 6.75pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-anchor-horizontal: column; mso-table-anchor-vertical: paragraph; mso-table-left: left; mso-table-lspace: 9.0pt; mso-table-overlap: never; mso-table-rspace: 9.0pt; mso-table-top: .05pt; mso-yfti-tbllook: 1184; width: 539px;">
<tbody>
<tr style="height: 40.2pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DATA FOKUS</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">MASALAH KEPERAWATAN</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KEMUNGKINAN ETIOLOGI</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data Subjektif:</span></u></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l78 level1 lfo56; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">keluarga
Ny. A mengatakan bahwa Ny, A sudah mengalami batuk batuk selama 1 bulan.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data Objektif:</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l34 level1 lfo57; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">batuk
klien produktif.</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">Bersihan jalan nafas tidak
efektif</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-element-anchor-horizontal: column; mso-element-anchor-vertical: paragraph; mso-element-frame-hspace: 9.0pt; mso-element-top: .05pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">ketidakmampuan keluarga merawat
anggota keluarga.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 7;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 8;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 9;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 10;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 11;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
<tr style="mso-yfti-irow: 12; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142"><br /></td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><br clear="all" style="mso-special-character: line-break;" />
</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 539px;">
<tbody>
<tr style="height: 40.2pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DATA
FOKUS</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">MASALAH
KEPERAWATAN</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KEMUNGKINAN
ETIOLOGI</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data
Subjektif:</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo58; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ny. A
mengatakan sudah mengalami batuk batuk sejak satu bulan yang lalu.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data
Objektif:</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo59; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kesadaran
compos mentis</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Resiko terjadinya penularan TB
Paru pada anggota keluarga yang lain</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt;">ketidak
mampuan memodifikasi lingkungan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184; width: 539px;">
<tbody>
<tr style="height: 40.2pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">DATA
FOKUS</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">MASALAH
KEPERAWATAN</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 40.2pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 9.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KEMUNGKINAN
ETIOLOGI</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data
Subjektif:</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo58; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ny. A
mengatakan bahwa ketika sakit, ia dibawa ke puskesmas terdekat</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Data
Objektif:</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo59; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Klien
sudah dapat memanfaatkan fasilitas kesehatan di daerahnya.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Potensial peningkatan status
kesehatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.35pt;" valign="top" width="142">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kemampuan keluarga dalam
memanfaatkan status kesehatan.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Skoring
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 70.9pt; mso-add-space: auto; mso-list: l74 level4 lfo55; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bersihan
jalan nafas tidak efektif pada Ny. A b.d ketidakmampuan keluarga merawat
anggota keluarga dengan masalah penyakit TB paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KRITERIA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PERHITUNGAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">SKOR</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">JUSTIFIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sifat
masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Aktual</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3/3
x1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kondisi
Ny.A mengalami batuk sudah hampir satu bulan dan tak kunjung sembuh, batuk
Ny. A juga mengalami batuk produktif.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemungkinan
masalah untuk dirubah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mudah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/2x
2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Keluarga membawa Ny. A ke
puskesmas. Biaya pengobatan terjangkau. </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potensi
pencegahan masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sedang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/3
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kondisi rumah Ny. A lembab, ukuran
rumah 4x5 meter, jumlah anggota keluarga 6 orang, ventilasi dan pencahayaan
kurang baik. Pendapatan suami sebagai buruh hanya bisa<span style="mso-spacerun: yes;"> </span>memperbaiki sebagian saja. </span></div>
</td>
</tr>
<tr style="height: 109.1pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menonjolnya
masalah: Masalah dirasakan berat,harus segera ditangani</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/2
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 109.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kondisi Ny. A sudah hampir satu
bulan tak kunjung sembuh, batuk produktif adalah gejala-gejala yang dirasa
keluarga harus segera d tangani.<span style="mso-spacerun: yes;"> </span></span></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.8pt;" valign="top" width="34"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 98.6pt;" valign="top" width="131">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TOTAL
SKOR</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 91.95pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.4pt;" valign="top" width="57">
<div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo6; text-align: center; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 197.95pt;" valign="top" width="264"><br /></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l74 level4 lfo55; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Masalah keperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Resiko
penularan pada keluarga Ny. A b.d ketidak mampuan keluarga dalam memodifikasi
lingkungannya.</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KRITERIA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PERHITUNGAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">SKOR</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">JUSTIFIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sifat
masalah:</span></div>
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3 x1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ditangani
segera karena resiko penularan TB Paru pada anggota keluarga yang lain.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemungkinan
masalah untuk dirubah:</span></div>
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mudah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/2x 2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dapat
dirubah dengan memberikan informasi tentang pencegahan penularan<span style="mso-spacerun: yes;"> </span>TB paru kepada Ny. A melalui penyuluhan.
Tidak membuang dahak sembarangan dan membuka jendela setiap harinya.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensi
pencegahan masalah:</span></div>
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3 x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
penularan sulit dicegah karena kondisi rumah yang lembab, sempit serta
ventilasi dan pencahayaan kurang baik kecuali keluarga mampu dan mau
memodifikasi keadaan lingkungan rumahnya.</span></div>
</td>
</tr>
<tr style="height: 160.95pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menonjolnya
masalah: Masalah dirasakan dengan ada upaya/segera ditangani</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2/2 x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 160.95pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Masalah
perlu ditangani segera karena resiko penularan pada anggota keluarga yang
lain dengan melakukan pemeriksaan pada anggota keluarga yang lain (screening
kesehatan) dan anjurkan keluarga untuk memanfaatkan fasilitas (puskesmas)
yang terdekat dan sesuai kemampuan.</span></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.8pt;" valign="top" width="38"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.4pt;" valign="top" width="129">
<div class="MsoNormal" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TOTAL SKOR</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.85pt;" valign="top" width="134"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 44.85pt;" valign="top" width="60">
<div class="MsoListParagraph" style="line-height: 17.0pt; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l58 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 185.8pt;" valign="top" width="248"><br /></td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 99.25pt; mso-add-space: auto; mso-list: l74 level4 lfo55; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Potensial
meningkatnya status kesehatan pada keluarga Ny. A b.d kemampuan keluarga Ny. A
dalam memanfaatkan fasilitas kesehatan</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 5.4pt; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" valign="top" width="28">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">KRITERIA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">PERHITUNGAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">SKOR</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 201.55pt;" valign="top" width="269">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">JUSTIFIKASI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" valign="top" width="28">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sifat
masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potensial
</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1/3
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1/3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 201.55pt;" valign="top" width="269">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Ada kemungkinan keluarga untuk
menuju kesehatan keluarga yang lebih baik.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" valign="top" width="28">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kemungkinan
masalah untuk dirubah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Mudah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2/2
x 2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">2</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 201.55pt;" valign="top" width="269">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Kemungkinan masalah untuk
diperbaiki di rumah Ny. A mudah karena sudah terbiasa memanfaatkan pelayanan
kesehatan.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" valign="top" width="28">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Potensi
pencegahan masalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sedang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">3/3
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 201.55pt;" valign="top" width="269">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Sebelum terjadi penularan perlu
dilakukan<span style="mso-spacerun: yes;"> </span>pencegahan agar tidak
menular kepada anggota keluarganya yang lain</span></div>
</td>
</tr>
<tr style="height: 84.05pt; mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 84.05pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" valign="top" width="28">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">4</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.05pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Menonjolnya
masalah: Masalah tidak dirasakan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.05pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0/2
x 1</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.05pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">0</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.05pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 201.55pt;" valign="top" width="269">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">keluarga<span style="mso-spacerun: yes;"> </span>tidak merasakan adanya masalah yang
terjadi.</span></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 21.3pt;" valign="top" width="28"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.2pt;" valign="top" width="132">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">TOTAL
SKOR</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123"><br /></td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 42.5pt;" valign="top" width="57">
<div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: center; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1/3</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 20.8pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 201.55pt;" valign="top" width="269"><br /></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo60; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Diagnosa
Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 2.0cm; mso-add-space: auto; mso-list: l50 level1 lfo66; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bersihan
jalan nafas tidak efektif pada Ny. A b.d ketidakmampuan keluarga merawat
anggota keluarga dengan masalah penyakit TB paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 2.0cm; mso-add-space: auto; mso-list: l50 level1 lfo66; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Resiko
penularan pada keluarga Ny. A b.d ketidak mampuan keluarga memodifikasi
lingkungannya.</span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 2.0cm; mso-add-space: auto; mso-list: l50 level1 lfo66; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Potensial
meningkatnya status kesehatan pada keluarga Ny. A b.d kemampuan keluarga Ny. A
dalam memanfaatkan fasilitas kesehatan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo60; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Intervensi
</span></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0cm 0cm 0cm 0cm; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 612px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td rowspan="2" style="border: solid black 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">NO</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DIAGNOSA KEPERAWATAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td colspan="2" style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TUJUAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">INTERVENSI</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">UMUM</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">KHUSUS</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
</tr>
<tr style="height: 84.1pt; mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 84.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bersihan jalan nafas
tidak efektif pada Ny. A b.d ketidakmampuan keluarga merawat anggota keluarga
dengan masalah penyakit TB paru</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 2 minggu diharapkan jalan nafas Ny.A
efektif</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level3 lfo27; tab-stops: 44.2pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Setelah dilakukan pertemuan 1x45’, keluarga
mampu mengenal masalah TB Paru dengan cara menyebutkan pengertian, penyebab,
tanda dan gejala TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 44.2pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 44.2pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level3 lfo27; tab-stops: 44.2pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan pertemuan 1x45’
keluarga mampu mengambil keputusan yang tepat untuk mengatasi maslaah TB Paru
dengan cara menyebutkan akibat dari TB Paru dan memutuskan untuk merawat Ny.
A dengan TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 44.2pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level3 lfo27; tab-stops: 44.2pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan pertemuan 2x45’
keluarga mampu melakukan perawatan pada anggota keluarga yang menderita
penyakit TB Paru dengan cara menjelaskan cara perawatan dan pencegahan
penularan TB Paru, mendemonstrasikan cara batuk efektif dan pembuangan dahak
pada pasien TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level3 lfo27; tab-stops: 44.2pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan pertemuan 1x45’
keluarga mampu memodifikasi lingkungan untuk mencegah terjadinya penularan
dengan cara menyebutkan lingkungan-lingkungan yang baik bagi pasien penyakit
TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level3 lfo27; tab-stops: 44.2pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah dilakukan pertemuan 1x45’
keluarga mampu memanfaatkan fasilitas kesehatan yang tersedia dengan cara
menyebutkan manfaat kunjungan ke pelayanan kesehatan, menyebutkan jenis-jenis
pelayanan kesehatan yang tersedia dam memanfaatkan fasilitas kesehatan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 84.1pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo67; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pengertian, tanda dan
gejala, serta penyebab dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo67; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali tentang
pengertian, tanda dan gejala, serta penyebab dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo67; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
kemampuan keluarga</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l81 level1 lfo68; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pada keluarga Ny.A akibat
dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l81 level1 lfo68; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali pada keluarga
akibat TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l81 level1 lfo68; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keliuarga untuk mengambil
keputusan dalam mengatasi TB Paru Ny.A</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l81 level1 lfo68; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
keputusan yang diambil keluarga dalam mengatasi TB Paru</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo69; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan cara perawatan,
pencegahan penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo69; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan klien cara batuk efektif
dan membuang dahak yang benar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo69; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali cara perawatan,
pencegahan penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo69; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan keluarga mempraktekkan
kembali cara batuk efektif dan membuang dahak ke tempatnya</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo69; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
hasil yang dicapai</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l55 level1 lfo70; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan hal-hal yang dapat
dilakukan untuk memodifikasi lingkungan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l55 level1 lfo70; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keluarga untuk
mengungkapkan kembali cara memodifikasi lingkungan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l55 level1 lfo70; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan reinforcement positif atas
hasil yang telah dicapai</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l49 level1 lfo71; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan dengan keluarga tentang
manfaat kunjungan ke pelayanan kesehatan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-bottom: none; border-left: solid windowtext 1.0pt; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2. </span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-fareast-font-family: "Times New Roman";">Masalah keperawatan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Resiko penularan pada
keluarga Ny. A b.d ketidak mampuan keluarga dalam memodifikasi lingkungannya.</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 2 minggu diharapkan pengetahuan
keluarga Ny. A bertambah/ teratasi</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l66 level1 lfo73; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah kunjungan selama 1x30
menit keluarga Ny. A mampu mengenal masalah dengan menyebutkan pengertian, tanda
& gejala, serta penyebab dari TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l66 level1 lfo73; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah diberikan penjelasan 1x30’
keluarga: mengambil keputusan untuk mengatasi masalah TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l66 level1 lfo73; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah 1x30’ diberikan
penjelasan, keluarga mampu melakukan tindakan untuk merawat anggota keluarga
yang menderita penyakit TB Parudengan menjelaskan cara perawatan dan
melaksanakannya pada penderita TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l66 level1 lfo73; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah 3x60’ kunjungan keluarga
Ny. A memodifikasi lingkungan untuk mencegah terjadinya penularan dengan cara
menyebutkan lingkungan-lingkungan yang baik bagi penderita TB Paru</span></div>
</td>
<td style="border-right: solid windowtext 1.0pt; border: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo72; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan pengertian dan gejala
serta penyebab dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo72; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali
tentang pengertian, tanda dan gejala serta penyebab dan akibat dari penyakit
TB Paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo72; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan pujian yang
positif/jawaban yang tepat</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan pada keluarga Ny. S
akibat dari penyakit TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Motivasi keluarga untuk mengambil
keputusan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali pada keluarga
akibat dari penyebab TB Paru</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l57 level1 lfo74; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan kesempatan keluarga untuk
bertanya</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo75; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menjelaskan cara perawatan TB Paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo75; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan contoh menu makanan yang bergizi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo75; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanyakan kembali tentang cara merawat TB Paru dan
menu yang bergizi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l45 level1 lfo75; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan tentang pentingnya perawatan di rumah</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 50.65pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo76; tab-stops: 50.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengidentifikasi pengetahuan keluarga tentang
lingkungan rumah yang baik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo76; tab-stops: 50.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memodifikasi keluarga untuk mengungkapkan kembali
lingkungan</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo76; tab-stops: 50.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memotivasi keluarga untuk memanfaatkan fasilitas
sesuai kemampuan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">3</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Potensial peningkatan status
kesehatan berhubungan dengan kemampuan keluarga memanfaatkan fasilitas
kesehatan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Setelah dilakukan pendidikan
kesehatan, keluarga mampu dan mengerti pentingnya memanfaatkan fasilitas
kesehatan yang ada dilingkungan rumah.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 12.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l73 level1 lfo77; text-indent: -12.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Setelah
kunjungan selama 1x30 menit keluarga Ny.S dan Tn. I mampu mengetahui
pentingnya berobat bila sakit.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l73 level1 lfo77; text-indent: -19.35pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Setelah
diberikan penjelasan 1x30’ keluarga mau berobat ke puskesmas bila sakit.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo78; tab-stops: 16.35pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Jelaskan
tentang pentingnya memeriksakan diri ke pelayanan kesehatan bila sakit.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo78; tab-stops: 16.35pt; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Jelaskan
apa saja yang akan didapatkan klien saat berobat ke fasilitas kesehatan.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l76 level1 lfo79; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Berikan
keluarga pengertian dampak dari tidak memeriksakan diri ke fasilitas
kesehatan.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 16.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l76 level1 lfo79; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Berikan
pengertian tentang bahaya penyakit bila tidak segera disembuhkan.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l79 level1 lfo54; text-align: justify; text-indent: -18.0pt;">
<a href="https://www.blogger.com/null" name="_GoBack"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 10.0pt; line-height: 200%; mso-bidi-font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 200%; mso-fareast-font-family: "Times New Roman";">Implementasi</span></b></a></div>
<div style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bookmark: _GoBack;">Merupakan inisiatif dari rencana tindakan untuk
mencapai tujuan yang spesifik. Tahap pelaksanaan dimulai setelah rencana
tindakan disusun dan ditujukan pada nursing orders untuk membantu klien
mencapai tujuan yang diharapkan. Oleh karena itu rencana tindakan yang spesifik
dilaksanakan untuk memodifikasi faktor-faktor yang mempengaruhi masalah
kesehatan klien.</span><span style="mso-bookmark: _GoBack;"><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></span></div>
<div style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l79 level1 lfo54; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bookmark: _GoBack;"><b style="mso-bidi-font-weight: normal;"><span style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;"><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;">Evaluasi</b></span></div>
<div style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bookmark: _GoBack;">Evaluasi adalah perbandingan yang sistemik atau
terencana tentang kesehatan pasien dengan tujuan yang telah ditetapkan,
dilakukan dengan cara berkesinambungan, dengan melibatkan pasien, keluarga dan
tenaga kesehatan lainnya</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<span style="mso-bookmark: _GoBack;"></span>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;">BAB III<br />
PENUTUP</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;">Kesimpulan
</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tuberkulosis
(TBC) adalah penyakit akibat kuman <em>Mycobakterium tuberkculosis</em>
sistemis sehingga dapat mengenai semua organ tubuh dengan lokasi terbanyak di
paru paru yang biasanya merupakan lokasi infeksi primer (Arif Mansjoer, 2000). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 27.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ny. A memiliki Type keluarga nuclear
family, terdapat ayah ibu dan anak sebagai keluarga inti didalamnya. Rumah yang
dihuni Ny. A bersama keluarga hanya berukuran 4x5 meter, dengan keadaan lembab,
sehingga memungkinkan kuman TBC dapat menular dengan cepat, apalagi Ny.
Mengalami batuk batuk yang tidak kunjung sembuh</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Keluarga belum dapat memodifikasi
lingkungan. Artinya, keluarga Ny. A belum dapat memperbaiki tempat tinggal
mereka menjadi tempat tinggal yang lebih sehat dan nyaman. Hal ini dikarenakan,
kesulitan ekonomi yang dialami oleh keluarga Ny. A. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 21.25pt; mso-add-space: auto; mso-list: l24 level2 lfo76; text-align: justify; text-indent: -17.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: EN-US;">Saran
</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 27.8pt;">
Sebagai
perawat kita harus mampu <span lang="EN-US" style="mso-ansi-language: EN-US;">menggali
tindaklanjut untuk keperawatan keluarga </span><span style="mso-spacerun: yes;"> </span>dan memberikan asuhan keperawatan pada <span lang="EN-US" style="mso-ansi-language: EN-US;">keluarga dengan riwayat penyakit TB
paru. </span><span style="mso-spacerun: yes;"> </span>Perawatan tidak kalah
pentingnya dengan pengobatan karena bagaimanapun teraturnya pengobatan tanpa
perawatan yang sempurna maka penyembuhan yang diharapkan tidak tercapai.</div>
<div class="MsoListParagraph" style="margin-left: 35.45pt; mso-add-space: auto; text-align: justify;">
<br /></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-67830427670802851102014-06-12T05:52:00.000-07:002014-06-12T05:52:29.432-07:00teknik isolasi<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">BAB I</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">PENDAHULUAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.1.</span></span></b><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;">Latar
Belakang </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gangguan
adalah suatu gangguan psikosis fungsional berupa gangguan mental berulang yang
ditandai dengan gejala-gejala psikotik yang khas seperti kemunduran fungsi
sosial, fungsi kerja, dan perawatan diri.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Dalam melakukan perawatan pasien dengan gangguan jiwa
dengan melakuakn terapi somatic. Jenis terapi somatic diantaranya pengikatan,
isolasi, terapi kejang listrik, foto terapi, dan terapi devrivasi tidur. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Isolasi adalah menempatkan pasien dalam stau ruangan
dimana dia tidak bisa keluar dari ruangan sekehendaknya. Baiasanya digunakan
pada pasien dengan gangguan jiwa yang mengalami amuk.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.2.</span></span></b><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;">Rumusan
Masalah</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui
pengertian teknik isolasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui
tujuan untuk dilakukannya teknik isolasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui
indikasi dan kontra indikasi teknik isolasi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengetahui
prosedur pelaksaanaan teknik isolasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">BAB II</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">PEMBAHASAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo13; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
Dasar Gangguan Jiwa</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 18.0pt 36.0pt 54.0pt; text-align: justify; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; text-transform: uppercase;">k</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">esehatan
jiwa : secara primer tetang perasaan sejahtera, secara subjektif suatu
penilaian diri tentang perasaan seseorang, mencakup area seperti konsep diri
tentang kemampuan seseorang, kebugaran, dan energi perasaan sejahtera dan
kemampuian pengendalian diri internal ; indikator mengenai keadaan sehat
mental/menurut UU No 3 Tahun 1966, kesehatan jiwa adalah suatu kondisi yang
memungkinkan perkembangan fisik, intelektual dan emosional, yang optimal dari
seseorang dan perkembangan itu berjalan selaras dengan keadaan orang lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 18.0pt 36.0pt 54.0pt; text-align: justify; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gangguan jiwa adalah gejalah atau prilaku yang ditemukan secara klinis,
yang disertai dengan penderitaan pada kebayakan kasus berkaitan dengan
terganggunya fungsi seseorang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dalam
mengatasi pasien gangguan jiwa </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">bersifat komprehensif, yang meliputi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> terapi psikofarmaka, terapi somatic, terapi
modalitas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terapi
psikofarmaka </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terapi Psikofarma adalah terapi
menggunakan obat yang bekerja secara selektif pada SSP dan mempunyai efek
utama terhadap aktivitas mental dan perilaku, digunakan untuk terapi gangguan
psikiatrik. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menurut
Rusdi Maslim yang termasuk obat-obatan psikofarmaka adalah golongan :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anti
Psikotik, pemberian sering disertai pemberian anti perkinson</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anti
Depresi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anti
Maniak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anti
Cemas ( Anti Ansietas)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anti
Insomnia</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anti
Obsesif – Kompulsif</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anti
Panik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terapi
modalitas </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi modalitas adalah terapi utama dalam keperawatan
jiwa. Tetapi ini diberikan dalam upaya mengubah perilaku klien dari perilaku
yang maladaptif menjadi perilaku adaptif. Jenis-jenis terapi modalitas antara
lain</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktifitas Kelompok</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi keluarg</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi Rehabilitasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi Psikodrama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi Lingkungan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi
somatic </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi somatis adalah terapi yang diberikan kepada
klien dengan gangguan jiwa dengan tujuan mengubah perilaku yang maladaptif
menjadi perilaku adaptif dengan melakukan tindakan yang ditujukan pada kondisi
fisik klien. Walaupun yang diberikan perlakuan fisik adalah fisik klien, tetapi
target terapi adalah perlakuan klien. Jenis terapi somatik adalah meliputi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengikatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ECT</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> (</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Elektro
Convulsive Therapy</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">) / </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi
Kejang Listrik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Isolasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fototerapi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi deprivasi tidur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo13; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Teknik
Isolasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Isolasi
adalah menempatkan pasien dlm suatu ruang di mana dia tdk dpt keluar dari
ruangan tersebut sesuai kehendaknya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Bentuk terapi d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">en</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">g</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n menempatkan klien sendiri di ruang tersendiri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Isolasi adalah menempatkan pasien dalam suatu ruang di mana dia tidak dapat
keluar dari ruangan tersebut sesuai kehendaknya. Tingkatan pengisolasian dapat
berkisar dari penempatan dalam ruangan yang tertutup, tapi tidak terkunci sampai
pada penempatan dlm ruang terkunci dengan kasur tanpa seprei di lantai,
kesempatan berkomunikasi yang dibatasi, & pasien memakai pakaian rumah
sakit atau kain terpal yang berat. Penggunaan kain terpal kurang dapat diterima
& hanya digunakan untuk melindungi pasien aiau orang lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Teknik isolasi biasa dilakukan pada pasien yang isolasi sosial, pasien
amuk, untuk </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">diberikan kepada klien dengan tujuan mengubah perilaku yang maladaptif
menjadi perilaku adaptif dengan melakukan tindakan yang ditujukan pada kondisi
fisik klien. Walaupun yang diberikan perlakuan fisik adalah fisik klien, tetapi
target terapi adalah perlakuan klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo13; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tujuan
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Melindungi
klien,orang lain dan lingkungan dari bahaya potensial yg mungkin terjadi dan
sudah di kendalikan oleh orang lain.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Untuk
pengendalian klien amuk </span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">yang potensial
membahayakan pasien atau orang lain</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo13; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Indikasi
dan kontraindikasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Indikasi
penggunaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengendalian
perilaku amuk (suatu bentuk perilaku yang bertujuan untuk melukai seseorang
secara fisik maupun psikologis) yang potensial membahayakan pasien atau orang
lain dan tidak dapat dikendalikan oleh orang lain dengan intervensi pengekangan
yang longgar, seperti kontak interpersonal atau pengobatan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reduksi
stimulus lingkungan, terutama jika diminta oleh pasien.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">lien yang tidak mampu mengendalikan perilakunya dan
tidak bisa dikendalikan dengan cara lain</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">,</span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF;">.</span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kontraindikasi
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">K</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">lien yang beresiko bunuh diri, klien yang agitasi
disertai gangguan pengaturan suhu tubuh akibat obat serta klien dengan perilaku
sosial menyimpang.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan untuk
pengamatan masalah medik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko tinggi
untuk bunuh diri </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bunuh diri
adalah suatu keadaan dimana individu mengalami resiko untuk menyakiti diri
sendiri atau melakukan tindakan yang dapat mengancam nyawa. Dalam sumber lain
dikatakan bahwa bunuh diri sebagai perilaku destruktif terhadap diri sendiri
yang jika tidak dicegah dapat mengarah pada kematian. Perilaku destruktif diri
yang mencakup setiap bentuk aktivitas bunuh diri, niatnya adalah kematian dan
individu menyadari hal ini sebagai sesuatu yang diinginkan</span><span lang="AF" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: AF; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensial tidak dapat mentoleransi deprivasi sensori </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo13; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Prosedur</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Isolasi </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tunjuk
seorang pemimpin</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perlihatkan
kepada klien kekuatan yang ada</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Buat
rancangan yang tepat, siapkan lingkungan ruangan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komunikasikan
antar perawat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tangkap
klien tanpa menyakiti</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kendalikan
perilaku agresif klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pindahkan
klien ke ruang isolasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ganti
pakaian dengan yang aman dan nyaman</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pindahkan
benda-benda yang membahayakan klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Buat
rencana askep lanjutan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo4; tab-stops: list 49.65pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tetap
pertahankan kontak dengan klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo13; text-align: justify; text-indent: -21.3pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tindakan
Setelah</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
di Ruang Isolasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bantu
pemenuhan KDM klien</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Observasi
sesering mungkin</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pertahankan
komunikasi verbal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Catat
dan dokumentasikan hasil observasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Beri
umpan balik ttg perilakunya shg klien menyadari alasan dan tujuan isolasi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tetap
berikan terapi yang lain</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Segera
melepaskan klien dari ruang isolasi jika perilakunya mulai terkendali</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level2 lfo13; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Peran
perawat </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Peran perawat<span style="mso-spacerun: yes;">
</span>adalah merupakan tingkah laku<span style="mso-spacerun: yes;">
</span>yang diharapkan oleh orang lain terhadap seseorang sesuai dengan
kependudukan dalam system, dimana dapat dipengaruhi oleh keadaan sosial baik
dari profesi perawat maupun dari luar profesi keperawatan yang bersifat konstan
(Hidayat, 2007).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Peran perawat dalam prosedur pelaksanaan teknik
isolasi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Membantu
klien dalm memenuhi KDM </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Membuat
rencanan Asuhan keperawatan Lanjutan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Membina
hubungan saling percaya pada klien</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tetap
melakuakn terapi yang lain disamping teknik isolasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">BAB IV</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">PENUTUP</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo6; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1.</span></span></b><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;">Kesimpulan
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.55pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Isolasi
adalah menempatkan pasien dlm suatu ruang di mana dia tdk dpt keluar dari
ruangan tersebut sesuai kehendaknya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> Bentuk terapi d</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">en</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">g</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">a</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">n menempatkan klien sendiri di ruang tersendiri</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.55pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Teknik isolasi bertujuan Melindungi klien,orang lain
dan lingkungan dari bahaya potensial yg mungkin terjadi .</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 24.55pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level2 lfo6; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.</span></span></b><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;">Saran
</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perawat jiwa
yang ada di rumah sakit (rumah sakit jiwa, rumah sakit umum, panti kesehatan
jiwa, yayasan yang merawat pasien gangguan jiwa), pengajar keperawatan jiwa di
sekolah keperawatan, perawat jiwa yang ada di struktur departemen kesehatan dan
dinas kesehatan diharapkan bersatu padu untuk menyuarakan kesehatan jiwa pada
setiap desempatan mulai dari sekarang lepada setiap orang yang ditemui.</span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com1tag:blogger.com,1999:blog-6820832229696207889.post-88351205564538797312014-06-12T05:49:00.000-07:002014-06-12T05:49:01.566-07:00laporan pendahuluan Ulkus Kornea<!--[if gte mso 9]><xml>
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Laporan Pendahuluan</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Ulkus Kornea</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
Dasar</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anatomi
dan Fisiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kornea merupakan membran pelindung
dan ‘jendela’ yang dilalui berkas cahaya menuju retina. Kornea meliputi
seperenam dari permukaan anterior bola mata. Kelengkungannya lebih besar
dibandingkan permukaan mata lainnya. Perbatasan antara kornea dan sklera disebut
sebagai limbus (ditandai dengan adanya sulkus yang dangkal– sulkus sklera).
Kornea terdiri dari 3 lapisan yaitu epitel, substansi propria atau stroma dan
endotel. Diantara epitel dan stroma terdapat lapisan atau membran Bowman dan
diantara stroma dan endotel terdapat membran descemet. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kornea adalah jaringan transparan,
yang ukurannya sebanding dengan kristal sebuah jam tangan kecil. Kornea ini
disisipkan ke sklera di limbus, lengkung melingkar pada persambungan ini
disebut sulkus skelaris. Kornea dewasa rata-rata mempunyai tebal 0,54 mm di
tengah, sekitar 0,65 di tepi, dan diameternya sekitar 11,5 mm dari anterior ke
posterior, kornea mempunyai lima lapisan yang berbeda-beda: lapisan epitel
(yang bersambung dengan epitel konjungtiva bulbaris), lapisan Bowman, stroma,
membran Descement, dan lapisan endotel. Batas antara sclera dan kornea disebut
limbus kornea. Kornea merupakan lensa cembung dengan kekuatan refraksi sebesar
+ 43 dioptri. Kalau kornea udem karena suatu sebab, maka kornea juga bertindak
sebagai prisma yang dapat menguraikan sinar sehingga penderita akan melihat
halo.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kornea terdiri dari 5 lapisan dari
luar kedalam:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lapisan epitel</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tebalnya 50 µm , terdiri atas 5 lapis sel epitel tidak
bertanduk yang saling tumpang tindih; satu lapis sel basal, sel polygonal dan
sel gepeng</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada sel basal sering terlihat mitosis sel, dan sel
muda ini terdorong kedepan menjadi lapis sel sayap dan semakin maju kedepan
menjadi sel gepeng, sel basal berikatan erat dengan sel basal disampingnya dan
sel polygonal didepannya melalui desmosom dan macula okluden; ikatan ini
menghambat pengaliran air, elektrolit dan glukosa yang merupakan barrier</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sel basal menghasilkan membrane basal yang melekat
erat kepadanya. Bila terjadi gangguan akan menghasilkan erosi rekuren.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Epitel berasal dari ectoderm permukaan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membran Bowman</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terletak dibawah membrana basal epitel kornea yang
merupakan kolagen yang tersusun tidak teratur seperti stroma dan berasal dari
bagian depan stroma.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lapis ini tidak mempunyai daya regenerasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jaringan Stroma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terdiri atas lamel yang merupakan sususnan kolagen
yang sejajar satu dengan yang lainnya, Pada permukaan terlihat anyaman yang
teratur sedang dibagian perifer serat kolagen ini bercabang; terbentuknya
kembali serat kolagen memakan waktu lama yang kadang-kadang sampai 15
bulan.Keratosit merupakan sel stroma kornea yang merupakan fibroblast terletak
diantara serat kolagen stroma. Diduga keratosit membentuk bahan dasar dan serat
kolagen dalam perkembangan embrio atau sesudah trauma.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membran Descement</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan membrana aselular dan merupakan batas
belakang stroma kornea dihasilkan sel endotel dan merupakan membrane basalnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo6; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersifat sangat elastis dan berkembang terus seumur
hidup, mempunyai tebal 40 µm.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Endotel</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berasal dari mesotelium, berlapis satu, bentuk
heksagonal, besar 20-40 mm. Endotel melekat pada membran descement melalui hemidosom
dan zonula okluden.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kornea dipersarafi oleh banyak saraf sensorik terutama
berasal dari saraf siliar longus, saraf nasosiliar, saraf ke V, saraf siliar
longus berjalan supra koroid, masuk ke dalam stroma kornea, menembus membran
Bowman melepaskan selubung Schwannya. Bulbus Krause untuk sensasi dingin
ditemukan diantara. Daya regenerasi saraf sesudah dipotong di daerah limbus
terjadi dalam waktu 3 bulan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus kornea adalah hilangnya
sebagian permukaan kornea akibatkematian jaringan kornea. (Arif mansjoer, DKK,)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea adalah keadaan
patologik kornea yang ditandai oleh adanya infiltrat supuratif disertai defek
kornea bergaung, diskontinuitas jaringan kornea dapat terjadi dari epitel
sampai stroma. Ulkus kornea merupakan hilangnya sebagian permukaan kornea
akibat kematian jaringan kornea. Ulkus kornea yang luas memerlukan penanganan
yang tepat dan cepat uuntuk mencegah perluasan ulkus dan timbulnya komplikasi
seperti desmetokel, perforasi, endoftalmitis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit kornea adalah penyakit mata
yang serius karena menyebabkan gangguan tajam penglihatan, bahkan dapat
menyebabkan kebutaan. Ulkus kornea merupakan hilangnya sebagian permukaan
kornea akibat kematian jaringan kornea. Ulkus biasanya terbentuk akibat infeksi
oleh bakteri (misalnya stafilokokus, pseudomonas, atau pneumokokus), jamur
virus (misalnya herpes) atau protozoa akantamuba, selain itu ulkus kornea
disebabkan reaksi toksik, degenerasi, alergi dan penyakit kolagen vaskuler.
Kekurangan vitamin A atau protein, mata kering (karena kelopak mata tidak
menutup secara sempurna dan melembabkan kornea). Faktor resiko terbentuknya
antara lain adalah cedera mata, ada benda asing di mata, dan iritasi akibat
lensa kontak.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab ulkus kornea antara lain
sebagai berikut :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi bakteri</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bakteri yang sering menyebabkan ulkus kornea adalah
Streptokokus alfa hemolitik, Stafilokokus aureus, Moraxella likuefasiens,
Pseudomonas aeroginosa, Nocardia asteroids, Alcaligenes sp, Streptokokus
anaerobic, Streptokokus beta hemolitik, Enterobakter hafniae, Proteus sp,
Stafilokokus epidermidis, infeksi campuran Erogenes dan Stafilokokus aureus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi jamur</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Disebabkan oleh Candida, Fusarium, Aspergilus,
Cephalosporium, dan spesies mikosis fungoides.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi virus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus kornea oleh virus herpes simplex cukup sering
dijumpai. Bentuk khas dendrit dapat diikuti oleh vesikel-vesikel kecil
dilapisan epitel yang bila pecah akan menimbulkan ulkus. Ulkus dapat juga
terjadi pada bentuk disiform bila mengalami nekrosis di bagian sentral. Infeksi
virus lainnya varicella-zoster, variola, vacinia (jarang).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Defisiensi vitamin A</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus kornea akibat defisiensi vitamin A terjadi
karena kekurangan vitamin A dari makanan atau gangguan absorbsi di saluran
cerna dan ganggun pemanfaatan oleh tubuh.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lagophtalmus akibat parese N. VII dan N.III</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma yang merusak epitel kornea 1,2</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Idiopatik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Misalnya: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Mooren
adalah suatu ulkus menahun superfisial yang dimulai dari tepi kornea, dengan
bagian tepinya bergaung dan berjalan progresif tanpa kecenderungan perforasi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor penyebabnya antara lain: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan pada bulu mata (trikiasis) dan sistem air
mata (insufisiensi air mata, sumbatan saluran lakrimal),<span style="mso-spacerun: yes;"> </span>dan sebagainya </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor eksternal, yaitu : luka pada kornea (erosio
kornea), karena trauma, penggunaan lensa kontak, luka bakar pada daerah muka </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan-kelainan kornea yang disebabkan oleh : oedema
kornea kronik, exposure-keratitis (pada lagophtalmus, bius umum, koma) ;
keratitis karena defisiensi vitamin A, keratitis neuroparalitik, keratitis
superfisialis virus. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan-kelainan sistemik; malnutrisi, alkoholisme,
sindrom Stevens-Jhonson, sindrom defisiensi imun. bat-obatan yang menurunkan
mekaniseme imun, misalnya : kortikosteroid, IUD, anestetik lokal dan golongan
imunosupresif1. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Manifestasi Klinis </span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan gejala Ulkus
Kornea yang mungkin timbul:</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bintik bulat berwarna putih atau abu-abu pada kornea</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mata berair (epifora)</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mata yang gatal</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri mata</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembengkakan kelopak mata</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembuluh darah yang bengkak atau melebar pada bagian putih
mata, yang menyebabkan mata terlihat merah (mata merah)</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penglihatan kabur</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo43; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sensitif terhadap cahaya</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gejala klinis
pada pasien dengan ulkus kornea sangat bervariasi, tergantung dari penyebab
dari ulkus itu sendiri. Gejala dari ulkus kornea yaitu nyeri yang ekstrirn oleh
karena paparan terhadap nervus, oleh karena kornea memiliki banyak serabut
nyeri, kebanyakan lesi kornea menimbulkan rasa sakit dan fotopobia. Rasa sakit
mi diperhebat oleh gesekan palpebra (terutama palpebra superior) pada kornea
dan menetap sampai sembuh. Karena kornea berfungsi sebagai jendela bagi mata
dan membiaskan berkas cahaya, lesi kornea umumnya agak mengaburkan penglihatan
terutama jika letaknya di pusat. Fotopobia pada penyakit kornea adalah akibat
kontraksi iris beradang yang sakit. Dilatasi pembuluh darah Ms adalah fenomena
refleks yang disebabkan iritasi pada ujung saraf kornea. Fotopobia yang berat
pada kebanyakan penyakit kornea, minimal pada keratitis herpes karena hipestesi
terjadi pada penyakit ini, yang juga merupakan tanda diagnostik berharga.
Meskipun berairmata dan fotopobia umunnya menyertai penyakit kornea, umumnya tidak
ada tahi mata kecuali pada ulkus bakteri purulen. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tanda penting
ulkus kornea yaitu penipisan kornea dengan defek pada epitel yang nampak pada
pewarnaan fluoresen. Biasanya juga terdapat tanda-tanda uveitis anterior
seperti miosis, aqueus flare (protein pada humor aqueus) dan kemerahan pada
mata. Refleks axon berperan terhadap pembentukan uveitis, stimulasi reseptor
nyeri pada kornea menyebabkan pelepasan mediator inflamasi seperti
prostaglandin, histamine dan asetilkolin. Pemeriksaan terhadap bola mata
biasanya eritema, dan tanda-tanda inflamasi pada kelopak mata dan konjungtiva,
injeksi siliaris biasanya juga ada. Eksudat purulen dapat terlihat pada sakus
konjungtiva dan pada permukaan ulkus, dan infiltrasi stroma dapat menunjukkan
opasitas kornea berwarna krem. Ulkus biasanya berbentuk bulat atau oval, dengan
batas yang tegas. Pemeriksaan dengan slit lamp dapat ditemukan tanda-tanda
iritis dan hipopion</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Patofisiologi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kornea merupakan bagian anterior dari mata, yang harus
dilalui cahaya, dalam perjalanan pembentukan bayangan di retina, karena jernih,
sebab susunan sel dan seratnya tertentu dan tidak ada pembuluh darah. Biasan
cahaya terutama terjadi di permukaan anterior dari kornea. Perubahan dalam
bentuk dan kejernihan kornea, segera mengganggu pembentukan bayangan yang baik
di retina. Oleh karenanya kelainan sekecil apapun di kornea, dapat menimbulkan
gangguan penglihatan yang hebat terutama bila letaknya di daerah pupil.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patologi ulkus kornea tanpa perforasi dibagi dalam 4
Fase :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase Infiltrasi Progresif</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karakteristik dari tingkat ini aialah infiltrasi sel –
sel PMN dan atau limfosit ke dalam epitel dari sirkulasi perifer. Selanjutnya
dapat terjadi nekrosis dari jaringan yang terlibat bergantung virulensi agen
dan pertahanan tubuh host.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase Ulserasi Aktif</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulserasi aktif merupakan hasil dari nekrois dan
pengelupasan epitel, membran Bowman, dan stroma yang terlibat. Selama fase
ulserasi aktif terjadi hiperemia yang mengakibatkan akumulasi eksudat purulen
di kornea. Jika organisme penyebab virulensinya tinggi atau pertahanan tubuh
host lemah akan terjadi penetrasi yang lebih dalam selama fase ulserasi aktif.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase Regresi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Regresi ditimbulkan oleh sistem pertahanan natural
(antibodi humoral dan pertahanan seluler) dan terapi yang memperbesar respon
host normal. Garis batas yang merupakan kumpulan leukosit mulai timbul di
sekitar ulkus, lekosit ini menetralisir bahkan memfagosit organisme debris
seluler. Proses ini disertai vaskularisasi superfisial yang yang meningkatkan
respon imun humoral dan seluler. Ulkus mulai menyembuh dan epitel mulai tumbuh
dari tepi ulkus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase Sikatrisasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada fase ini penyembuhan berlanjut dengn epitelisasi
progresif yang membentuk sebuah penutup permanen. Di bawah epitel baru
terbentuk jaringan fibrosa yang sebagain berasal dari fibroblas kornea dan
sebagian lagi berasal dari sel endotel pembuluh darah baru. Stroma menebal dan
mendorong permukaan epitel ke anterior. Derajat sikatrik bervariasi, jika ulkus
sangat superfisial dan hanya melibatkan epitel maka akan menyembuh sempurna
tanpa bekas. Jika ulkus melibatkan memran Bowman dan sedikit lamela stroma
superficial maka akan terbentuk sikatrik yang disebut “nebula”. Apabila ulkus
melibatkan hingga lebih dari sepertiga stroma akan membentuk “makula”dan
“leukoma”.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 46.35pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasifikasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berdasarkan lokasi , dikenal ada 2 bentuk ulkus kornea
, yaitu :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo11; text-align: justify; text-indent: -14.75pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Sentral</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Bakterialis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Streptokokus : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Khas sebagai
ulcus yang menjalar dari tepi ke arah tengah kornea (serpinginous). Ulkus
bewarna kuning keabu-abuan berbentuk cakram dengan tepi ulkus yang menggaung.
Ulkus cepat menjalar ke dalam dan menyebabkan perforasi kornea, karena
eksotoksin yang dihasilkan oleh streptokok pneumonia.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Stafilokokus </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: Pada
awalnya berupa ulkus yang bewarna putih kekuningan disertai infiltrat berbatas
tegas tepat dibawah defek epitel. Apabila tidak diobati secara adekuat, akan
terjadi abses kornea yang disertai edema stroma dan infiltrasi sel leukosit.
Walaupun terdapat hipopion ulkus seringkali indolen yaitu reaksi radangnya minimal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Pseudomonas </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: Lesi pada
ulkus ini dimulai dari daerah sentral kornea. ulkus sentral ini dapat menyebar
ke samping dan ke dalam kornea. Penyerbukan ke dalam dapat mengakibatkan
perforasi kornea dalam waktu 48 jam. gambaran berupa ulkus yang berwarna
abu-abu dengan kotoran yang dikeluarkan berwarna kehijauan. Kadang-kadang
bentuk ulkus ini seperti cincin. Dalam bilik mata depan dapat terlihat hipopion
yang banyak.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Pneumokokus </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: Terlihat
sebagai bentuk ulkus kornea sentral yang dalam. Tepi ulkus akan terlihat
menyebar ke arah satu jurusan sehingga memberikan gambaran karakteristik yang
disebut Ulkus Serpen. Ulkus terlihat dengan infiltrasi sel yang penuh dan
berwarna kekuning-kuningan. Penyebaran ulkus sangat cepat dan sering terlihat
ulkus yang menggaung dan di daerah ini terdapat banyak kuman. Ulkus ini selalu
di temukan hipopion yang tidak selamanya sebanding dengan beratnya ulkus yang
terlihat.diagnosa lebih pasti bila ditemukan dakriosistitis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Fungi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mata dapat tidak memberikan gejala selama beberapa
hari sampai beberapa minggu sesudah trauma yang dapat menimbulkan infeksi jamur
ini. Pada permukaan lesi terlihat bercak putih dengan warna keabu-abuan yang
agak kering. Tepi lesi berbatas tegas irregular dan terlihat penyebaran seperti
bulu pada bagian epitel yang baik. Terlihat suatu daerah tempat asal penyebaran
di bagian sentral sehingga terdapat satelit-satelit disekitarnya..Tukak
kadang-kadang dalam, seperti tukak yang disebabkan bakteri. Pada infeksi
kandida bentuk tukak lonjong dengan permukaan naik. Dapat terjadi
neovaskularisasi akibat rangsangan radang. Terdapat injeksi siliar disertai
hipopion.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Virus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Herpes Zoster </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">: Biasanya
diawali rasa sakit pada kulit dengan perasaan lesu. Gejala ini timbul satu 1-3
hari sebelum timbulnya gejala kulit. Pada mata ditemukan vesikel kulit dan edem
palpebra, konjungtiva hiperemis, kornea keruh akibat terdapatnya infiltrat
subepitel dan stroma. Infiltrat dapat berbentuk dendrit yang bentuknya berbeda
dengan dendrit herpes simplex. Dendrit herpes zoster berwarna abu-abu kotor
dengan fluoresin yang lemah. Kornea hipestesi tetapi dengan rasa sakit keadaan
yang berat pada kornea biasanya disertai dengan infeksi sekunder. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Herpes simplex
: </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi
primer yang diberikan oleh virus herpes simplex dapat terjadi tanpa gejala
klinik. Biasanya gejala dini dimulai dengan tanda injeksi siliar yang kuat
disertai terdapatnya suatu dataran sel di permukaan epitel kornea disusul
dengan bentuk dendrit atau bintang infiltrasi. terdapat hipertesi pada kornea
secara lokal kemudian menyeluruh. Terdapat pembesaran kelenjar preaurikel.
Bentuk dendrit herpes simplex kecil, ulceratif, jelas diwarnai dengan fluoresin
dengan benjolan diujungnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Acanthamoeba</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Awal dirasakan sakit yang tidak sebanding dengan
temuan kliniknya, kemerahan dan fotofobia. Tanda klinik khas adalah ulkus
kornea indolen, cincin stroma, dan infiltrat perineural.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo11; text-align: justify; text-indent: -14.75pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Kornea Perifer</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Marginal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Ulkus
marginal adalah peradangan kornea bagian perifer dapat berbentuk bulat atau
dapat juga rektangular (segiempat) dapat satu atau banyak dan terdapat daerah
kornea yang sehat dengan limbus. Ulkus marginal dapat ditemukan pada orang tua
dan sering dihubungkan dengan penyakit rematik atau debilitas. Dapat juga
terjadi ebrsama-sama dengan radang konjungtiva yang disebabkan oleh Moraxella,
basil Koch Weeks dan Proteus Vulgaris. Pada beberapa keadaan dapat dihubungkan
dengan alergi terhadap makanan. Secara subyektif; penglihatan pasien dengan
ulkus marginal dapat menurun disertai rasa sakit, lakrimasi dan fotofobia.
Secara obyektif : terdapat blefarospasme, injeksi konjungtiva, infiltrat atau
ulkus yang sejajar dengan limbus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">Pengobatan
: Pemberian kortikosteroid topikal akan sembuh dalam 3 hingga 4 hari, tetapi
dapat rekurens. Antibiotika diberikan untuk infeksi stafilokok atau kuman
lainnya. Disensitisasi dengan toksoid stafilokkus dapat memberikan penyembuhan
yang efektif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus Mooren</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan ulkus yang berjalan progresif dari perifer
kornea kearah sentral. ulkus mooren terutama terdapat pada usia lanjut.
Penyebabnya sampai sekarang belum diketahui. Banyak teori yang diajukan dan
salah satu adalah teori hipersensitivitas tuberculosis, virus, alergi dan
autoimun. Biasanya menyerang satu mata. Perasaan sakit sekali. Sering menyerang
seluruh permukaan kornea dan kadang meninggalkan satu pulau yang sehat pada
bagian yang sentral.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan degan steroid,
radioterapi. Flep konjungtiva, rejeksi konjungtiva, keratektomi dan
keratoplasti</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV;">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ring Ulcer</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terlihat injeksi perikorneal sekitar limbus. Di kornea
terdapat ulkus yang berbentuk melingkar dipinggir kornea, di dalam limbus, bisa
dangkal atau dalam, kadang-kadang timbul perforasi.Ulkus marginal yang banyak
kadang-kadang dapat menjadi satu menyerupai ring ulcer. Tetapi pada ring ulcer
yang sebetulnya tak ada hubungan dengan konjungtivitis kataral. Perjalanan
penyakitnya menahun.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Penunjang </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kartu mata/ snellen telebinokuler (tes ketajaman
penglihatan dan sentral penglihatan ) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengukuran tonografi : mengkaji TIO, normal 15 - 20
mmHg </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan oftalmoskopi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan Darah lengkap, LED </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan EKG </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tes toleransi glukosa </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan
</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 17.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ulkus kornea adalah keadan darurat
yang harus segera ditangani oleh spesialis mata agar tidak terjadi cedera yang
lebih parah pada kornea. Pengobatan pada ulkus kornea tergantung penyebabnya,
diberikan obat tetes mata yang mengandung antibiotik, anti virus, anti jamur,
sikloplegik dan mengurangi reaksi peradangan dengann steroid. Pasien dirawat
bila mengancam perforasi, pasien tidak dapat memberi obat sendiri, tidak
terdapat reaksi obat dan perlunya obat sistemik. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan ulkus kornea di rumah </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika memakai
lensa kontak, secepatnya untuk melepaskannya </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan
memegang atau menggosok-gosok mata yang meradang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mencegah
penyebaran infeksi dengan mencuci tangan sesering mungkin dan mengeringkannya
dengan handuk atau kain yang bersih</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
analgetik jika nyeri </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan medis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan konstitusi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Oleh karena ulkus biasannya timbul pada orang dengan
keadaan umum yang kurang dari normal, maka keadaan umumnya harus diperbaiki
dengan makanan yang bergizi, udara yang baik, lingkungan yang sehat, pemberian
roboransia yang mengandung vitamin A, vitamin B kompleks dan vitamin C. Pada
ulkus-ulkus yang disebabkan kuman yang virulen, yang tidak sembuh dengan
pengobatan biasa, dapat diberikan vaksin tifoid 0,1 cc atau 10 cc susu steril
yang disuntikkan intravena dan hasilnya cukup baik. Dengan penyuntikan ini suhu
badan akan naik, tetapi jangan sampai melebihi 39,5°C. Akibat kenaikan suhu
tubuh ini diharapkan bertambahnya antibodi dalam badan dan menjadi lekas
sembuh. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengobatan lokal </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Benda asing dan bahan yang merangsang harus segera
dihilangkan. Lesi kornea sekecil apapun harus diperhatikan dan diobati
sebaik-baiknya. Konjungtuvitis, dakriosistitis harus diobati dengan baik.
Infeksi lokal pada hidung, telinga, tenggorok, gigi atau tempat lain harus
segera dihilangkan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi pada mata harus diberikan : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sulfas atropine sebagai salap atau larutan, Kebanyakan
dipakai sulfas atropine karena bekerja lama 1-2 minggu. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Efek kerja sulfas atropine : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedatif,
menghilangkan rasa sakit. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dekongestif,
menurunkan tanda-tanda radang. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menyebabkan
paralysis M. siliaris dan M. konstriktor pupil. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo19; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
lumpuhnya M. siliaris mata tidak mempunyai daya akomodsi sehingga mata dalan
keadaan istirahat. Dengan lumpuhnya M. konstriktor pupil, terjadi midriasis
sehinggga sinekia posterior yang telah ada dapat dilepas dan mencegah
pembentukan sinekia posterior yang baru </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skopolamin sebagai midriatika. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analgetik. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk menghilangkan rasa sakit, dapat diberikan tetes
pantokain, atau tetrakain tetapi jangan sering-sering.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Paracetamol and ibuprofen dapat menghilangkan rasa
sakit dan mengurangi edem.4 Atau dapat pula diberikan tetes mata pantokain atau
tetrakain</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Antibiotik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anti biotik yang sesuai dengan kuman penyebabnya atau
yang berspektrum luas diberikan sebagai salap, tetes atau injeksi subkonjungtiva.
Pada pengobatan ulkus sebaiknya tidak diberikan salap mata karena dapat
memperlambat penyembuhan dan juga dapat menimbulkan erosi kornea kembali. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Antibiotik topikal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi inisial (sebelum didapatkan
hasil kultur dan tes sensitivitas) hendaknya diberikan antibiotik spektrum
luas. Dianjurkan tetes mata gentamycin (14 mg/ml) atau tobramycin (14mg/ml)
bersama dengan cephazoline (50mg/ml), setiap setengah hingga satu jam untuk
beberapa hari pertama kemudian dikurangi menjadi per dua jam . Setelah respon yang
diinginkan tercapai, tetes mata dapat diganti dengan Ciprofloxacin (0.3%),
Ofloxacin (0.3%), atau Gatifloxacin (0.3%).</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Antibiotik sistemik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Biasanya tidak diperlukan. Akan
tetapi, cephalosporine dan aminoglycoside atau oral ciprofloxacin (750 mg dua
kali sehari) dapat diberikan pada kasus berat dengan perforasi atau jika sklera
ikut terkena</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anti jamur </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi medika mentosa di Indonesia terhambat oleh
terbatasnya preparat komersial yang tersedia berdasarkan jenis keratomitosis
yang dihadapi bisa dibagi : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo21; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jenis jamur yang belum diidentifikasi penyebabnya :
topikal amphotericin B 1, 2, 5 mg/ml, Thiomerosal 10 mg/ml, Natamycin > 10
mg/ml, golongan Imidazole </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo21; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jamur berfilamen : topikal amphotericin B,
thiomerosal, Natamicin, Imidazol </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo21; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ragi (yeast) : amphotericin B, Natamicin, Imidazol </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo21; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Actinomyces yang bukan jamur sejati : golongan sulfa,
berbagai jenis anti biotik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo20; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anti Viral </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk herpes
zoster pengobatan bersifat simtomatik diberikan streroid lokal untuk mengurangi
gejala, sikloplegik, anti biotik spektrum luas untuk infeksi sekunder analgetik
bila terdapat indikasi. </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk herpes simplex diberikan pengobatan IDU, ARA-A,
PAA, interferon inducer. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perban tidak seharusnya dilakukan pada lesi infeksi
supuratif karena dapat menghalangi pengaliran sekret infeksi tersebut dan
memberikan media yang baik terhadap perkembangbiakan kuman penyebabnya. Perban
memang diperlukan pada ulkus yang bersih tanpa sekret guna mengurangi
rangsangan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk menghindari penjalaran ulkus dapat dilakukan : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kauterisasi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan zat kimia : Iodine, larutan murni asam
karbolik, larutan murni trikloralasetat 20.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 120.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo23; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan panas (heat cauterisasion) : memakai
elektrokauter atau termophore. Dengan instrumen ini dengan ujung alatnya yang
mengandung panas disentuhkan pada pinggir ulkus sampai berwarna
keputih-putihan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengerokan epitel yang sakit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Parasentesa dilakukan kalau pengobatan dengan
obat-obat tidak menunjukkan perbaikan dengan maksud mengganti cairan coa yang
lama dengan yang baru yang banyak mengandung antibodi dengan harapan luka cepat
sembuh. Penutupan ulkus dengan flap konjungtiva, dengan melepaskan konjungtiva
dari sekitar limbus yang kemudian ditarik menutupi ulkus dengan tujuan memberi
perlindungan dan nutrisi pada ulkus untuk mempercepat penyembuhan. Kalau sudah
sembuh flap konjungtiva ini dapat dilepaskan kembali. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila seseorang dengan ulkus kornea mengalami perforasi
spontan berikan sulfas atropine, antibiotik dan balut yang kuat. Segera
berbaring dan jangan melakukan gerakan-gerakan. Bila perforasinya disertai
prolaps iris dan terjadinya baru saja, maka dapat dilakukan : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 132.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iridektomi dari iris yang prolaps </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 132.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Iris reposisi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 132.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kornea dijahit dan ditutup dengan flap konjungtiva </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 132.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri sulfas atripin, antibiotic dan balut yang kuat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila terjadi perforasi dengan prolaps iris yang telah
berlangsung lama, kita obati seperti ulkus biasa tetapi prolas irisnya
dibiarkan saja, sampai akhirnya sembuh menjadi leukoma adherens. Antibiotik
diberikan juga secara sistemik. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keratoplasti</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keratoplasti adalah jalan terakhir jika
penatalaksanaan diatas tidak berhasil. Indikasi keratoplasti terjadi jaringan
parut yang mengganggu penglihatan, kekeruhan kornea yang menyebabkan kemunduran
tajam penglihatan, serta memenuhi beberapa kriteria yaitu :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo25; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemunduran visus yang cukup menggangu aktivitas
penderita</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo25; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan kornea yang mengganggu mental penderita.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo25; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan kornea yang tidak disertai ambliopia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo18; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tindakan bedah meliputi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keratektomi superficial tanpa membuat perlukaan pada
membrane Bowman</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l20 level1 lfo26; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tissue adhesive atau graft amnion multilayer</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l20 level1 lfo26; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Flap konjungtiva</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l20 level1 lfo26; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patch graft dengan flap konjungtiva</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-layout-grid-align: none; mso-list: l20 level1 lfo26; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keratoplasti tembus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fascia lata graft</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l36 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komplikasi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi yang paling sering timbul berupa: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutaan parsial atau komplit dalam waktu sangat
singkat </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kornea perforasi dapat berlanjut menjadi endoptalmitis
dan panopthalmitis </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prolaps iris </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sikatrik kornea </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Katarak</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Glaukoma sekunder</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
Asuhan Keperawatan </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengkajian
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktifitas istirahat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : perubahan aktifitas sehubungan dengan
gangguan penglihatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan istirahat karena nyeri dan ketidaknyamanan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intregitas ego </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kecemasan tentang status kesehatan dan tindakan
pengobatan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensor</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala: gangguan penglihatan, sinar terang menyebabkan
silau dengan kehilangan bertahap tentang penglihatan perifer dan lakrimasi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda: kornea keruh, iris, dan pupil tidak kelihatan
serta peningkatan air mata. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Keamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi trauma karena penurunan penglihatan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Nyeri </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala;: ketidak nyamanan ringan, mata berair dan
merak, myeri berat disertai tekanan pada sekitar bola mata dan menyebabkan
sakit kepala. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyuluhan / Pembelajaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Riwayat keluarga glukoma, DM, gangguan sustem
vaskuler, riwayat stress, alergi, ketidak seimbangan endokrin, terpajan pada
radiasi,polusi, steroid. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Rencana
pemulangan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memerlukan bantuan tranportasi, penyediaan makanan,
perawatan diri, pemeliharaan rumah. (Doenges, 2000) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo29; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
Fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.7pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Insfeksi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Amati
:</span><span lang="EN-US" style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Kelopak mata .Apakah ada bengkak,
benjolan,ekimosis,ekstropion, entropion,pseudoptosis dan kelainan kelopak mata
lainnya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Konjungtiva. Apakah warnanya lebih
pucat dari warna normalnya merah muda pucat mengkilat. Apakah ada kerehanan /
pus mungkin karena alergi / konjungtivitis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Sclera. Apakahapakah ikterik atau
unikterik, adanya bekas trauma</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Iris. Apakah ada ke abnormalan
seperti iridis, atropi (pada DM, glaucoma, ishkemi,lansia) dll</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Kornea. Apakah ada arkus senilis
(cincin abu – abu dipinggir luar kornea),edema/ keruh /menebalnya kornea atau
adanya ulkus kornea.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Pupil. Apakah besarnya normal (3-5
mm/ isokor), atau amat kecil (pin point), miosis (< 2 mm), midriasis
(>5mm) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Lensa. Apakah warnanya jernih
(normal), atau keruh (katarak)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo31; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: -.7pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Palpasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;">Setelah
inspeksi, lakukan palpasi pada mata dan struktur yang berhubungan. Digunakan
untuk menentukan adanya tumor. Nyeri tekan dan keadaan tekanan intraokular
(TIO). Mulai dengan palpasi ringan pada kelopak mata terhadap adanya
pembengkakan dan kelemahan. Untuk memeriksa TIO dengan palpasi, setelah klien
duduk dengan enak, klien diminta melihat ke bawah tanpa menutup matanya. Secara
hati – hati pemeriksa menekankan kedua jari telunjuk dari kedua tangan secara
bergantian pada kelopak atas. Cara ini diulangi pada mata yang sehat dan
hasilnya dibandingkan. Kemudian palpasi sakus lakrimalis dengan menekankan jari
telunjuk pada kantus medial. Sambil menekan, observasi pungtum terhadap adanya
regurgitasi material purulen yang abnormal atau airmata berlebihan yang
merupakan indikasi hambatan duktus nasolakrimalis.</span><span lang="EN-US" style="color: #262626; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-themecolor: text1; mso-themetint: 217;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnose
Keperawatan </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan persepsi sensori: visual b.d kerusakan
penglihatan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri b.d trauma, peningkatan TIO, inflamasi
intervensi bedah atau pemberian tetes mata dilator </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko cedera b.d kerusakan penglihatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketakutan atau ansietas b.d kerusakan sensori dan
kurangnya pemahaman mengenai perawatan pasca operatif, pemberian obat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensial terhadap kurang perawatan diri b.d dengan
kerusakan penglihatan </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo33; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan b.d kurangnya informasi mengenai
perawatan diri dan proses penyakit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan persepsi sensori: visual b.d kerusakan
penglihatan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Pasien mampu beradaptasi dengan perubahan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo35; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien menerima dan mengatasi sesuai dengan
keterbatasan penglihatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo35; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menggunakan penglihatan yang ada atau indra lainnya
secara adekuat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perkenalkan pasien dengan lingkungannya </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beritahu pasien untuk mengoptimalkan alat indera
lainnya yang tidak mengalami gangguan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kunjungi dengan sering untuk menentukan kebutuhan dan
menghilangkan ansietas </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Libatkan orang terdekat dalam perawatan dan aktivitas </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurangi bising dan berikan istirahat yang seimbang </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri yang berhubungan dengan trauma, peningkatan TIO,
inflamasi intervensi bedah atau pemberian tetes mata dilator. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan obat untuk mengontrol nyeri dan TIO sesuai
resep </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan kompres dingin sesuai permintaan untuk trauma
tumpul </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurangi tingkat pencahayaan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo37; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong penggunaan kaca mata hitam pada cahaya kuat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko terhadap cedera yang berhubungan dengan
kerusakan penglihatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: center 49.65pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; tab-stops: center 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu pasien
ketika mampu melakukan ambulasi pasca operasi sampai stabil </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; tab-stops: center 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasikan
pasien pada ruangan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; tab-stops: center 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bahas
perlunya penggunaan perisai metal atau kaca mata bila diperlukan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; tab-stops: center 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan
memberikan tekanan pada mata yang terkena trauma </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; tab-stops: center 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gunakan
prosedur yang memadai ketika memberikan obat mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketakutan atau ansietas berhubungan dengan kerusakan
sensori dan kurangnya pemahaman mengenai perawatan pasca operatif, pemberian
obat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji derajat dan durasi gangguan visual </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasikan pasien pada lingkungan yang baru </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan rutinitas perioperatif </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong untuk menjalankan kebiasaan hidup sehari-hari
bila mampu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo39; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong partisipasi keluarga atau orang yang berarti
dalam perawatan pasien. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Potensial terhadap kurang perawatan diri yang
berhubungan dengan kerusakan penglihatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo40; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri instruksi pada pasien atau orang terdekat
mengenai tanda dan gejala, komplikasi yang harus segera dilaporkan pada dokter </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo40; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan instruksi lisan dan tertulis untuk pasien dan
orang yang berarti mengenai teknik yang benar dalam memberikan obat </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo40; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi perlunya bantuan setelah pemulangan </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo40; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajari pasien dan keluarga teknik panduan penglihatan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo34; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan b.d kurangnya informasi mengenai
perawatan diri dan proses penyakit Tujuan: Pasien memiliki pengetahuan yang
cukup mengenai penyakitnya </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria hasil: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo41; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien memahami instruksi pengobatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo41; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien memverbalisasikan gejala-gejala untuk
dilaporkan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 50.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi: </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beritahu pasien tentang penyakitnya </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan perawatan diri selama sakit </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan prosedur penetesan obat tetes mata dan
penggantian balutan pada pasien dan keluarga </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo42; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan gejala-gejala terjadinya kenaikan TIO dan
gangguan penglihatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Implementasi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah rencana tindakan keperawatan disusun secara
sistemik. Selanjutnya rencana tindakan tersebut diterapkan dalam bentuk kegiatan
yang nyata dan terpadu guna memenuhi kebutuhan dan mencapai tujuan yang
diharapkan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Evaluasi
</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 32.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi adalah perbandingan yang sistemik atau
terencana tentang kesehatan pasien dengan tujuan yang telah ditetapkan,
dilakukan dengan cara berkesinambungan, dengan melibatkan pasien, keluarga dan
tenaga kesehatan lainnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<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;"><br /></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">Daftar Pustaka</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Doenges, Marilynn E<span style="mso-bidi-font-weight: bold;">. </span><i>Rencana Asuhan Keperawatan :
Pedoman untuk Perencanaan dan pendokumentasian Perawatan Pasien</i><span style="mso-bidi-font-weight: bold;">. </span>Alih bahasa I Made Kariasa. Ed. 3.
Jakarta, 2000</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dwi Ruly</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.2013. Asuhan Keperawatn Ulkus Kornea.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<a href="http://ruliiyyhealthylife.blogspot.com/2013/01/asuhan-keperawatan-ulkus-kornea.html.diakses"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://ruliiyyhealthylife.blogspot.com/2013/01/asuhan-keperawatan-ulkus-kornea.html</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; text-decoration: none; text-underline: none;">.diakses</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> pada
tanggal 31 mei 2014 pukul 20.00 WIB. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -2.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Shafariyah</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.2011. Ulkus
Kornea. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<a href="http://shafamedica.wordpress.com/2011/12/17/ulkus-kornea/.%20diakses"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://shafamedica.wordpress.com/2011/12/17/ulkus-kornea/</span><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; text-decoration: none; text-underline: none;">. diakses</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> pada
tanggal 31 mei 2014 pukul 20.00 WIB.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-outline-level: 3; text-align: justify; text-indent: -49.65pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Nanika</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.2011. Laporan Pendahuluan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada Pasien Dengan Gangguan Kornea (Ulkus / Ulserasi kornea)</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><a href="http://naa-nanika.blogspot.com/2011/09/laporan-pendahuluan-asuhan-keperawatan.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">http://naa-nanika.blogspot.com/2011/09/laporan-pendahuluan-asuhan-keperawatan.html</span></a><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. diakses </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">pada tanggal 31 mei 2014 pukul 20.00 WIB.</span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">BAB II</span></b></div>
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<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;">PEMBAHASAN</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.1.</span></span></b><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;">
Definisi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipertiroid atau Hipertiroidesme
adalah suatu keadaan atau gambaran klinis akibat produksi hormon tiroid yang
berlebihan oleh kelenjar tiroid yang terlalu aktif. Karena tiroid memproduksi
hormon tiroksin dari lodium, maka lodium radiaktif dalam dosis kecil dapat
digunakan untuk mengobatinya (mengurangi intensitas fungsinya). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelenjar tiroid adalah subtansi
kimia yang diproduksi oleh kelenjar tiroid dan dilepaskan kedalam aliran darah.
Hormon tiroid saling berinteraksi dengan hampir seluruh sel tubuh, yang menyebabkan
sel tubuh untuk meningkatkan aktivitas metabolisme mereka. Kelainan banyaknya
hormon tiroid ini yang secara khas mempercepat metabolisme tubuh. Metabolisme
adalah proses kimia dan fisika yang menciptakan unsur dan menghasilkan energi
yang diperlukan untuk fungsi sel, pertumbuhan dan divisi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipertiroid atau Hipertiroidisme
biasanya dapat diatasi dengan obat-obatan. Pilihan lainnya adalah pembedahan
untuk mengangkat kelenjar tiroid atau pemberian yodium radiaktif. Setiap
pengobatan memiliki kelebihan dan kekurangan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.</span></span></b><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;">
Etiologi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipertiroidisme dapat terjadi akibat
disfungsi kelenjar tiroid, hipofisis, atau hipotalamus. Peningkatan TSH akibat
malfungsi kelenjar tiroid akan disertai penurunan TSH dan TRF karena umpan
balik negatif TH terhadap pelepasan keduanya.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipertiroidisme akibat rnalfungsi
hipofisis memberikan gambaran kadar TH dan TSH yang finggi. TRF akan Tendah
karena uinpan balik negatif dari HT dan TSH. Hipertiroidisme akibat malfungsi
hipotalamus akan memperlihatkan HT yang finggi disertai TSH dan TRH yang
berlebihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"></span></span></div>
<br />
<ul>
<li><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";"></span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyebab
Utama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span>
</li>
</ul>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
miastenia Graves</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
Graves, yang disebabkan oleh suatu aktivitas yang berlebihan dari kelenjar
tiroid yang disama ratakan, adalah penyebab yang paling umum dari hipertiroid.
Pada kondisi ini, kelenjar tiroid biasanya adalah pengkhianat, yang berarti ia
telah kehilangan kemampuannya untuk merespon pada kontrol yang normal oleh
kelenjar pituitari via TSH. Penyakit Graves adalah diturunkan/diwariskan dan
adalah sampai lima kali lebih umum diantara wanita-wanita daripada pria-pria.
Penyakit Graves diperkirakan adalah suatu penyakit autoimun, dan
antibodi-antibodi yang adalah karakteristik-karakteristik dari penyakit ini
mungkin ditemukan dalam darah. Antibodi-antibodi ini termasuk <span style="mso-bidi-font-weight: bold;">thyroid stimulating immunoglobulin (TSI
antibodies)</span>, <span style="mso-bidi-font-weight: bold;">thyroid peroxidase
antibodies (TPO)</span>, dan <span style="mso-bidi-font-weight: bold;">antibodi-antibodi
reseptor TSH</span>. Pencetus-pencetus untuk penyakit Grave termasuk:<span style="background: #FF99FF;"> </span></span><span lang="EN-US" style="background: #FF99FF; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo31; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">stres
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo31; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">merokok
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo31; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">radiasi
pada leher </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo31; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">obat-obatan
dan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo31; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">organisme-organisme
yang menyebabkan infeksi seperti virus-virus. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
Graves dapat didiagnosis dengan suatu scan tiroid dengan obat nuklir yang
standar yang menunjukkan secara panjang lebar pengambilan yang meningkat dari
suatu yodium yang dilabel dengan radioaktif. Sebagai tambahan, sebuah tes darah
mungkin mengungkap tingkat-tingkat TSI yang meningkat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Toxic
multinodular goiter</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Benjolan
leher akibat pembesaran tiroid yang berbentuk biji padat, bisa satu<span style="mso-spacerun: yes;"> </span>atau banyak. Kata toxic berarti hipertiroid,
sedangkan nodule atau biji itu tidak terkontrol oleh TSH sehingga memproduksi
hormon tiroid yang berlebihan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span></div>
<br />
<ul>
<li><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyebab
Lain </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span>
</li>
</ul>
<br />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tiroiditis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tiroiditis
sering terjadi pada ibu setelah melahirkan, disebut tiroiditis pasca
persalinan, dimana pada fase awal timbul keluhan hipertiorid, 2-3 bulan
kemudian keluar gejala hpotiroid.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Asupan
hormone tiroid secara berlebihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Keadaan demikian tidak jarang terjadi,
karena periksa laboratorium dan kontrol ke dokter yang tidak teratur. Sehingga
pasien terus minum obat tiroid, ada pula orang yang minum hormon tiroid dengan
tujuan menurunkan badan hingga timbul efek samping.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemakaian
yodium yang berlebihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Bila
konsumsi berlebihan bisa menimbulkan hipertiroid, kelainan ini biasanya timbul
apabila sebelumnya si pasien memang sudah ada kelainan kelenjar tiroid.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pengeluaran abnormal dari TSH </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sebuah
tmor didalam kelenjar pituitari mungkin menghasilkan suatu pengeluaran dari TSH
(thyroid stimulating hormone) yang tingginya abnormal. Ini menjurus pada tanda
yang berlebihan pada kelenjar tiroid untuk menghasilkan hormon-hormon tiroid.
Kondisi ini adalah sangat jarang dan dapat dikaitkan dengan kelainan-kelainan
lain dari kelenjar pituitari. Untuk mengidentifikasi kekacauan ini, seorang
endocrinologist melakukan tes-tes terperinci untuk menilai pelepasan dari TSH. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.</span></span></b><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;">Manifestasi
Klinis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";">Hipertiroid mempunyi tanda dan gejala
yang bervariasi yaitu :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Banyak
keringat</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tidak
tahan panas</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sering
BAB, kadang diare</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jari
tangan gementar (tremor)</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nervus,
tegang, gelisah, cemas, mudah tersinggung</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Jantung
berdebar cepat</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Haid
menjadi tidak teratur</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: 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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Bola mata menonjol dapat disertai
dengan penglihatan ganda</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> Tekanan
darah meningkat</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: 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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Denyut nadi cepat, seringkali
>100x/menit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> dan Denyut
nadi tidak teratur terutama pada usia diatas 60 th</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berat
badan turun, meskipun banyak makan tetapi terasa capai, </span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kelemahan
otot terutama lengan atas dan paha</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Rambut
rontok</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kulit
halus dan tipis</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pikiran
sukar konsentrasi</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kehamilan
sering berakhir dengan keguguran</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Suhu
tubuh dapat meningkat dari normal</span><span lang="ES" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: ES; mso-fareast-font-family: "Times New Roman";"></span></div>
<table align="left" border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 6.75pt; margin-right: 6.75pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-anchor-horizontal: margin; mso-table-anchor-vertical: paragraph; mso-table-layout-alt: fixed; mso-table-left: left; mso-table-lspace: 9.0pt; mso-table-rspace: 9.0pt; mso-table-top: 20.8pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; mso-yfti-lastrow: yes;">
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 190.5pt;" valign="top" width="254"><br /></td>
<td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 190.5pt;" valign="top" width="254"><br /></td><td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 190.5pt;" valign="top" width="254"><br /></td>
</tr>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.4.</span></span></b><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;">Patofisiologi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab
hipertiroidisme biasanya adalah penyakit graves, goiter toksika. Pada
kebanyakan penderita hipertiroidisme, kelenjar tiroid membesar dua sampai tiga
kali dari ukuran normal, disertai dengan banyak hiperplasia dan lipatan-lipatan
sel-sel folikel ke salam folikel, sehingga jumlah sel-sel ini lebih meningkat
beberapa kali dibandingkan dengan pembesaran kelenjar. Juga, setiap sel
meningkatkan kecepatan 5-15 kali lebih besar dari pada normal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
hipertiroidisme, konsentrasi TSH plasma menurun, karena ada sesuatu yang
“menyerupai” TSH, Biasanya bahan-bahan ini adalah antibody immunoglobulin yang
disebut TSI (Thyroid Stimulating Immunoglobulin), yang berkaitan dengan
reseptor yang mengikat TSH. Bahan-bahan tersebut merangsang aktivasi CAMP dalam
sel, dengan hasil akhirnya adalah hipertiroidisme. Karena itu pada pasien
hipertiroidisme konsentrasi TSI meningkat. Bahan ini mempunyai efek
perangsangan yang panjang pada kelenjar tiroid, yakni selama 12 jam, berbeda
dengan efek TSH yang hanya berlangsung satu jam. Tingginya sekresi hormon
tiroid yang disebabkan oleh TSI selanjutnya juga menekan pembentukan TSH oleh
kelenjar hipofisis anterior.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
hipertiroidisme, kelenjar tiroid “dipaksa” mensekresikan hormon hingga diluar
batas, sehingga untuk memenuhi pesanan tersebut, sel-sel sekretori kelenjar
tiroid membesar. Gejala klinis pasien yang sering berkeringat dan suka hawa
dingin termasuk akibat dari sifat hormon tiroid yang kalorigenik, akibat
peningkatan laju metabolisme tubuh yang diatas normal. Bahkan akibat proses
metabolisme yang menyimpang ini, terkadang penderita hipertiroidisme mengalami
kesulitan tidur. Efek pada kepekaan sinaps saraf yang mengandung tonus otot
sebagai akibat dari hipertiroidisme ini menyebabkan terjadinya tremor otot yang
halus dengan frekuensi 10-15 kali perdetik, sehingga penderita mengalami
gemetar tangan yang abnormal. Nadi yang takikardia atau diatas normal juga
merupakan salah satu efek hormone tiroid pada system kardiovaskular.
Eksopthalamus yang terjadi merupakan reaksi inflamasi autoimun yang mengenai
daerah jaringan periorbital dan otot-otot ekstraokuler, akibatnya bola mata
terdesak keluar.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<br />
<table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr><td height="17" width="43"><br /></td><td width="19"><br /></td><td width="131"><br /></td><td width="43"><br /></td><td width="5"><br /></td><td width="9"><br /></td><td width="102"><br /></td><td width="11"><br /></td><td width="6"><br /></td><td width="194"><br /></td></tr>
<tr><td height="629"><br /></td><td align="left" colspan="9" valign="top"><br /></td></tr>
<tr><td height="2"><br /></td></tr>
<tr><td height="59"><br /></td><td><br /></td><td bgcolor="white" height="59" style="background: white; border: .75pt solid black; vertical-align: top;" width="131"><br /></td><td><br /></td><td align="left" colspan="5" rowspan="2" valign="top"><br /></td></tr>
<tr><td height="37"><table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr><td height="3"><br /></td></tr>
</tbody></table>
</td></tr>
<tr><td height="3"><br /></td></tr>
<tr><td height="90"><br /></td><td colspan="5"><br /></td><td align="left" valign="top"><br /></td></tr>
<tr><td height="58"><br /></td><td colspan="4"><br /></td><td bgcolor="white" colspan="3" height="58" style="background: white; border: .75pt solid black; vertical-align: top;" width="122"><br /></td>
</tr>
</tbody></table>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level2 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5.</span></span></b><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;">
Klasifikasi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berdasarkan
fisiologisnya :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Eutiroid</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">aktivitas kelenjar tiroid normal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipotiroid</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">aktivitas kelenjar tiroid yang
kurang dari normal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipertiroid</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> : </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">aktivitas kelenjar tiroid yang
berlebihan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berdasarkan
klinisnya :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Non-Toksik (eutiroid dan hipotiroid)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Difusa
: endemik goiter, gravida </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nodusa
: neoplasma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Toksik (hipertiroid)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Difus
: grave, tirotoksikosis primer</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Nodusa
: tirotoksikosis skunder</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berdasarkan
morfologinya :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Struma
Hyperplastica Diffusa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Suatu
stadium hiperplasi akibat kekurangan iodine (baik absolut ataupun relatif).
Defisiensi iodine dengan kebutuhan excessive biasanya terjadi selama pubertas,
pertumbuhan, laktasi dan kehamilan. Karena kurang iodine kelenjar menjadi
hiperplasi untuk menghasilkan tiroksin dalam jumlah yang cukup banyak untuk
memenuhi kebutuhan supply iodine yang terbatas. Sehingga terdapat vesikel
pucat dengan sel epitel kolumner tinggi dan koloid pucat. Vaskularisasi
kelenjar juga akan bertambah. Jika iodine menjadi adekuat kembali (diberikan
iodine atau kebutuhannya menurun) akan terjadi perubahan di dalam struma
koloides atau kelenjar akan menjadi fase istirahat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Struma
Colloides Diffusa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ini
disebabkan karena involusi vesikel tiroid. Bila kebutuhan excessive akan
tiroksin oleh karena kebutuhan yang fisiologis (misal, pubertas, laktasi,
kehamilan, stress, dsb.) atau defisiensi iodine telah terbantu melalui
hiperplasi, kelenjar akan kembali normal dengan mengalami involusi. Sebagai
hasil vesikel distensi dengan koloid dan ukuran kelenjar membesar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Struma
Nodular</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Biasanya
terjadi pada usia 30 tahun atau lebih yang merupakan sequelae dari struma
colloides. Struma noduler dimungkinkan sebagai akibat kebutuhan excessive yang
lama dari tiroksin. Ada gangguan berulang dari hiperplasi tiroid dan involusi
pada masing-masing periode kehamilan, laktasi, dan emosional (fase kebutuhan).
Sehingga terdapat daerah hiperinvolusi, daerah hiperplasi dan daerah kelenjar
normal. Ada daerah nodul hiperplasi dan juga pembentukan nodul dari jaringan
tiroid yang hiperinvolusi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tiap
folikel normal melalui suatu siklus sekresi dan istirahat untuk memberikan
kebutuhan akan tiroksin tubuh. Saat satu golongan sekresi, golongan lain
istirahat untuk aktif kemudian. Pada struma nodular, kebanyakan folikel
berhenti ambil bagian dalam sekresi sehingga hanya sebagian kecil yang
mengalami hiperplasi, yang lainnya mengalami hiperinvolusi (involusi yang
berlebihan/mengecil)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo4; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Pemeriksaan Penunjang</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Serum
T3: memberikan penilaian tentang kadar hormon bila meningkat hipertiroid, bila
menurun hipotiroid. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Serum
T4: memberikan penilaian tentang kadar hormon bila meningkat hipertiroid, bila
menurun hipotiroid.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">USG
tiroid: menentukan lokasi, ukuran, bentuk dan fungsi anatomik kelenjar tiroid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Test
TSH: untuk membedakan kelainan yang disebabkan oleh penyakit pada kelenjar
tiroid sendiri dengan kelainan yang disebabkan oleh penyakit pada hipofisis
atau hipotalamus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Test
tiroglobulin: untuk mengetahui indikasi karsinoma tiroid serta penanganan
lanjut penyakit tiroid metastase.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">EKG:
untuk mengetahui adanya takikardia dan atrial fibrilasi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">CT
Scan Tiroid: untuk melihat peningkatan keaktifan radioaktif iodine</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo4; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Penatalaksanaan</span></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tujuan pengobatan hipertiroid adalah
produksi hormon (obat anti tiroid) atau merusak jaringan tiroid (yodium
radioaktif, tiroidektomi sub total)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat
antitiroid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Digunakan
dengan indikasi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Terapi
untuk memperpanjang remisi atau mendapatkan remisi yang menetap pada pasien
muda dengan struma ringan sampai sedang dan tirrotoksikosis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat
untuk mengontrol tirotoksikosis pada fase sebelum pengobatan, atau sesudah
pengobatan pada pasien yang mendapat yodium radioaktif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Persiapan
tiroidektomi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengobatan
pasien hamil dan orang lanjut usia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level2 lfo10; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien
dengan krisis tiroid</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Obat </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">antitiroid</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> yang sering digunakan :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></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; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0; page-break-inside: avoid;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat</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: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Dosis
awal (mg/hari)</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: 134.7pt;" valign="top" width="180"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
(mg/hari)</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes; page-break-inside: avoid;">
<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="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Karbimatol</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Metimazol</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo8; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Propiltiourasil</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: 134.65pt;" valign="top" width="180"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">30
– 60</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">30
– 60</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">300
– 600</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: 134.7pt;" valign="top" width="180"><div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5
– 20</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">5
– 20</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">50
– 200</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Obat-obatan ini umumnya </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">diberikan</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"> sekitar 18 –
24 bulan. Pada pasien hamil biasanya diberikan propil tiourasil dengan dosis
serendah mungkin yaitu 200 mg/hari atau lebih lagi. Pada masa laktasi juga
diberikan propiltiourasil karena hanya sedikit sekali yang keluar dari air susu
ibu, oasis yang dipakai 100-500 mg tiap 8 jam</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengobatan
dengan yodium<span style="mso-spacerun: yes;"> </span>radioaktif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Indikasi pengobatan dengan yodium
radiaktif diberikan pada :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pasien
umur 35 tahun atau lebih</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipertiroid
yang kambuh sesudah di operasi</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gagal
mencapai remisi sesudah pemberian obat antitiroid</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Tidak mampu atau tidak mau pengobatan
dengan obat antitiroid </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Adenoma
toksik, goiter multinodular toksik</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Operasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="IT" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IT; mso-fareast-font-family: "Times New Roman";">Tiroidektomi subtotal efektif untuk
mengatasi hipertiroid. Indikasi operasi adalah :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pasien umur muda dengan struma besar
serta tidak berespons terhadap obat antitiroid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pada wanita hamil<span style="mso-spacerun: yes;"> </span>(trimester kedua) yang memerlukan obat
antitiroid dosis besar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Alergi terhadap obat antitiroid, pasien
tidak dapat menerima yodium radioaktif.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Adenoma toksik atau strauma
multinodular toksik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Pada penyakit graves yang berhubungan
dengan satu atau lebih nodul</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Sebelum operasi biasanya pasien diberi
obat antitiroid sampai eutitiroid sampai eutiroid kemudian diberi cairan kalium
yodida 100-200 mg/hari atau cairan lugol 10-14 tetes/ hari selama 10 hari sebelum
dioperasi untuk mengurangi vaskularisasi pada </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">kelenjar tiroid.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 14.2pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengobatan tambahan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Sekat β-adrenergik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Obat
ini diberikan untuk mengurangi gejala dan tanda hipertiroid. Dosis diberikan
40-200 mg/hari yang dibagi atas 4 dosis. Pada orang lanjut usia diberik 10 mg/6
jam.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yodium</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FI; mso-fareast-font-family: "Times New Roman";">Yodium terutama digunakan untuk
persiapan operasi. Sesudah pengobatan dengan yodium radiaktif dan pada krisis
tiroid. Biasanya diberikan pada dosis 100-300 mg/hari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ipodat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ipodat
kerjanya lebih cepat dan sangat baik digunakan pada keadaan akut seperti krisis
tiroid kerja padat adalah menurunkan konversi T4 menjadi T3 diperifer,
mengurangi sintesis hormon tiroid, serta mengurangi pengeluaran hormon dari
tiroid.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Litium</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Litium
mempunyai daya kerja seperti yodium, namun tidak jelas keuntungannya
dibandingkan dengan yodium. </span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman";">Litium dapat digunakan pada pasien
dengan krisis tiroid alergi terhadap yodium.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo4; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komplikasi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Gagal
jantung: adanya hipermetabolisme mengakibatkan peningkatan cardiac output
secara terus menerus sehingga dapat menyebabkan gagal jantung.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Osteoporosis: adanya penurunan kadar
kalsium dalam tulang, sementara di dalam darah terjadi peningkatan kalsium
(hiperkalsemia). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Eksoftalmus: terjadi infiltrasi
otot-otot mata oleh limfosit sehingga bisa menyebabkan eksoftalmus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Distress respiratori: sering terjadi
pada proses pembedahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Perubahan kesadaran, pembesaran hati
(kuning)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Kerusakan nervus laringeal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level2 lfo4; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.9.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Asuhan Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pengkajian</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas
atau istirahat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Imsomnia, sensitivitas meningkat, Otot lemah,gangguan
koordinasi, kelelahan berat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Atrofi otot</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sirkulasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Palpitasi, nyeri dada (angina)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Distritmia (vibrilasi atrium), irama gallop,
murmur, peningkatan tekanan darah dengan tekanan nada yang berat. Takikardia
saat istirahat, sirkulasi kolaps, syok (krisis tirotoksikosis)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eliminasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Perubahan pola berkemih (poliuria, nocturia),
rasa nyeri/terbakar, kesulitan berkemih (infeksi), infeksi saluran kemih
berulang, nyeri tekan abdomen, diare, urine encer, pucat, kuning, poliuria
(dapat berkembang menjadi oliguria atau anuria jika terjadi hipovolemia berat),
urine berkabut, bau busuk (infeksi), bising usus lemah dan menurun, hiperaktif
(diare).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Integritas /
Ego</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Stress, tergantung pada orang lain, masalah
finansial yang berhubungan dengan kondisi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Ansietas peka rangsang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan /
Cairan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Hilang nafsu makan, mual atau muntah, tidak
mengikuti diet, peningkatan masukan glukosa atau karbohidrat, penurunan berat
badan lebih dari periode beberapa hari/minggu, haus, penggunaan diuretik
(tiazid)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Kulit kering atau bersisik, muntah, pembesaran
thyroid (peningkatan<br />
kebutuhan metabolisme dengan pengingkatan gula darah), bau halitosis atau<br />
manis, bau buah (napas aseton)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurosensori</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Pusing atau pening, sakit kepala kesemutan,
kelemahan pada otot parasetia, gangguan penglihatan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Disorientasi, mengantuk, lethargi, stupor atau
koma (tahap lanjut), gangguan memori baru masa lalu ) kacau mental.
Refleks tendon dalam (RTD menurun;koma), aktivitas kejang ( tahap lanjut dari
DKA).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri /
Kenyamanan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Abdomen yang tegang atau nyeri (sedang /
berat), wajah meringis dengan palpitasi, tampak sangat berhati-hati.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pernapasan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Merasa kekurangan oksigen, batuk dengan /
tanpa sputum purulen (tergantung adanya infeksi atau tidak)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : sesak napas, batuk dengan atau tanpa sputum
purulen (infeksi), frekuensi pernapasan meningkat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keamanan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Kulit kering, gatal, ulkus kulit</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Demam, diaforesis, kulit rusak, lesi atau
ulserasi, menurunnya kekuatan umum/rentang gerak, parastesia atau paralysis
otot termasuk otot pernapasan (jika kadar kalium menurun dengan cukup tajam)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seksualitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala : Rabas wanita ( cenderung infeksi ), masalah
impotent pada pria.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo17; tab-stops: 78.0pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda : Glukosa darah meningkat 100-200 mg/ dl atau
lebih, aseton plasma positif secara mencolok, asam lemak bebas kadar lipid
dengan kolosterol meningkat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 78.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Diagnosa</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Keperawatan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa
keperawatan yang lazim terjadi pada klien yang mengalami hipertiroidisme adalah
sebagai berikut :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko
tinggi terhadap penurunan curah jantung berhubungan dengan hipertiroid<br />
tidak terkontrol, keadaan hipermetabolisme, peningkatan beban kerja jantung.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelelahan
berhubungan dengan hipermetabolik dengan peningkatan kebutuhan energi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko tinggi
terhadap perubahan nutrisi kurang dari kebutuhan berhubungan dengan peningkatan
metabolisme (peningkatan nafsu makan/pemasukan dengan penurunan berat badan).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko
tinggi terhadap kerusakan integritas jaringan berhubungan dengan perubahan
mekanisme perlindungan dari mata: kerusakan penutupan kelopak mata/eksoftalmus.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansietas
berhubungan dengan faktor fisiologis: status hipermetabolik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang
pengetahuan mengenai kondisi, prognosis dan kebutuhan pengobatan berhubungan
dengan tidak mengenal sumber informasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko
tinggi perubahan proses pikir berhubungan dengan perubahan fisiologik,
peningkatan stimulasi SSP/mempercepat aktifitas mental, perubahan pola tidur.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Intervensi
keperawatan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -13.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko tinggi terhadap penurunan curah jantung
berhubungan dengan hipertiroid tidak terkontrol, keadaan hipermetabolisme,peningkatan
beban kerja jantung<span style="mso-tab-count: 1;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Klien akan mempertahankan curah jantung yang
adekuat sesuai dengan<br />
kebutuhan tubuh, dengan kriteria :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo20; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nadi perifer dapat teraba normal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo20; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vital sign dalam batas normal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo20; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengisian kapiler normal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo20; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status mental baik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo20; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak ada disritmia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi<b style="mso-bidi-font-weight: normal;"> :</b></span><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau
tekanan darah pada posisi baring, duduk dan berdiri jika</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memungkinkan.
Perhatikan besarnya tekanan nadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Hipotensi umum atau ortostatik dapat
terjadi sebagai akibat dari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">vasodilatasi
perifer yang berlebihan dan penurunan volume sirkulasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periksa
kemungkinan adanya nyeri dada atau angina yang dikeluhkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Merupakan tanda adanya peningkatan
kebutuhan oksigen oleh<span style="mso-tab-count: 1;"> </span><br />
otot jantung atau iskemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi
suara nafas, perhatikan adanya suara yang tidak normal (seperti krekels)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Murmur yang menonjol berhubungan dengan
curah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">jantung
meningkat pada keadaan hipermetabolik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
tanda dan gejala haus yang hebat,mukosa membran kering, nadi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">lemah,
penurunan produksi urine dan hipotensi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Dehidrasi yang cepat dapat terjadi yang
akan menurunkan volume sirkulasi dan menurunkan curah jantung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat
masukan dan keluaran</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Kehilangan cairan yang terlalu banyak dapat
menimbulkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dehidrasi berat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -13.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelelahan berhubungan dengan hipermetabolik dengan
peningkatan kebutuhan<span style="mso-tab-count: 1;"> </span><br />
energi<br />
Tujuan : Klien akan mengungkapkan secara verbal tentang peningkatan tingkat<span style="mso-tab-count: 1;"> </span><br />
energi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interven</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">si:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau tanda vital dan catat nadi
baik istirahat maupun saat aktivitas.<span style="mso-tab-count: 1;"> </span><br />
Rasional : Nadi secara luas meningkat dan bahkan istirahat, takikardia mungkin
ditemukan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ciptakan
lingkungan yang tenang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menurunkan stimulasi yang kemungkinan besar
dapat menimbulkan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">gitasi,
hiperaktif dan insomnia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sarankan
pasien untuk mengurangi aktivitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Membantu melawan pengaruh dari peningkatan
metabolism</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
tindakan yang membuat pasien merasa nyaman seperti massase</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Meningkatkan relaksasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -13.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko tinggi terhadap perubahan nutrisi kurang dari
kebutuhan berhubungan<br />
dengan peningkatan metabolisme (peningkatan nafsu makan/pemasukan dengan<br />
penurunan berat badan)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Klien akan menunjukkan berat badan stabil
dengan kriteria :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nafsu makan baik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berat badan normal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 85.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak ada tanda-tanda malnutrisi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi<b style="mso-bidi-font-weight: normal;"> :</b></span><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat adanya
anoreksia, mual dan muntah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Peningkatan aktivitas adrenergic dapat
menyebabkan gangguan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">sekresi
insulin/terjadi resisten yang mengakibatkan hiperglikemia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau
masukan makanan setiap hari, timbang berat badan setiap hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Penurunan berat badan terus menerus dalam
keadaan masukan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kalori yang
cukup merupakan indikasi kegagalan terhadap terapi antitiroid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi
untuk pemberian diet tinggi kalori, protein, karbohidrat dan vitamin</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mungkin memerlukan bantuan untuk menjamin
pemasukan zat-zat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">makanan yang
adekuat dan mengidentifikasi makanan pengganti yang sesuai.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -13.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko tinggi terhadap kerusakan integritas jaringan
berhubungan dengan perubahan mekanisme perlindungan dari mata: kerusakan penutupan
kelopak mata/eksoftalmus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Klien akan mempertahankan kelembaban membran
mukosa mata, terbebas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dari ulkus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
adanya edema periorbital</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Stimulasi umum dari stimulasi adrenergik
yang berlebihan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Evaluasi
ketajaman mata</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Oftalmopati infiltratif adalah akibat dari
peningkatan jaringan retroorbita</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
pasien menggunakan kaca mata gela</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Melindungi kerusakan kornea</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagian
kepala tempat tidur ditinggikan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menurunkan edema jaringan bila ada
komplikasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -13.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansietas berhubungan dengan faktor fisiologis: status
hipermetabolik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Klien akan melaporkan ansietas berkurang
sampai tingkat dapat diatasi dengan kriteria : Pasien tampak rileks</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
tingkah laku yang menunjukkan tingkat ansietas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Ansietas ringan dapat ditunjukkan dengan
peka rangsang dan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">insomnia</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bicara
singkat dengan kata yang sederhana</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Rentang perhatian mungkin menjadi
pendek,konsentrasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">berkurang,
yang membatasi kemampuan untuk mengasimilasi informasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan prosedur tindakan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Memberikan informasi yang akurat yang dapat
menurunkan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kesalahan interpretasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurangi
stimulasi dari luar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Menciptakan lingkungan yang terapeutik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -13.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan mengenai kondisi, prognosis dan
kebutuhan pengobatan<span style="mso-tab-count: 1;"> </span><br />
berhubungan dengan tidak mengenal sumber informasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Klien akan melaporkan pemahaman tentang
penyakitnya dengan kriteria : Mengungkapkan pemahaman tentang penyakitnya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tinjau ulang
proses penyakit dan harapan masa depan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Memberikan pengetahuan dasar dimana pasien
dapat menentukan pilihan berdasarkan informasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
informasi yang tepat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Berat ringannya keadaan, penyebab, usia dan
komplikasi yang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">muncul akan
menentukan tindakan pengobatan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identifikasi
sumber stress</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Faktor psikogenik seringkali sangat penting
dalam</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memunculkan/eksaserbasi
dari penyakit ini</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekankan pentingnya perencanaan
waktu istirahat</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Mencegah munculnya kelelahan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
informasi tanda dan gejala dari hipotiroid</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Pasien yang mendapat pengobatan hipertiroid
besar kemungkinan<br />
mengalami hipotiroid yang dapat terjadi segera setelah pengobatan selama 5<br />
tahun kedepan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -13.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko tinggi perubahan proses pikir berhubungan
dengan perubahan fisiologik,<br />
peningkatan stimulasi SSP/mempercepat aktifitas mental, perubahan pola tidur</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan : Mempertahankan orientasi realitas umumnya,
mengenali perubahan<br />
dalam berpikir/berprilaku dan faktor penyebab.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji proses
pikir pasien seperti memori, rentang perhatian, orientasi terhadap<br />
tempat, waktu dan orang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :<span style="mso-spacerun: yes;">
</span>Menentukan adanya kelainan pada proses sensori</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat adanya
perubahan tingkah laku</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Kemungkinan terlalu waspada, tidak dapat
beristirahat, sensitifitas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">meningkat atau
menangis atau mungkin berkembang menjadi psikotik yang sesungguhnya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat
ansieta</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">s</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :<span style="mso-spacerun: yes;">
</span>Ansietas dapat merubah proses pikir</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ciptakan
lingkungan yang tenang,turunkan stimulasi lingkungan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional <span style="mso-no-proof: yes;">: m</span>enurunan
stimulasi eksternal dapat menurunkan hiperaktifitas/</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">refleks, <span style="mso-tab-count: 1;"> </span>peka rangsang saraf, halusinasi pendengaran</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasikan
pasien pada tempat dan waktu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Membantu untuk mengembangkan dan
mempertahankan kesadaran</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pada
realita/lingkungan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anjurkan
keluarga atau orang terdekat lainnya untuk mengunjungi klien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional :<span style="mso-spacerun: yes;">
</span>Membantu dalam mempertahankan sosialisasi dan orientasi pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi
pemberian obat sesuai indikasi seperti sedatif/tranquilizer, atau</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> o</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">bat anti
psikotik.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional : Meningkatkan relaksasi,menurunkan hipersensitifitas
saraf/agitasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">untuk meningkatkan proses pikir.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 67.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Implementasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
rencana tindakan keperawatan disusun secara sistemik. Selanjutnya rencana
tindakan tersebut diterapkan dalam bentuk kegiatan yang nyata dan terpadu guna
memenuhi kebutuhan dan mencapai tujuan yang diharapkan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Evaluasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hasil yang
diharapkan adalah : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien akan
mempertahankan curah jantung yang adekuat sesuai dengan kebutuhan<br />
tubuh</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien akan
mengungkapkan secara verbal tentang peningkatan tingkat energi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien akan menunjukkan
berat badan stabil</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien akan
mempertahankan kelembaban membran mukosa mata, terbebas dari</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ulkus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien akan
melaporkan ansietas berkurang sampai tingkat dapat diatasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien akan
melaporkan pemahaman tentang penyakitnya</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan
orientasi realitas umumnya, mengenali perubahan dalam<span style="mso-tab-count: 1;"> </span><br />
berpikir/berprilaku dan faktor penyeba</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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-fareast-font-family: "Times New Roman";">BAB III</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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-fareast-font-family: "Times New Roman";">PENUTUP</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo30; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.1.</span></span></b><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-fareast-font-family: "Times New Roman";">Kesimpulan</span></b></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Hipertiroid atau Hipertiroidesme
adalah suatu keadaan atau gambaran klinis akibat produksi hormon tiroid yang
berlebihan oleh kelenjar tiroid yang terlalu aktif. Karena tiroid memproduksi
hormon tiroksin dari lodium, maka lodium radiaktif dalam dosis kecil dapat
digunakan untuk mengobatinya (mengurangi intensitas fungsinya). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyebab Utama</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> dari
hyperthyroid adalah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyakit
Grave</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Toxic
multinodular goiter</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"> dan </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Penyebab
Lain </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">adalah </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tiroiditis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Ambilan hormone tiroid secara berlebihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemakaian yodium yang berlebihan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">, </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman";">Pengeluaran
abnormal dari TSH</span><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-weight: bold; mso-fareast-font-family: "Times New Roman";">.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level2 lfo30; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.2.</span></span></b><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-fareast-font-family: "Times New Roman";">Saran </span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";">Dengan
adanya makalah ini mahasiswa dapat memahami penyakit hyperthyroid dan tau
bagaimana cara menangani dan mencegah penyakit tersebut.</span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-22167133750294728022014-04-29T23:43:00.000-07:002014-04-29T23:43:36.188-07:00sistem imun<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 18.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rangkuman System Imun</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">System
Imun</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">System imun bertanggung jawab menjaga tubuh dari
mikroorganisme penyebab penyakit. System ini merupakan bagian system pertahanan
penjamu (hospes) yang kompleks.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pertahanan hospes bisa bersifat alamiah sejak lahir
atau didapat. Pertahanan yang alami meliputi sawar fisik serta kimia, kompleks
komplemen, dan sel-sel seperti fagosit ( sel-sel yang diprogram untuk <span style="mso-spacerun: yes;"> </span>memusnahkan sel-sel asing seperti bakteri)
serta limfosit pembuluh alamiah (<i style="mso-bidi-font-style: normal;">natural
killer</i>). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sawar fisik, seperti kulit dan membrane mukosa,
mencegah invasi oleh sebagian besar mikroorganisme. Sawar kimia meliputi
lisozim (yang ditemukan dalam secret tubuh seperti air mata, mucus, serta
saliva) dan asam hidroklorida di dalam lambung. Imunitas akan bekerja ketika
tubuh menghadapi sel atau produk sel yang dikenalinya sebagai benda asing
seperti bakteri dan virus. Ada dua tipe imunitas yang dihasilkan oleh sel yaitu
imunitas humoral (yang dihasilkan oleh limfosit sel B) dan imunitas yang di
antarai sel ( yang dihasilkan oleh limfosit sel T). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Respon Imun</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Respon imun terutama melibatkan interaksi
antigen(protein asing), limfosit B, limfosit T, makrofag, sitokin , dan
leukosit komplemen dan leukosit polimorfonukulear. Sebagian sel imunoaktif
beredar dalam darah secara terus-menerus, sebagian lain berada di dalam
jaringan dan organ-organ system imun seperti timus, limfanodus, sumsum tulang,
lien. Dalam timus, limfosit T yang terlibat dalam imunitas yang mampu
membedakan subtansi self (hospes) dari nonself (antigen asing) sebaliknya
limfosit B yang terlibat dalam imunitas humoral akan mencapai maturitas dalam
sumsum tulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Antigen
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Antigen
merupakan subtansi yang dapat menimbulkan respon imun.Limfosit T dan B memiliki
reseptor spesifik yang bereaksi terhadap bentuk molekul antigen tertentu, yang
dinamakan epitop. Dalam sel B, respon ini berupa immunoglobulin yang juga
disebut antibody.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Kompleks Histokompatibilitas Mayor</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Reseptor
antigen sel T hanya dapat mengenali antigen yang berkaitan dengan molekul
permukaan sel tertentu, yang dikenal sebagai kompleks histokompatibilitas mayor
(major histocompatibility complex, MHC).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">MHC
yang dikenal sebagai lokus HLA (human leucocyte antigen) merupakan gen pada
human chromosom 6 yang memiliki peranan sentral dalam respon imun. Gen ini
memproduksi molekul MHC yang berpartisipasi dalam: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengenalan
antigen sendiri (self) versus antigen asing (nonself)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo5; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Interaksi
sel yang imunologis aktif melalui coding pada protein permukaan sel. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Hapten </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sebagaian
besar antigen merupakan molekul berukuran besar seperti protein dan
polisakarida. Molekul yang berukuran lebih kecil, seperti obat yang bersifat
antigenic dikenal sebagai hapten. Hapten dapat berikatan dengan molekul yang
lebih besar atau carrier dan kemudian bersifat antigenic atau imunogenik.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Antigenisitas </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Factor
yang mempengaruhi intensitas interaksi antara subtansi asing dan system imun
hospes(antigenitas), yaitu:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Karakteristik
fisik dan kimiawi antigen</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sifat
asing yang relative (relative foreignnesx)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo6; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Susunan
genetic hospes, khusus molekul MHC</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunitas
Humoral </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Respon
imun humoral merupakan salah satu dari dua tipe respon imun yang terjadi ketika
subtansi asing menginvasi tubuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Limfosit B</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Limfosit
B dan produknya immunoglobulin merupakan dasar imunitas humoral. Antigen yang
larut kan terikat dengan reseptor antigen sel B dan dengan demikian respon imun
humoral di mulai. Respon ini diatur oleh limfosit T dan produknya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Immunoglobulin</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Immunoglobulin
yang disekresi oleh sel plasma merupakan molekul empat-rantai dengan dua rantai
berat (heavy chains) dan dua rantai ringan (light chains). Setiap rantai
memiliki satu region yang bisa berubah variable region (V) dan satu atau lebih
region konstan (constant region [C]) yang keduanya dikode oleh gen yang
terpisah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ada
lima kelas immunoglobulin yang sudah dikenal: IgG, IgM, IgA, IgE, dan IgD.
Kelima kelas immunoglobulin dibedakan berdasarkan bagian atau region yang
konstan (C) pada rantai berat molekul immunoglobulin tersebut. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klasifikasi Imunoglobulin</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klasifikasi</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Deskripsi</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">IgA</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Immunoglobulin sekretori (monomer dalam serum, dalam bentuk sekretori)</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ditemukan dalam kolostrum, saliva, air mata, cairan hidung, dan secret
respiratori, GI serta urogenital</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merupakan 20% total immunoglobulin</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mempunyai peranan yang penting dalam mencegah agens antigen untuk
tidak melekat pada permukaan epitel</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">IgD</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dengan jumlah yang sangat kecil ditemukan di dalam serum (monomer)</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dominan pada permukaan limfosit B</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bagian terbesar merupakan reseptor antigen</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mungkin memiliki fungsi untuk mengendalikan aktivasi atau supresi
limfosit</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">IgE</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hanya ditemukan dengan jumlah renik</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terlibat dalam pelepasan amina vasoaktif yang disimpan di dalam
basofil dan granula sel mast jaringan yang menimbulkan efek alergi</span></div>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">IgG</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Immunoglobulin yang paling kecil</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ditemukan dalam semua cairan tubuh</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dapat melintasi membrane sebagai unit strukurai yang tunggal</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merupakan 75% total immunoglobulin</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Reaksi antibody klasik yang meliputi presipitasi, aglutinasi,
netralisai, dan fiksasi komplemen</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Antibody antibakteri dan antivirus yang pertama</span></div>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">IgM</span></div>
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<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 400.0pt;" valign="top" width="533">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Immunoglobulin yang paling besar (pentamer)</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Biasanya hanya ditemukan dalam system vaskuler</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tidak mudah melintasi sawar membrane karena ukurannya</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merupakan 5% total immunoglobulin serum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Aktivasinya dominan dalam respon imun awal atau primer</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Reaksi antibody klasik, termasuk presipitasi,aglutinasi,
netralisasi,dan fiksasi komplemen</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunitas
Yang Diantarai Sel </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Respon
imun yang diantarai sel ( cell-mediated immune respone) melindungi tubuh
terhadap infeksi bakteri, virus, serta fungus dan mempertahankan terhadap
sel-sel cangkokan serta sel-sel tumor. Limfosit T merupakan peserta utama dalam
respon imun yang diantarai sel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Makrofag </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Makrofag
mempengaruhi baik respon imun maupun respon imflamasi. Precursor makrofag
beredar di dalam darah. Berbeda dengan limfosit<span style="mso-spacerun: yes;">
</span>B dan T sel-sel makrofag kurang memiliki resptor<span style="mso-spacerun: yes;"> </span>permukaan bagi antigen yang spesifik. Salah
satu fungsi Makrofag yang paling penting adalah menghantarkanantigen kepada
limfosit T, makrofag akan menelan dan memroses antigen, kemudian
mengendapkanantigen tersebut pada permukaan selnya sendiri dalam keadaan
terikat dengan antigen HLA.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;"><span style="mso-spacerun: yes;"> </span>Limfosit T</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ada
lima tipe sel T dengan<span style="mso-spacerun: yes;"> </span>fungsi yang
spesifik:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel
memori yaitu sel yang mengalami sensitisasi dan tetap dalam keadaan dormant
(tidak aktif) sampai terjadi pajanan antigen yang kedua yang dikenal sebagai
respon imun sekunder.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel
yang memproduksi limfokin untuk reaksi hipersensitivitas lambat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel
T sitotoksik yang berfungsi menghancurkan secara langsung antigen atau sel yang
membawa antigen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel
T helper,<span style="mso-spacerun: yes;"> </span>juga di kenal sebagai sel T4,
berfungsi memfasilitasi respons yang di antarai sel</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo7; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel
T supresor, juga<span style="mso-spacerun: yes;"> </span>di kenal sebagai sel
T8, berfungsi menghambat respons humoral dan respons yang di antarai sel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sel
natural kiler (NK) .Sel ini merupakan populasi limfosit berukuran besar yang
sebagian di antaranya menyerupai sel T.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Sitokin</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sitokin
(eitokines) merupakan protein berbobot molekul rendah yang terlibat dalam
komunikasi antara makrofag dan limfosit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">System
komplemen </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Efektor
humoral yang utama dalam respon imflamasi yaitu sitem komplemen, meliputi lebih
dari 20 jenis protein serum ketika di aktifkan, protein ini sangat berinteraksi
dalam sutau proses mirip rangkaian dengan efek biologis yang sangat intensif.
Aktivitas komplemen berlangsung melalui salah satu dari dua lintasn.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Lintasan klasik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dalam
lintasan klasik IgM, atau IgG terikat dengan antigen untuk membentuk kompleks
antigen-antibodi yang mengaktifkan komponen komplemen I, CI. Komponen komplemen
ini selanjutnya akan mengaktifkan C4, C2 dan C3.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Lintasan alternative</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dalam
lintasan alternative, permukaan yang diaktifkan, seperti membrane sel bakteri
secara langsung pemecahan spoman C3. Setelah C3 diaktifkan melelui salah satu
dari kedua lintasan tersebut akibat komponen terminal, yaitu C5 sampai C9 akan
terjadi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Leukosit
polimorfonuklear</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Factor
kunci lain dalam respon imfalmsi adalah leukosit polimorfnuklear yang terdiri
atas: neutrofil, eosinofil, basofil, an sel-sel mast.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Neutrofil</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Neutrofil
merupakan leukosit dengan jumlah terbanyak, berasal dari sumsum tulang dan
ketika terjadi infeksi serta inflamasi, jumlah netrofil akan meningkat secara
dramatis sebagai respon terhadap keadan tersebut. Neutrofil merupakan leukosit
pertama yang bereaksi pada infeksi akut.sel-sel ini mobilitas tingi untuk
ditarik kedaerah inflamasi dan merupakan unsure pertama yang membentuk pus. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Eosinofil</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Eosinofil
berasal dari sumsum tulang akan memperbanyak saat terjadi gangguan alergi<span style="mso-spacerun: yes;"> </span>dan infeksi parasit. Produk eosinofil dapat
pulan mengurangi respon inflamasi pada gangguan alergi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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;">Basofil dan sel mast</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Basofil
dan sel mast juga bekerja saat terjadi gangguan imun. Berbeda dari basofil, sel
mast bukan sel darah. Basofil beredar dalm darah tepi sementara sel mast
berkumpul dalam jaringan ikat khususnya didalam paru-paru, usus, dan kulit.
Kedua tipe ini memiliki reseptor permukaan untuk IgE.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan Patofisiologis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">System pertahanan hospes dan respon imun merupakan
proses yang sangat kompleks dan dapat mengalami malfungsi pada setiap titik di
sepanjang rangkaian kejadian. Malfungsi ini dapat meliputi eksagerasi (fungsi
yang berlebihan), maldireksi (fungsi yang salah arah) atau tidak adanya
aktifitas atau terekannya aktifitas yang menimbulkan gangguan imun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Malfungsi
respon imun</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ketika
system imun bereaksi secara tidak tepat, maka dapat menjadi 3 kategori reaksi
yang bersifat dasar : hipersentivitas, respon auto imun, dan respon aloimun. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hiversensitifitas</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipersensitivitas
merupakan respon yang berlebihan atau respon yang tidak tepat dan terjadi pada
pajanan antigen yang kedua kali. Akibatnya adalah infalamsi dan destruksi
jaringan yang sehat. Alergi mengacu pada efek berbahaya yang ditimbulkan oleh
hipersensitivitas terhadap antigen yang juga dinamakan allergen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipersensitivitas
tipe I, allergen mengaktifkan sel T yang menginduksi sel B untuk memproduksi
IgE yang terikat reseptor Fc pada permukaan sel Mast.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipersensitivtas
tipe II, merupakan reaksi spesifik jaringan umumnya melibatkan destruksi sel
target oleh antibody yang ditujuakan langsung pada antigen permukaan sel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipersensitivtas
tipe III, kompleks antigen-antibodi (kompleks imun) yang beredar dalam darah
akan menumpuk dan mengendap dalam jarngan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo9; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipersensitivtas
tipe IV, reaksi yang diantarai sel ini melibatkan pemrosesan antigen oleh
makrofag. Setelah diproses, antigen tersebut dihantarkan pada sel T. sel T
sitotoksik, jika diaktifkan akan langsung menyerang dan menghancurkan sel
target.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Reaksi
auto imun</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dalam
reaksi auto imun, pertahan tubh yang nirmal akan menghancurkan dirinya sendiri
karena mengenli antigen sendiri ( self antigen) sebagai antigen asing. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Reaksi
aloimun</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diarahkan
pada antigen dari jaringan lain pada spesies yang sama. Umumnya reaksi aloimun
terjadi dalam reaksi reaksi transplantasi dan transfasi dan resefien bereaksi
terhadap antigen, terutama HLA, pada sel-sel donor.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunodefisiensi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Respon
imun yang tidak ada atau tertekan akan meningkatkan kerentangan sesorang
terhadap infeksi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.75pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">normalnya, system pertahanan tubuh kita akan
melindungi tubuh terhaddap para penyerang yang berbahaya ini. Akan tetapi, kalu
jaringan pengaman ini rusak, akibatnya adalah perubahan respon imun atau
kegagalan system imun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">AIDS</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keruskan
terjadi secara berangsur-angsur pada imunitas yang diantarai sel (sel T), namun
penyakit ini juga memengaruhi imunitas humoral dan bahkan autoimunitas karena
peranan sentaral limfosit T (helper).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keadaan
ini secara kurang professional tergambar pada:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Laki-laki
homoseksual dan biseksual</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Para
pemakai obat IV </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Neonates
dari ibu yang terinfeksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Resefien
darah ataun produksi darah yang terkontaminasi (menurun secara dramatis sejak
pertengahan tahun1985)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pasangan
heteroseksual pada individu yang masuk pada kelompok sebelumnya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ketika
muncul keluhan dan gejalanya timbul dalam banyak bentuk yang meliputi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Limfadenopati
</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gejala
nonspesifik</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gejala
neurologi</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Infeksi
oportunis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Komplikasi
AIDS meliputi infeksi oportunis yang berulang.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo11; text-align: justify; text-indent: -14.2pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rhinitis
aliegika</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merupakan
reaksi terhadap allergen yang ditularkan melalui udara (allergen terhirup).
Bergantung pada alerrgen rhinitis dan konjungtivitas yang diakibatkan dapat
terjadi secara musiman (hayfever) atau sepanjang tahun ( rhinitis alergika
parenial). Rhinitis alergika merupakan reaksi alergi atopic yang paling sering
ditemukan dan mengenai lebih dari 20 juta penduduk amerika. Penyakit ini paling
prevalen pada anak kecil dan remaja tetapi bisa terjadi pada semu kelompok
umur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemicu
yang sering dijumpai meliputi:</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tumpang
sari yang terbawa angin</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Allergen
dan iritan sepangjang tahun (parenial)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 24.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penyebab rhinitis alergika</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 24.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada rhinitis alergika musiman tanda dan gejala yang
utama antara lain gejala bersin-bersin yang di timbulkan mendadak, rinore encer
ysng massif, obstruksi dan kongestu nasal dan pruitus pada hidung serta mata.
Biasanya semua gejala ini disertai mukosa nasal yang pucat, sianotik, dan
edematosa. Kelopak mata dan konjungtiva berwana merah serta edematosa;
lakrimasi berlebihan; dan sakit kepala atau nyeri pada sinus. Sebagian pasien
juga mengeluh gatal-gatal pada tenggorokannya dan rasa tidak enak badan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 24.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penanganan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Antihistamin
menyekat efek<span style="mso-spacerun: yes;"> </span>histamine, tetapi umumnya
juga menimbulkan efek antikolinergik yang merugikan(mengantuk, mulut kering,
mual, pening, penglihatan kabur dan gemeteran.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Preparat
inhalasi steroid intranasal memberikan efekanti implamasi local di sertai efek
merugikan sistemik minimal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo15; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sarankan
pasien untuk menggunakan preparan steroid inpalasi secara teratur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo2; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ganguan yang mengancam kehidupan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anafilaksis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anafilaksis
merupakn reaksi hipersensitivitas tipe 1 yang berpotensi mengancam nyawa pasien
yang di tandai oleh urtikaria dengan awitan mendadak serta berlangsung
progresif cepat dan gawat pernapasan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span>
</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anafilaksik
biasanya terjadi karena konsumsi obat atau subtansi lain ynag menyebabkan
sensitifitas yang meliputi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Serum(biasanya
serum kuda)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaksin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ekstrak
allergen</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Enzim
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hormone</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penisilin
atau antibiotic lain</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sulfanoid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anestesi
local</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Salisilat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Polisakarida</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Protein
pangan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bias
serangga</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Biassnya
keluhan dan gejala pertama meliputi:</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bersin-bersin,
sesak nafas, gatal-gatal pada hidung , urtikaria, angioedema, hipertensi syok,
dan kadang-kadang aritmia jantung.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dermatitis
atopic</span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dermatitis
atopic merupakan gangguan kulit kronis yang ditandai oleh inflamasi kulit yang superfisisal
dan rasa gatal yang hebat. Penyebabnya belum diketahui namun kemungkinan besar
disebabkan oleh predisposisi genetic, factor yang mingkin menyebabkan adalah:</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Alergi
makanan</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Infeksi</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Zat-zat
iritan kimia </span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Suhu
dan kelembaban yang ekstrim</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Stress
psikologis atau emosi yang kuat</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada
anak-anak yang menderita dermatitis atopic, memiliki gejala pruritus berat
menimbulkan pigmentasi berwarna merah muda yang khas dan pembengkakan pada
kelopak mata serta lipatan ganda pada kelopak mata bawah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
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<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Alergi
lateks</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Alergi
lateks merupakan reaksi hipersensitivitas terhadap produk-produk yang
mengandung getah karet alam (latek). Yaitu bahan yang semakin banyak terdapat
dalam produk yang dipaki di rumahdan tempat kerja. Produk ini berasal dari
getah pohon karet dan bukan merupakan lateks sintesis. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pada
alergi lateks yang sejati pasien memperlihatkan tanda dan gejala anafilastik
yaitu:</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hipotensi
akibat vasodilatasi dan peningkatan permiabilitas sekunder</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Takikardi
yang terjadi sekunder karena hipotensi</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Urtikaria
dan pruritus </span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kesulitan
bernafas, broncospasme, mengi dan stridor yang terjadi sekunder karena
bronkonstriksi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Angioedema
akibat peningkatan permiabilitas vaskuler danpembesaran air kedalam jaringan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lupus
Eritematosus</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lupus
eritematosus merupakan gangguan inflamasi kronis jaringan ikat yang muncul
dalam dua bentuk: lupus eritematosus discoid yang mengenai kulit saja dan
sistemik lupus eritematosus (SLE) yang menyerang lebih dari satu system organ
selain kulit serta bersifat fatal. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penyebab
SLE masih merupakn misteri tetapi bukti yang ada menunjukan factor-faktor
imunologi , lingkungan, hormonal, dan genetic yang saling terkait,
factor-faktor ini dapat meliputi:</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sters
fisik atau mental</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Infeksi
streptococcus atau virus</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Imunisasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kehamilan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Metabolism
estrogen yang abnormal</span></div>
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<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Terapi
dengan obat tertentu</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Umumnya
gejala klinis SLE meliputi : demam, penurunan berat badan, malaise, keluhan
mudah lelah, ruam, dan polliartralgia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Arthritis
rheumatoid</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Arthritis
rheumatoid merupakan penyakit inflamasi sistemik yang kronis dan terutama
menyerang persendianperifer serta otot-otot, tendon, ligament, dan pembuluh
darah yang ada disekitarnya. Penyebab infalamsi kronis yang menjadi cirri khas
Arthritis rheumatoid tidak diketahui. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Biasanya
Arthritis rheumatoid terjadi secara insidious dan pada dasarnya akan
menimbulkan tanda dan gejala yang tidak khas dan sebagian besar berhubungan
dengan reaksi inflamasi awal sebelum terjadinya reaksi inflamasi synovial. Tnda
gejala tersebut meliputi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluhan
cepat lelah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rasa
tidak enak badan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anoreksia
dan penurunan berat badan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Demam
derajat-rendah (subfebris) Yang persisten</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Limfadenopati
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gejala
artikuler yang tidak jelas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Urtikaria
dan Angioedema</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Urtikaria
lazimdikenal dengan istilah gelegata(biduran hives) merupakan reaksi kulit yang
bersifat episodic dan sembuh sendiri serta ditandai oleh bilur-bilur setempat
pada kulit yang dikelilini eritema. Angioedema merupakan erupsi subkutan dan
dermal yang menimbulkan bilur-bilur yang lebih dalm serta lebih besar (biasanya
pada tangan, kaki, bibir, alat genital,dan kelopak mata) dan pembengkakan yang
lebih difus pada jaringan subkutan yang longgar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Penyebab
dari reaksi ini meliputi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Alergi
terhadap obat, makanan, serangan serangga kadang-kadang allergen iritan (bulu
binatang dan kosmetik) yang memicu respon yang diantara immunoglobulin IgE
terhadap allergen protein meskipun obat-obat tertentu dapat menyebabkan
urtikaria tanpa respon IgE.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Stimulus
fisik eksternal seperti hawa dingin (biasanya pada dewasa muda) panas, air atau
cahaya matahari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaskulitis
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaskulitis
meliputi sejumlah besar gangguan yang ditandai oleh inflamasi dan nekrosis pada
pembuluh darah. Efek klinis bergantung pada pembuluh darah yang terlibat dan mencermikan
iskemik jaringan yang disebabkan oleh obstruksi aliran darah.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Vaskulitis
dikaitkan dengan riwayat penyakit infeksi yang serius seperti hepatitis B atau
endokarditis bakterialis dan dengan terapi antibiotic dosis tinggi. Efek klinis
yang ditimbulakan vaskulitis dan pemeriksaan laboratorium untuk memastikan
gangguan ini bergantung pada pembuluh darah yang terkena.</span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-88192332873859558182013-12-22T07:05:00.000-08:002013-12-22T07:05:10.575-08:00<div style="text-align: justify;">
</div>
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<w:LsdException Locked="false" Priority="71" SemiHidden="false"
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<w:LsdException Locked="false" Priority="73" SemiHidden="false"
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/* Style Definitions */
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{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
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mso-style-noshow:yes;
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mso-bidi-theme-font:minor-bidi;
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<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1048"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
<o:rules v:ext="edit">
<o:r id="V:Rule1" type="connector" idref="#_x0000_s1042"/>
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</div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">Asuhan Keperawatan</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">Thalasemia</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pengkajian </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Identitas
Klien</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nama<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>: Anak R</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Umur<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>: 3,5 tahun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 92.15pt 120.5pt 134.7pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jenis Kelamin<span style="mso-spacerun: yes;">
</span>: Laki-laki</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Status
Perkawinan :belum kawin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pendidikan<span style="mso-spacerun: yes;"> </span>: Belum sekolah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pekerjaan<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;">
</span>: Belum bekerja</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Agama<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>: Islam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">No.
Medrek<span style="mso-spacerun: yes;"> </span>: 240057</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tgl
Masuk <span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>: 11 desember 2013</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tgl
Pengkajian<span style="mso-spacerun: yes;"> </span>: 11 desember 2011</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnose
Medis<span style="mso-spacerun: yes;"> </span>: Thalasemia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Identitas
Penanggung Jawab</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nama<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>: Ny. E</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Umur<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>: 37 tahun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jenis
Kelamin<span style="mso-spacerun: yes;"> </span>: Perempuan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pendidikan<span style="mso-spacerun: yes;"> </span>: SD</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pekerjaan<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;">
</span>: Ibu Rumah Tangga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hubungan
Dengan Klien: Ibu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Alamat<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>: Lumbung </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Riwayat
Penyakit</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluhan
utama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Orang
tua klien mengatakan bahwa klien lemah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Riwayat
Penyakit Sekarang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga
klien mengatakan bahwa klien lemah, pucat, sering pusing bila telat melakukan
tranfusi. Apabila pusing sering di ikuti dengan adanya mimisan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Riwayat
Penyakit dahulu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga
Klien mulai mengetahui penyakit thalasemia dari usia klien 13 bulan dan mulai
tranfusi darah dari usia klien 13 bulan. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Riwayat
Penyakit keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kelurarga
klien mengatakan tidak ada keluarga klien yang menderita penyakit yang sama dengan klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Genogram
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keterangan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>: Ayah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>: Ibu </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span><span lang="EN-US"></span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>: Anak perempuan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>: Anak laki-laki </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span>: Klien yang menderita penyakit
thalasemia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Riwayat
Aktivity daily living</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 3.3pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.4pt;" valign="top" width="41">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">No</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.45pt;" valign="top" width="254">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kebutuhan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.85pt;" valign="top" width="313">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keadaan saat ini</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.4pt;" valign="top" width="41">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.45pt;" valign="top" width="254">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nutrisi </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">BB/TB</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diet </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kemampuan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mengunyah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Menelan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Batuan total/ sebagian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Frekuensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Porsi makan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Makanan yang menimbulkan alergi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Makanan yang disukai </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.85pt;" valign="top" width="313">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">BB klien 11kg dan TB 92Cm</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan tidak ada makanan yang di batasi, hanya
klien tidak menyukai bubur.dan mrngurangi makanan yang kadar zat besinya
tinggi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien dapat mengunyah dengan baik </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien dapat menelan dengan baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien dapat makan sendiri atau dengan
bantuan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan bahwa klien makan 3-4 x sehari </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Satu porsi habis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan Tidak ada makanan yang menimbulkan alergi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan Semua jenis makanan terutama makan buah-buahan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.4pt;" valign="top" width="41">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2 </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.45pt;" valign="top" width="254">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cairan </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intake</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Oral </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">jenis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">jumlah……cc/hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">bantuan total/sebagian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intravena</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jenis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jumlah…..ccc/hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Output</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jenis</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jumlah……cc/hari</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.85pt;" valign="top" width="313">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Air putih, air teh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien sering minum air putih kurang lebih
sebanyak 1100 cc/hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga Klien mengatakan dapat minum tanpa bantuan keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">NaCl dan transfusi darah PRC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">NaCl 100cc dan tranfusi darah PRC 250 cc</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Urine, feses, keringat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kurang lebih 1000cc/hari</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.4pt;" valign="top" width="41">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">3 </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.45pt;" valign="top" width="254">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Eliminasi</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">BAB</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Frekuensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsistensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Warna</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluhan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bantuan total/sebagian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">BAK</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Frekuensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsistensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Warna</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluhan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bantuan total/sebagian</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.85pt;" valign="top" width="313">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien BAB 1 atau 2 x sehari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klen BAB dengan feses lembek berbentuk</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klen BAB dengan warna Kuning </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien tidak ada keluhan pada saat BAB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien BAB tanpa bantuan anggota keluarga
klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluraga klien mengatakan klien BAK 4-6 x sehari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien BAK dengan urine encer</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien BAK dengan warna kuning</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien tidak ada keluhan sewaktu BAK</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien dapat BAK sendiri tanpa bantuan
keluarga</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.4pt;" valign="top" width="41">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">4 </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.45pt;" valign="top" width="254">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Istirahat Tidur</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lama tidur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kesulitan memulai tidur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gangguan tidur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kebiasaan sebelum tidur</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.85pt;" valign="top" width="313">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien tidur selama kurang lebih 10 jam di
rumah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien tidak ada kesulitan untuk memulai
tidur </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien tidak ada gangguan saat tidur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien tidak ada kebiasaan sebelum tidur</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.4pt;" valign="top" width="41">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">5</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.45pt;" valign="top" width="254">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Personal hygiene</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mandi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Frekuensi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bantuan total/sebagian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 30.05pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo4; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kebiasaan mandi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gosok gigi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Cuci rambut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Gunting kuku</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ganti pakaian</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.85pt;" valign="top" width="313">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien mandi 2 X sehari </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien dapat mandi sendiri kadang dengan
bantuan keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien tidak memiliki kebiasaan saat mandi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien gosok gigi 2x sehari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien cuci rambut 2 hari sekali </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien gunting kuku apabila kuku panjang
dengan bantuan keluarga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan klien ganti pakaian setiap setelah mandi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 30.4pt;" valign="top" width="41">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">6 </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.45pt;" valign="top" width="254">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Aktivitas </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mobilisasi fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Olah raga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rekreasi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 234.85pt;" valign="top" width="313">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan mobilitas fisik klien baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan Klien tidak melakukan olahraga hanya main
dengan kakaknya atau teman kakaknya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga klien mengatakan Klien tidak pernah melakukan rekreasi hanya
bermain dengan kakak</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Data
Psikososial</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien
tampak sedikit rewel ketika sedang transfuse dan menangis saat pemasangan IV
kateter. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Data
Sosial</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keluarga
klien mengatakan klien sering enggan diam<span style="mso-spacerun: yes;">
</span>di dalam ruangan perawatan , keluarga klien mengatakan sejak kecil klien
di asuh oleh keluarga, klien dapat berkomunikasi dengan baik dengan keluarga,
petugas di rumah sakit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Data
spiritual</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien
belum dapat melakukan ibadah, klien masih belajar melakukan ibadah dan belajar
mengaji iqra.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pemeriksaan
fisik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keadaan umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -7.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Temperatur <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>:
35,8</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -7.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Puls<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>:68
x/menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -7.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Respirasi<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>: 24 x/menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -7.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Spignomanometer : tidak di ukur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -7.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lingkar kepala<span style="mso-spacerun: yes;">
</span>: 46,5 cm</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -7.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Lingkar lengan atas: 12 cm</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify; text-indent: -7.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kesadaran:composmetis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem Panca indera</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 7.1pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien dapat melihat dengan normal, klien mengatakan
sering mimisan apabila terasa pusing, konjungtiva anemis, tidak ada kelainan
pada mata, hidung , telinga, dan panca indera yang lainnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem kardiovaskuler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bentuk
dada simetris, tidak ada bunyi jantung tambahan, tidak ada pembesaran vena
jugularis dan tidak ada edema.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem pernapasan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dada
simetris, pernafasan normal, ada batuk.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem pencernaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 49.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">BAB normal,
bising usus normal </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">8 </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">/menit,
peristaltic usus baik, belum ada pembesaran limfa.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem endokrin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tidak
ada pembessasaran kelenjar getah bening, tidak ada pembesaran kelenjar tyroid,
dan tidak mengeluarkan keringat berlebihan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem integument dan imunitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Akral
teraba hangat, kulit kering, kapilari time kurang dari 3 detik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem musculoskeletal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dapat
mengerakan otot kaki dan tangan, tidak mengalami kelumpuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem genitouria</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">BAK normal, bersih, bentuk simetris dan tidak ada
kelainan serta keluhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo10; tab-stops: 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Sistem persyarapan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien tidak peran mengalami tremor atau kejang-kejang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 49.65pt; text-align: justify; text-indent: -21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Data
Penunjang</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 19.6pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jenis Pemeriksaan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Nilai normal dan satuan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hasil</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Keterangan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hemoglobin (HGB)</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">P: 12-16 g/dl</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">L: 14-18 g/dl</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">7,7 g/dl</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">menurun</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hematokrit (HCT)</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">P: 35-45 %</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">L: 40-50 %</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">23,1 %</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">menurun</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jml. Leukosit (WBC)</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Dewasa: 5-10 10^3/ul</span></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Bayi: 7-17 10^3/ul</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">7,1 10^3/ul</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Normal</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.5pt;" valign="top" width="161">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jml.trombosit (PLT)</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">150-350 10^3/ul</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">249 10^3/ul</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Normal</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Analisa Data</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 black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 590px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.6pt;" valign="top" width="38">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">No </span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 149.05pt;" valign="top" width="199">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Data </span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.55pt;" valign="top" width="179">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 130.55pt;" valign="top" width="174">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Masalah</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.6pt;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 149.05pt;" valign="top" width="199">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ds: keluarga klien mengatakan klien terlihat lemah
dan pucat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Do: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Hemoglobin dibawah normal yaitu 7,7 g/d</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien tampak lemah dan pucat</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.55pt;" valign="top" width="179">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Kekurangan hemoglobin dalam darah menyebabkan tidak
seimbangnya kebutuhan dan pemakaian oksigen serta suplay darah sehingga
menyebabkan klien tampak lemah dan pucat</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 130.55pt;" valign="top" width="174">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intoleransi aktivitas </span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.6pt;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 22.95pt; margin-right: 101.35pt; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo12; tab-stops: 8.8pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 149.05pt;" valign="top" width="199">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Ds: keluarga klien mengatakan kulitnya pucat, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Do: klien tampak pucat, akral hangat, konjungtiva
anemis, Hb 7,7 g/dl</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.55pt;" valign="top" width="179">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Berkurangnya komponen seluler yang penting untuk
menghantarkan oksigen/ zat nutrient ke sel</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 130.55pt;" valign="top" width="174">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perubahan perfusi jaringan</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnose Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
perfusi jaringan berhubungan dengan berkurangnya komponen seluler yang penting
untuk menghantarkan oksigen/zat nutrisi ke sel ditandai klien dengan klien
pucat, dan klien tampak pucat, akral hangat dan Hemoglobin 7,7 g/dl</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo11; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intoleransi
aktivitas berhubungan dengan ketidakseimbangan kebutuhan pemakaian kebutuhan
pemakaian dan suplay darah ditandai dengan klien mengeluh lemah dan pucat,
hemoglobin di bawah 7,7 g/dl</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi Keperawatan</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: -8.8pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 652px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">No</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.45pt;" valign="top" width="138">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnose</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 89.05pt;" valign="top" width="119">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Tujuan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.1pt;" valign="top" width="179">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.1pt;" valign="top" width="179">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.45pt;" valign="top" width="138">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
perfusi jaringan berhubungan dengan berkurangnya komponen seluler yang
penting untuk menghantarkan oksigen/zat nutrisi ke sel ditandai klien dengan
klien pucat, dan klien tampak pucat, akral hangat dan Hemoglobin 7,7 g/dl</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 89.05pt;" valign="top" width="119">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">setelah dilakukan tindakan keperawatna selama 2 x 2 jam perfusi jaringan
klien adekuat dengan criteria: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 23.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membrane
mukosa merah muda</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 23.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konjungtiva
tidak anemis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 23.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akral
hangat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 23.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo16; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV dalam
batas normal</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.1pt;" valign="top" width="179">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 16.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
tanda-tanda vital, pengisian kapiler, warna kulit dan membrane mukosa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 16.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tinggikan
posisi kepala tampat tidur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 16.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periksa
adanya keluhan nyeri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 16.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat
keluhan rasa dingin</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 16.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertahankan
suhu lingkungan dan tubuh hangat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.1pt;" valign="top" width="179">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 12.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">perubahan
tanda-tanda vital, warna kulit dan membrane mukosa menunjukan tanda perfusi
jaringan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 12.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">meningkatkan
ekspansi paru dan memaksimalkan oksigen untuk kebutuhan seluler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 12.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">iskemia
seluler mempengaruhi jaringan miokardial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 12.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">vasokontriksi
ke organ vital menurunkan sirkulasi perifer</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 12.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo18; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memaksimalkan
transfer oksigen ke jaringan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.45pt;" valign="top" width="138">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intoleransi aktivitas berhubungan dengan ketidakseimbangan kebutuhan
pemakaian kebutuhan pemakaian dan suplay darah ditandai dengan klien mengeluh
lemah dan pucat, pusing, Hb di bawah 7,7 g/dl</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 89.05pt;" valign="top" width="119">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Setelah dilakukan tindakan keperawatan selama 2x30 menit klien toleran
aktifitas dengan criteria: kebutuhan ADL terpenuhi tanpa rasa lemah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.1pt;" valign="top" width="179">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo14; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
kemampuan anak dalam melakukan aktvitas/memenuhi ADL</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo14; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
tanda-tanda vital, respon fisiologi selama, setelah melakukan aktifitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo14; text-align: justify; text-indent: -15.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
informasi pada anak/keluarga untuk berhenti melakukan aktivitas jika terjadi
peningkatan tanda-tanda vital atau pusing</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.1pt;" valign="top" width="179">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Aktifitas berlebih dapat membuat penderita thalasemia cepat lelah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">manifestasi
kardipulmonal dari upaya jantung dan paru untuk membawa jumlah oksigen
adekuat ke jaringan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 10.0pt; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo15; tab-stops: 21.3pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">informasi yang jelas dapat membuat keluarga lebih mengerti terhadap
kondisi klien</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo19; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Implementasi Keperawatan dan Evaluasi</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: -1.7pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 1184; width: 624px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">No</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Diagnose</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: EN-US;">Implementasi</span></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div align="center" class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Evaluasi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1. </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan perfusi jaringan berhubungan dengan berkurangnya komponen
seluler yang penting untuk menghantarkan oksigen/zat nutrisi ke sel ditandai
klien dengan klien pucat, dan klien tampak pucat, akral hangat dan Hemoglobin
7,7 g/dl</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jam 09.00 tanggal 11 Desember 2013</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
tanda-tanda vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memonitor pengisian
kapiler, warna kulit dan membrane mukosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memberikan
transfuse sesuai advis dokter </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jam 10.20 tanggal 11 Desember 2013</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">TTV dalam batas normal dengan hasil:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">T: 35,8</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">P: 68x/ menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">R: 24 x/ menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Warna klien tampak pucat dan mukosa bibir kering.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konjungtiva tidak anemis</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 28.4pt;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">2.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Intoleransi aktivitas berhubungan dengan
ketidakseimbangan kebutuhan pemakaian kebutuhan pemakaian dan suplay darah
ditandai dengan klien mengeluh lemah dan pucat, pusing, Hb di bawah 7,7 g/dl</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 163.0pt;" valign="top" width="217">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jam 10.20 tanggal 11 Desember 2013</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">mengkaji
kemampuan anak dalam melakukan aktvitas/memenuhi ADL</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memonitor
tanda-tanda vital, respon fisiologi selama, setelah melakukan aktifitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">memberi
informasi pada anak/keluarga untuk berhenti melakukan aktivitas jika terjadi
peningkatan tanda-tanda vital atau pusing</span></div>
</td>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Jam 10.30 tanggal 11 Desember 2013</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien dapat memenuhi ADL lebih baik.</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">TTV dalam batas normal dengan hasil:</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">T: 35,8</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">P: 68x/ menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">R: 24 x/ menit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konjungtiva anemis</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klien berhenti melakukan aktivitas bila terasa lelah
atau pusing</span></div>
</td>
</tr>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Megetahui</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Mahasiswa <span style="mso-tab-count: 8;"> </span>CI
Pembimbing</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;"> </span><u>Lisnawati </u><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 6;"> </span><span style="mso-spacerun: yes;"> </span><u>Dini Andini, AMK</u></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 21.3pt; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"><span style="mso-spacerun: yes;">
</span>NIM.12SP277026<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 6;"> </span><span style="mso-spacerun: yes;"> </span>NIP.197910082002122002</span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-86332048660221494282013-12-22T06:57:00.002-08:002013-12-22T06:59:24.310-08:00thalasemia<!--[if !mso]>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">LAPORAN PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">THALASEMIA</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
Dasar</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -21.25pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Anatomi Fisiologi Darah</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Darah adalah suatu jaringan tubuh yang terdapat
didalam pembuluh darah yang berwarna merah. Warna merah itu tidak tetap
tergantung pada banyaknya O<sub>2 </sub>dan CO<sub>2</sub> didalamnya. Darah
yang banyak mengndung CO<sub>2 </sub>warnanya merah tua. Adanya O<sub>2</sub>
dalam darah diambil dengan jalan bernafas dan berguna untuk metabolism di dalam
tubuh, banyaknya kira-kira 4 sampai 5 liter BJ 1,041-1,067 dengan temperature
38</span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>dan pH 7,37-7,45. Fungsi darah yaitu sebagai
zat pengangkut, pertahanan tubuh terhadap serangan bibit penyakit dan racun
yang akan membinasakan tubuh dengan perantaraan leukosit, menyebarkan panas ke
seluruh tubuh. Bagian darah; air 91%, protein 3% (albumin, globulin, protombulin,
dan fibrinogen), mineral; 1,9%, bahan organic 0,1%.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Jika darah di lihat begitu saja maka ia merupakan zat
cair yang berwarna merah, tetapi apabila dilihat dibawah mikroskop maka
nyatalah bahwa darah terdapat benda-benda kecil bundar yang disebut sel-sel
darah. Sedangkan cairan berwarna kekunining-kuningan disebut plasma. Jadi
nyatalah bahwa bahwa darah terdiri dari 2 bagian yaitu : sel darah merah
terdiri dari tiga bagian eritrosit, leukosit, trombosit dan plasma darah. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Eritrosit (sel darah merah), bentuknya seperti
cakram/bikonkaf dan tidak mempunyai inti ukurannya kira-kira 7,7 unit (0,007
mm) diameter warnanya kuning ke merah-merahan, karena didalamnya mengandung
suatu zat yang disebut hemoglobin, warna ini akan bertambah merah jika
didalamnya banyak mengandung O<sub>2</sub>. Fungsinya, mengikat dari paru-paru
untuk diedarkan keseluruh jaringan tubuh dan mengikat CO<sub>2</sub> dari
jaringan tubuh untuk dikeluarkan melalui paru-paru. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Peningkatan O<sub>2</sub></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> dan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">CO<sub>2</sub>
ini dilakukan oleh hemoglobin yang telah bersenyawa dengan O<sub>2</sub> disebut
oksigen hemoglobin ( Hb + O<sub>2<span style="mso-spacerun: yes;"> </span></sub></span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">HbO<sub>2 </sub>)
jadi O<sub>2 </sub>diangkat dari seluruh tubuh sebagai oksihemoglobin yang
nantinya setelah tiba di jaringan, akan dilepas HbO<sub>2<span style="mso-spacerun: yes;"> </span></sub></span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Hb + O<sub>2 </sub>dan
seterusnya Hb tersebut akan mengikat dan bersenyawa dengan CO<sub>2</sub> dan
disebut karbindioksida hemoglobin ( Hb + CO<sub>2</sub></span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><sub><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span></span></sub><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">HbCO<sub>2</sub> dan CO<sub>2</sub> tersebut akan
dilepas di paru-paru. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Tempat pembuatan sel darah merah dalam tubuh yaitu sum-sum
tulang merah, limpa, dan hati. Yang kemudian akan beredar dalam tubuh selama
14-15 hari, setelah itu akan mati. Hemoglobin yang keluar dari eritrosit yang
mati akan terurai menjadi 2 zat yaitu hamatin yang mengandung Fe yang berguna
untuk pembuatan eritrosit baru dan hemoglobin yaitu suatu yang terdapat dalam
eritrosit yang berguna untuk menikat O<sub>2 </sub>dan CO<sub>2 </sub>. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Jumlah normal pada orang dewasa kira-kira 11,5-15 gram
dalam 100cc darar. Normal Hb wanita 11,5 mg% dan Hb laki-laki 13,0 mg%. di
dalam tubuh banyaknya sel darah merah ini bisa berkurang, demikian juga
banyaknya hemoglobin dalam sel darah merah, apabila kedua-duanya berkurang maka
keadaan ini disebut anemia, yang biasanya hal ini disebabkan oleh pendarahan
yang hebat, hama-hama penyakit yang menghanyutkan eritrosit dan tempat
pembuatan eritrosit sendiri terganggu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Ketika sel darah merah dihantarkan dari sum-sum tulang
masuk kedalam system sirkulasi, maka secara normal rata-rata akan bersirkulasi
selama 120 hari sebelum rusak. Walaupun sel darah merah matur tidak mempunyai
inti, mitokondria dan reticulum endoplasma, namun sebelumnya mereka mempunyai
enzim-enzim sitoplasmatik yang mampu mengadakan metabolisme glukosa dan
membentuk sedikit adenosine trifosfat dan khususnya sedikit nikotinamid-adenin
dinukleotida fosfat (NADPH). Selanjutnya NADPH melayani sel darah merah dalam
beberapa hal penting, yakni: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Mempertahankan
kelenturan membrane sel </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Mempertahankan
pengangkutan ion-ion melalui membrane </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Mempertahankan
besi hemoglobin sel agar tetap dalam bentuk fero, daripada bentuk feri (yang
menyebabkan terbentuknya methemoglobin yang tidak akan mengakut oksigen) </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Mencegah
oksigen protein dalam sel darah merah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">System metabolic dalam sel darah merah ini makin lama
makin kurang aktif, dan sel semakin rapuh.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Begitu membrane sel menjadi rapuh,maka sel bisa robek
sewaktu melewati tempat-tempat yang sempit dalam sirkulasi. Dalam limpa akan
dijumpai banyak sekali pecahan seldarah merah, karena sel-sel ini terperas
sewaktu melewati pulpa merah lienalis. Ruangan diantara struktur trabekula
pulpa merah, yang harus dilalui oleh sebagian besar sel, lebarnya hanya 3 mikrometer,
dibandingkan dengan sel darah yang berdiameter 8 mikrometer. Bila limpa
diangkat, maka dalam darah sirkulasi terjadi peningkatan jumlah sel darah merah
abnormal dan yang sudah tua.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Penguraian hemoglobin. Hemoglobin yang dilepas sewaktu
sel darah merah pecah, akan segera difagosit oleh sel-sel makrofag di hamper
seluruh tubuh, terutama dihati (sel-sel kupffer), limpa, dn smu-sum tulang.
Selama beberapa jam atau beberapa hari sesudahnya, makrofag akan melepaskan
besi yang didapat dari hemoglobin yang masuk kembali kedalam darah dan diangkut
oleh transferin menuju sum-sum tulang untuk membentuk sel darah merah baru,
atau menuju hati dan jaringan lainnya untuk disimpan dalam bentuk feritin.
Bagian porfirin dari molekul hemoglobin di ubah oleh sel-sel makrofag melalui
serangkaian tahapan menjadi pigmen empedu.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Definisi
Thalasemia</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia berasal dari kata yunani, yaitu thalassa
yang berarti laut. Yang dimaksud laut tersebut adalah laut tengah, karena
penyakit ini mula-mula ditemukan di sekitar laut tengah. Thalasemia merupakan
kelainan genetic yang di tandai oleh penurunan atau tidak adanya sintesis atau
beberapa rantai polipeptida globin (Soegijanto S, 2004).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia adalah sekelompok penyakit atau keadaan
herediter dimana produksi satu atau lebih dari satu jenis rantai polipeptida
terganggu. Secara garis besar sindrom thalasemia dibagi dalam dua golongan
besar yaitu jenis alfa dan beta sesuai kelainan berikutnya produksi rantai
polipeptida. Thalasemia berbeda dengan abnormal. Pada thalasemia letak salah
satu asam amino rantai polipeptida berbeda urutannya atau di tukar dengan jenis
asam amino lainnya. Gabungan antara thalasemia dengan Hb normal mungkin berupa
Hb S, Hb C, Hb D, dan Hb E yang terakhir ini sering terdapat di </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Penderita thalasemia tidak mampu memproduksi salah
satu dari protein tersebut dalam jumlah yang cukup, sehingga sel darah merahnya
tidak terbentuk dengan sempurna. Akibatnya hemoglobin tidak dapat mengankut
oksigen dalam jumlah yang cukup. Hal ini mengakibatkan anemia yang dimulai
sejak usia anak-anak hingga sepanjang hidup penderitanya. Thalasemia diturunkan
oleh orang tua yang carrier kepada anaknya. Sebagai conto, jika ayah dan ibu
memiliki gen pembawa sifat thalasemia adalah sebesar 50%,<span style="mso-spacerun: yes;"> </span>kemungkinan menjadi penderita thalasemia
mayor 25% dan kemungkinan menjadi anak normal yang bebas thalasemia hanya 25%
(mambo, 2009).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Etiologi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia alfa disebabkan oleh delegasi gen (terhapus
karena kecelakaan genetic) yang<span style="mso-spacerun: yes;"> </span>mengatur
produksi tetramer globin, sedangkan thalasemia beta karena adanya mutasi gen
tersebut. Individu normal yang mempunyai 2 gen alfa yaitu alfa thal 2 dan alfa
thal 1 terletak pada tiap bagian pendek kromosom 16 (aa/aa). Hilangnya 1 gen (<i style="mso-bidi-font-style: normal;">slient carrier</i>) tidak memberikan gejala
klinis sedangkan hilangnya 2 gen hanya memberikan manifestasi ringan atau tidak
memberikan gejala klinis yang jelas. Hilangnya 3 gen (penyakit Hb H) memberikan
anemia moderat dan gambaran klinis thalasemia alfa intermedia. Afinitas Hb H
terhadap oksigen sangat terganggu dan destruksi eritrosit lebih cepat. Delesi
ke 4 gen alfa (homosigot alfa thal 1, Hb Barts hydrops fetails) adalah tidak
kompatibel dengan kehidupan akhir intra-uterin atau neonatal, tanpa tranfusi
darah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Gen yang mengatur produksi rantai beta terletak di
sisi pendek kromosom 11. Pada thalasemia beta, mutasi gen disertai berkurangnya
produksi mRNA dan berkurangnya sintesis globin dengan struktur normal.
Dibedakan 2 golongan besar thalasemia beta:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Ada
produksi sedikit rantai beta (tipe beta plus)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Tidak
ada produksi rantai beta ( tipe beta nol)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Deficit sintesis
globin beta hamper parallel dengan deficit globin beta mRNA berfungsi sebagai
template untuk sintesis protein. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Klasifikasi
Thalasemia</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Secara garis besar, thalasemia dibagi dalam dua
kelompok besar yaitu thalasemia alfha dan thalasemia beta sesuai dengan
kelainan berkurangnya produksi rantai polipeptida (Jones H, 1995).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
alpha</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 13.6pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia alpha biasanya disebabkan oleh delesi
(penghapusan) gen. secara normal terdapat empat buah gen globin alpha, oleh
sebab itu beratnya penyakit secara klinis dapat digolongkan menurut jumlah gen
yang tidak ada atau tidak aktif. Thalasemia dibagi menjadi(PMI Jatim, 2007) :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Slient
Carrier State (gangguan pada satu rantai globin alpha)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 16.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Kelainan yang disebabkan oleh kurangnya protein alpha.
Tetapi kekurangan hanya dalam tahap rendah. Akibatnya fungsi hemoglobin dalam
eritrosit tampak normaldan tidak terjadi gejala klinis yang signifikan. Slient
Carrier baru terdeteksi ketika memiliki keturunan yang mengalami kelainan
hemoglobin atau timbul thalasemia alfa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
Alpha Trait (gangguan pada 2 rantai globin alpha)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 16.85pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia alpha trait sering tidak bersamaan dengan
anemia, tetapi volume eritrosit rata-rata (MCV),<span style="mso-spacerun: yes;"> </span>hemoglobin eritrosit rata-rata (MCH), dan
konsentrasi eritrosit rata-rata (MCMH) semuanya rendah dan perhitungan sel
darah merah di atas 5,5 x 10<sup>12</sup>/L. Elektroforesis hemoglobin normal
tetapi kadang-kadang benda hemoglobin H dapat diamati dalam sel darah merah
yang diisolasi pada sediaan retikulosit dan pemeriksaan ratio sintesis rantai </span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>diperlukan untuk kepastian diagnosis. ratio</span><span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 115%; mso-ansi-language: IN; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin; mso-text-raise: -5.5pt; position: relative; top: 5.5pt;">
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"><span style="mso-spacerun: yes;"> </span>normal 1 : 1 dan ini berkurang pada thalasemia
alpha. Penderita hanya mengalami anemia kronis yang ringan dengan sel darah
merah yang tampak pucat (hipokrom) dan lebih kecil dari normal
(mikrositer)(Hoffbrand A,1996).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Hemoglobin
H disease (gangguan pada 3 rantai globin alpha)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Delesi
tiga gen alpha menyebabkan anemia mikrrositik hipokrom yang cukup berat
(hemoglobin 7-11 g/dl) disertai pembesaran limpa (splenomegali). Keadaan ini
dikenal sebagai penyakit hemoglobin H karena hemoglobin H dapat dideteksi dalam
eritrosit pasien melalui pemeriksaan elektroforesis atau persediaan retikulosit
(Supandiman I, 2007). Gambaran klinis dari penderita dapat bervariasi dari
tidak ada gejala sama sekali, hingga anemia yang berat yang disertai dengan
splenomegali (PMI Jatim, 2007).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
alpha major (gangguan pada 4 rantai globin alpha)</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
tipe inimerupakan kondisi yang paling berbahaya pada thalasemia tipe alpha.
Pada kondisi ini tidak ada rantai globin yang dibentuk sehingga tidak ada
hemoglobin A atau hemoglobin F yang diproduksi. Pada awal kehamilan biasanya
janin yang menderita thalasemia alpha major mengalami anemia, membengkan karena
kelebihan cairan(hydrops fetalis), pembesaran hati dan limpa. Janin yang
menderita kelainan ini biasanya mengalami keguguran atau meninggal tidak lama
setelah dilahirkan (Jones H, 1995).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
Beta</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia beta merupakan kelainan yang disebabkan
oleh kurangnya produksi protein beta, thalasemia beta terjadi jika terjadi
mutasi pada ssatu rantai atau dua rantai globin yang ada.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 20.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia beta dibagi menjadi (PMI Jatim, 2077)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
Beta Trait (Minor)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
Beta Trait (Minor) merupakan kelainan yang diakibatkan kekurangan protein beta.
Namun, kekuranganya tidak terlalu signifikan sehingga fungsi tubuh dapat
normal. Gejala terparahnya hanya berupa anemia ringan sehingga dokter sering
kali salah mendiagnosis. Penderita thalasemia minor sering didiagnosis
mengalami kekurangan zat besi. Individu yang memiliki gejala seperti ini akan
membawa kelainan genetiknya tersebut untuk diturunkan pada keturunanya kelak.
Penderita thalasemia trait (minor) merupakan carrier pada thalasemia beta.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
Intermedia</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pada
kondisi ini kedua gen mengalami mutasi tetapi masih bisa memproduksi sedikit
rantai beta globin. Penderita biasanya mengalami anemia yang derajatnya
tergantung dari mutasi gen yang terjadi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Anemia,
pengapuran dan pembesaran pembuluh darah merupakan gejala yang ditimbulkan oleh
kekurangan protein beta dalam jumlah yang cukup signifikan. Rentang gejala
thalasemia intermedia dengan thalasemia mayor hamper mirip sehingga penderita
sering memperoleh kerancuan diagnosis. Indicator yang sering menjadi acuan
adalah jumlah tranfusi darah yang diberikan pada penderita. Semakin sering
penderita menerima darah transfuse, maka dapat dikategorikan sebagai thalasemia
mayor. Tranfusi darah pada penderita thalasemia intermedia ditujukan untuk
memperbaiki kualitas hidup, bukan mempertahankan hidup.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Thalasemia
Major (Cooley’s anemia)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Kelainan
serius yang disebabkan karena tubuh sangat sedikit memproduksi protein beta
sehingga hemoglobin yang terbentuk akan cacat atau abnormal. Penderitanya akan
merasakan gejala anemia akut sehingga selalu membutuhkan transfusi darah dan
perawtan kesehatan secara rutin dan terus menerus. Frekuensi pemberian
transfusi darah sebaiknya sekitar 2-3 minggu. Namun, seringnya transfusi akan menyebabkan
penderita kelebihan zat besi dalam tubuhnya sehingga dapat menyebabkan gagal
organ. Oleh karena itu, penderita thalasemia major juga harus menjalani terapi.
Pada kondisi ini kedua gen mengalami mutasi sehingga tidak dapat memproduksi
rantai beta globin. Biasanya gejala muncul pada bayi berumur 3 bulan berupa
anemia yang berat (PMI Jatim, 2007).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 96.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Patofisiologi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Penyebab anemia pada pasien thalasemiif a bersifat
primer atau sekunder. Primer adalah berkurangnya sintesis HbA dan eritropoesis
yang tidak efektif disertai penghancuran sel-sel eritrosit intramedular.
Sedangkan yang sekunder adalah karena defisiensi asam polat, bertambahnya
volume plasma intravaskuler yang mengakibatkan hemodilusi, dan destruksi
eritrosit oleh system retikuloendotelial dalam limpa dan hati (mansjoer, A,
2003).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Penelitian biomolekuler menunjukan adanya mutasi DNA
pada gen sehingga pada produksi rantai alfa atau beta dari hemoglobin
berkurang. Terjadinya hemosiderosis merupakan hasil kombinasi antara tranfusi
berulang, peningkatan absorpsi besi dalam usus karena eritropoesis yang tidak
efektif, anemia kronis, serta proses hemolisis (mansjoer, A, 2003).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pada pasien dengan thalasemia terjadi penurunan
sintesis rantai globin (alfa dan beta) sehingga menyebabkan anemia karena
hemoglobinisasi eritrosit yang tidak efektif. Eritrosit yang normal dapat hidup
sampai 120 hari menjadi mudah rusak dan umur sel darah meah menjadi pendek
kurang dari 100 hari. Pasien dengan thalasemia alfa disebabkan karena penurunan
sintesis globin a, maka tidak menyebabkan perubahan pada presentase distribusi
hemoglobin A, A2 dan F thalasemia beta terjadi akibat penurunan atau tidak
adanya rantai globin b, hal ini disebabkan karena adanya mutasi. Mutasi ini
disebabkan prematuritas rantai atau gangguan dalam transkrip RNA dan dapat
menyebabkan defek yang menyebabkan ekspresi rantai globin disebut B. sedangkan
yang dapat menyebabkan penurunan sintesis disebut<span style="mso-spacerun: yes;"> </span>B penurunan rantai beta, menyebabkan rantai
alfa tidak stabil sehingga berakibat pada membrans eritrosit. Eritrosit mudah
rusak sebelum waktunya sehingga dapat menyebabkan anemia berat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Di sisi lain pemecahan hemoglobin akan menghasilkan
zat besi yang kemudian akan terjadi penimbunan pada hati, kulit dan limpa dan
pada waktu jangka waktu yang lama menimbulkan komplikasi yaitu kegagalan fungsi
organ seperti hati, endokrin dan jantung (Lawrence M, Tierney, 2003).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Manifestasi
Klinis</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pada thalasemia mayor gejala klinik telah terlihat
sejak anak berumur kurang dari satu tahun. Gejala yang nampak : </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Anak
lemah </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pucat
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Perkembangan
fisik tidak sesuai dengan umur</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Berat
badan kurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pada anak yang lebih besar gejala yang nampak : </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Sering
dijumpai adanya gizi buruk</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Perut
membuncit karena adanya pembesaran limpa dan hati yang mudah<span style="mso-spacerun: yes;"> </span>diraba. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Adanya
pembesaran limpa dan hati mempengaruhi gerak si pasien karena kemampuan
terbatas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Gejala lain (khas) :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Bentuk
muka yang mongoloid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Hidung
pesek mata lebar dan tulang dahi membesar disebabkan karena gangguan
perkembangan tulang muka dan tengkorak. (gambaran radiologis tulang
memperlihatkan medulla yang lebar, korteks tipis dan trabekula kasar)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Keadaan
kulit kekuning-kuningan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Jika
pasien, telah sering mendapatkan tranfusi darah kulit menjadi kelabu dengan
besi akibat penimbunan dalam jaringan kulit</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Penimbunan
besi dalam jaringan tubuh seperti pada hepar, limpa, jantung akan mengakibatkan
gangguan fungsi faal alat-alat tersebut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pemeriksaan
Diagnostik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Darah tepi :
kadar Hb rendah, retikulosit tinggi, jumlah trombosit dalam batas normal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hapusan
darah tepi : hipokrom mikrositer,anisofolkilositosis, polikromasia sel target,
normoblas.pregmentosit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi
sum-sum tulang : hyperplasia normoblastik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar besi
serum meningkat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bilirubin
indirect meningkat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar Hb Fe
meningkat pada thalassemia mayor</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar Hb A2
meningkat pada thalassemia minor</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Penatalaksanaan
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pengobatan pada penderita thalasemia dapat dilakukan
dengan beberapa cara yaitu (Permono, B, 2006):</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Medikamentosa</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian <i style="mso-bidi-font-style: normal;">iron
chelating agent (desferoxamine)</i> diberikan setelah kadar ferritin serum
sudah mencapai 1000 mg/l atau transferrin lebih 50%, atau sekitar 10-20 kali
transfuse darah. <i style="mso-bidi-font-style: normal;">Desferoxamine, </i>dosis
25-50 mg/kg berat bada/hari subkutan melalui pompa infus dalam waktu 8-12 jam
dengan minimal waktu selama 5 hari berturut setiap selesai transfuse darah.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vitamin C 100-250 mg/hari selama pemberian khelasi
besi, untuk meningkatkan efek khelasi besi.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asam folat 2-5 mg/hari untuk memenuhi kebutuhan yang
meningkat.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vitamin E 200-400 IU setiap hari sebagai antioksidan
dapat memperpanjang umur sel darah merah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Splenektomi </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Splenektomi
perlu dilakukan untuk mengurangi kebutuhan darah. Splenektomi harus ditunda
sampai pasien berusia > 6 tahun karena tingginya resiko infeksi pasca
splenektomi. Splenektomi dilakukan dengan indikasi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Limpa
yang terlalu besar, sehingga membatai gerak penderita, menimbulkan peningkatan
tekanan intra abdominal dan bahaya terjadi rupture. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Hipersplenisme
di tandai dengan peningkatan kebutuhan tranfusi darah atau kebutuhan suspense
eritrosit melebihi 250ml/kg berat badan dalam satu tahun.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Suportif
</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Pengobatan
paling umum pada penderita thalasemia adalah transfuse komponen sel darah
merah. Transfusi bertujuan untuk mensuplai sel darah merah sehat untuk
sementara waktu pada penderita. Transfusi darah yang teratur perlu dilakukan
untuk mempertahankan hemoglobin penderita di atas 10 g/dl setiap saat. Hal ini
biasanya membutuhkan 2-3 unit tiap 4-6 minggu. Dengan keadaan ini akan
memberikan supresi sumsum tulang yang adekuat, menurunkan tingkat akumulasi
besi dan dapat mempertahankan pertumbuhan dan perkembangan penderita. Pemberian
darah dalam bentuk packed red Cell (PRC), 3 ml/kg BB untuk setiap kenaikan
hemoglobin 1 g/dl. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">Komplikasi
</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada talasemia minor, memiliki </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-theme-font: minor-fareast;">gejala</span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> ringan dan hanya menjadi pembawa sifat. Sedangkan pada thalasemia mayor,
tidak dapat membentuk hemoglobin yang cukup sehingga harus mendapatkan tranfusi
darah seumur hidup. Ironisnya, transfusi darah pun bukan tanpa risiko.
"Risikonya terjadi pemindahan penyakit dari darah donor ke penerima,
misalnya, penyakit Hepatitis B, Hepatitis C, atau HIV. Reaksi transfusi juga
bisa membuat penderita menggigil dan panas.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Yang lebih berbahaya, karena memerlukan transfusi darah seumur hidup, maka
anak bisa menderita kelebihan zat besi karena transfusi yang terus menerus
tadi. Akibatnya, terjadi deposit zat besi. "Karena jumlahnya yang
berlebih, maka zat besi ini akhirnya ditempatkan di mana-mana." Misalnya,
di kulit yang mengakibatkan kulit penderita menjadi hitam. Deposit zat besi
juga bisa merembet ke jantung, hati, ginjal, paru, dan alat kelamin sekunder,
sehingga terjadi gangguan fungsi organ. Misalnya, tak bisa menstruasi pada anak
perempuan karena ovariumnya terganggu. Jika mengenai kelenjar ginjal, maka anak
akan menderita diabetes atau kencing manis. Tumpukan zat besi juga bisa terjadi
di lever yang bisa mengakibatkan kematian. "Jadi, ironisnya, penderita
diselamatkan oleh darah tetapi dibunuh oleh darah juga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi sering terjadi dan dapat berlangsung fatal pada masa anak-anak.
Pada orang dewasa menurunnya faal paru dan ginjal dapat berlangsung progresif
kolelikiasis sering dijumpai, komplikasi lain seperti: Infark tulang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nekrosis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aseptic kapur femoralis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asteomilitis (terutama salmonella)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, </span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hematuria sering berulang-ulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan
primer</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan
primer adalah mencegah seseorang untuk tidak menderita thalasemia ataupun
menjadi carrier thalasemia yaitu dengan konseling genetic pranikah. Untuk
mencegah perkawinan di antara pasien thalasemia agar tidak mendapatkan
keturunan yang homozigot atau varian thalasemia dengan mortalitas tinggi.
Perkawinan antara 2 heterozigot (carrier) menghasilkan : 25% thalasemik
(homozigot), 50% carrier (heterozigot) dan 25% normal (genie, 2004). </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan
sekunder </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan
sekunder pada penderita thalasemia dilakukan dengan cara (Genie, 2004): </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis
prenatal </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis
prenatal ditunjuka pada pasangan carrier dan bagi pasangan beresiko lainnya
yang telah mempunyai bayi thalasemia. Tujuan dari diagnosis prenatal adalah
untuk mengetahui sedini mungkin apakah janin apakah janin yang di kandung
menderita thalasemia mayor atau tidak.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skiring </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Skiring
merupakan pemantauan perjalanan penyakit dan pemantauan hasil terapi yang lebih
akurat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-ID" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-ID; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tranfusi
darah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemberian
tranfusi darah berupa sel darah merah sampai kadar hemoglobin sekitar 11 g/dl.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan
tersier </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan
tersier adalah mengurangi ketidakmampuan dan mengadakan rehabilitasi bagi
penderita thalasemia. Dengan mendirikan pusat rehabilitasi medis bagi penderita
thalasemia.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asuhan Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Identitas</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nama, umur (kebanyakan terjadi pada anak-anak), jenis
kelamin, pendidikan, alamat, pekerjaan, agama, suku bangsa (banyak dijumpai
pada bangsa disekitar laut tengah/mediterania), tanggal dan jam masuk rumah
sakit, nomer register, diagnosis medis </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan
utama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluhan utama yang sering menjadi alasan klien untuk
meminta pertolongan kesehatan adalah Pasien biasanya lemah, sesak nafas, pucat
yang menunjukkan anemia. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
penyakit sekarang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anoreksia,
lemah, diare, demam, anemia, ikterus ringan, BB menurun, perut membuncit,
hepatomegali, dan splenomegali.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
penyakit dahulu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian yang perlu ditanyakan pada RPD meliputi
adanya Riwayat transfuse darah/ komponen darah, penyakit ginjal kronis, hepar,
kanker, infeksi kronis, pernah mengalami pendarahan, dan alergi multiple.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
penyakit keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karena merupakan penyakit keturunan, maka perlu dikaji
apakah orang tua yang menderita thalassemia. Apabila kedua orang tua menderita
thalassemia, maka anaknya berisiko menderita thalassemia mayor. Oleh karena
itu, konseling pranikah sebenarnya perlu dilakukan karena berfungsi untuk
mengetahui adanya penyakit yang mungkin disebabkan karena keturunan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
Tumbuh Kembang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sering didapatkan data mengenai adanya kecenderungan
gangguan terhadap tumbuh kembang sejak anak masih bayi, karena adanya pengaruh
hipoksia jaringan yang bersifat kronik. Hal ini terjadi terutama untuk
thalassemia mayor. Pertumbuhan fisik anak adalah kecil untuk umurnya dan ada
keterlambatan dalam kematangan seksual, seperti tidak ada pertumbuhan rambut
pubis dan ketiak. Kecerdasan anak juga dapat mengalami penurunan. Namun pada
jenis thalasemia minor sering terlihat pertumbuhan dan perkembangan anak
normal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
psiko-sosio-spiritual</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak : Usia, tugas perkembangan psikososial, kemampuan
beradaptasi dengan penyakit mekanisme koping yang digunakan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 93.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga : Respon emosional keluarga, koping keluarga
yang digunakan keluarga, penyesuaian keluarga terhadap stress.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
kehamilan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selama Masa Kehamilan, hendaknya perlu dikaji secara
mendalam adanya faktor risiko thalassemia. Sering orang tua merasa bahwa
dirinya sehat. Apabila diduga faktor resiko, maka ibu perlu diberitahukan
mengenai risiko yang mungkin dialami oleh anaknya nanti setelah lahir. Untuk
memestikan diagnosis, maka ibu segera dirujuk ke dokter.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 75.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Activity Daily Living</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aktivitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pasien dengan thalassemia anak terlihat lemah dan
tidak selincah anak usianya. Anak banyak tidur / istirahat, karena bila
beraktivitas seperti anak normal mudah merasa lela</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">h</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sirkulasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kemungkinan terjadi dapat ditemukan tekanan darah
hipotensi, nadi bradikardi, takikardi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eliminasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">biasanya ditemukan BAK lebih sering , bisa terjadi
disyuria dan hematuria. Bisa terjadi konstipasi/diare.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan dan Cairan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terjadi penurunan nafsu makan (anoreksia) biasanya
disertai mual dan muntah yang menyebabkan berat badan menurun</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri / Kenyamanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pasien thalassemia terdapat distensi abdomen,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seksualitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertumbuhan organ seks sekunder untuk anak pada usia
pubertas<br />
Ada keterlambatan kematangan seksual, misalnya, tidak adanya pertumbuhan rambut
pada ketiak, pubis, atau kumis. Bahkan mungkin anak tidak dapat mencapai tahap
adolesense karena adanya anemia kronik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo18; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
Fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keadaan umum: Anak biasanya terlihat lemah dan kurang bergairah
serta tidak selincah aanak seusianya yang normal, tampak pucat, perut membuncit
akibat hepatomegali, bentuk muka mongoloid (facies Cooley), ditemukan ikterus.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">T</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">anda-tanda
vital</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TD: Hipotensi (N: 110-120/70-80)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nadi: Takikardi (N: 60-100x/menit)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">RR: Takipneu (N: 20-24 x/menit)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suhu: Bisa naik/turun (N:36,5-37,5˚C)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kepala dan
rambut: biasanya normal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Muka/wajah:
wajah seperti mongoloid, pada mata: konjungtiva anemis dan sclera ikteri, pada
bibir sianosis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Thorak/dada</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Paru: nafas
pendek, takipnea, ortopnea,, dan dispnea</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jantung:
bunyi jantung mur mur sistolik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Leher: tidak
ada pembesaran kelenjar getah bening</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Abnomen: adanya
pembesaran hati dan limpa serta nyeri abdomen</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekstermitas:
perubahan pada tulang, penipisan korteks tulang punggung</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kulit: warna
pucat, terdapat koreng pada tungkai</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Genitalia: perubahan pada seks sekunder</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnose Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
perfusi jaringan berhubungan dengan berkurangnya komponen seluler yang penting
untuk menghantarkan oksigen/zat nutrisi ke sel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas berhubungan dengan ketidakseimbangan kebutuhan pemakaian dan suplai
oksigen</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakseimbangan
nutrisi kurang dari kebutuhan berhubungan dengan kurangnya selera makan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Koping
keluarga tidak efektif berhubungan dengan dampak penyakit anak terhadap fungsi
keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perubahan
perfusi jaringan berhubungan dengan berkurangnya komponen seluler yang penting
untuk menghantarkan oksigen/zat nutrisi ke sel.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:
setelah dilakukan tindakan keperawatna selama 4 x 24 jam perfusi jaringan klien
adekuat dengan criteria: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo24; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membrane
mukosa merah muda</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo24; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konjungtiva
tidak anemis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo24; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Akral hangat</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo24; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">TTV dalam
batas normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
tanda-tanda vital, pengisian kapiler, warna kulit dan membrane mukosa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: perubahan
tanda-tanda vital, warna kulit dan membrane mukosa menunjukan tanda perfusi
jaringan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tinggikan
posisi kepala tampat tidur</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
meningkatkan ekspansi paru dan memaksimalkan oksigen untuk kebutuhan seluler</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Periksa
adanya keluhan nyeri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
iskemia seluler mempengaruhi jaringan miokardial</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Catat
keluhan rasa dingin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
vassokontriksi ke organ vital menurunkan sirkulasi perifer</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pertahankan
suhu lingkungan dan tubuh hangat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: memaksimalkan
transfer oksigen ke jaringan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri oksigen
sesuai kebutuhan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
memantau kadar oksigenasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas berhubungan dengan ketidakseimbangan kebutuhan pemakaian dan suplai
oksigen</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:
setelah dilakukan tindakan keperawatna selama 3 x 24 jam klien toleran terhadap
aktivitas dengan criteria:</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebutuhan
ADL terpenuhi tanpa rasa pusing, sesak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
kemampuan anak dalam melakukan aktvitas/memenuhi ADL</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional: mempengaruhi
pilihan intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Monitor
tanda-tanda vital, respon fisiologi selama, setelah melakukan aktifitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
manifestasi kardipulmonal dari upaya jantung dan paru untuk membawa jumlah
oksigen adekuat ke jaringan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
informasi pada anak/keluarga untuk berhenti melakukan aktivitas jika terjadi
peningkatan tanda-tanda vital atau pusing</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
rangsangan atau stress kardiopulmonal berlebihan dapat menimbulkan dekompensasi
atau kegagalan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri bantuan
dalam beraktivitas/ambulasi bila perlu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
membantu dan member dukungan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perioritaskan
jadwal asuhan keperawatan untuk meningkatkan istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
mempertahankan tingkat energy dan meningkatkan regangan pada system jantung dan
paru.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketidakseimbangan
nutrisi kurang dari kebutuhan berhubungan dengan kurangnya selera makan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:
setelah diberikan tindakan keperawatan selama 3 x 24 jam nutrisi klien
terpenuhi denagn criteria: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BB stabil atau meningkat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melaporkan nafsu makan meningkat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo28; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menghabiskan porsi makan yang disediakan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji riwayat
nutrisi dan makanan yang disukai</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
mengidentipikasi defisiensi, merencanakan intervensi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Observasi
dan catat msukan makanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
mengawasi masukan kalori atau kualitas kekurangan komsumsi makanan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Timbang
berat badan setiap hari</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
mengawasi penurunan BB atau efektivitas intervensi nutrisi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri makanan
sedikit tapi sering atau makan di antara waktu makan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makan dapat
menurunkan kelemahan dan meningkatkan pemasukan juga mencegah distensi gaster</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsul ahli
gizi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
membantu membuat rencana diet</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri obat atau
suplemen vitamin sesuai order</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkatkan
masukan protein dan kalori</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Koping
keluarga tidak efektif berhubungan dengan dampak penyakit anak terhadap fungsi
keluarga.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 57.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan:
setelah dilakukan tindakan keperawatan selam 3x 24 jam keluarga dapat mengatasi
dan mengendalikan stress yang terjadi pada keluarga dengan criteria:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo31; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keluarga
menerima kondisi anaknya</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo31; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menunjukan
tingkah laku koping yang positif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
kondisi anak sesuai realita dan beri dukungan pada keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
keluarga paham dengan kondisi anak dan dapat menerima sesuai keadaan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri
waktu/dengarkan hal-hal yang menjadi keluhan keluarga </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
orang terdekan memerlukan dukungan yang terus-menerus dengan berbagai masalah
yang dihadpi akan meningkatkan dalam mengatasi penyakit untuk memudahkan proses
adaptasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Member
dukungan pada keluarga untuk mengembangkan harapan realistis terhadap anak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
dukungan keluarga terhadap anak dapat meningkatkan harapan anak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo32; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu
keluarga untuk memahami betapa pentingnya mempertahankan fungsi psikososial</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional:
tingkah laku yang terhalang, tuntutan perawatan tinggi seterusnya dapat
menimbulkan keluarga menarik diri dari pergaulan sosial</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Daftar Pustaka</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wijaya, andra saferi dan
putri, yessie mariza. 2013. KMB 2 Keperawatan Medikal Bedah(keperawatan dewsa).
Yogyakarta, Nuha Medika.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Doenges, M.E dkk.2000. Rencana
Asuhan Keperawatan, Jakarta, kedokteran EGC</span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span> <br />Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-40203921518485329622013-12-16T04:25:00.000-08:002013-12-22T06:59:24.307-08:00laporan pendahuluan PPOK<!--[if gte mso 9]><xml>
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">Laporan Pendahuluan</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">PPOK ( Penyakit Paru Obstruktif Kronik )</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
Dasar</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PPOK
sebagai penyakit yang dapat diobati dan dicegah dengan beberapa efek
ektrapulmonal yang memberi kontribusi keparahan penyakit. Komponen paru
ditandai oleh hambatan aliran udara yang tidak reversibel sempurna. Hambatan
aliran udara biasanya progresif dan ada hubungan dengan respons inflamasi paru
terhadap berbagai partikel noksa dan gas.</span><sub><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">(2)</span></sub></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyakit
Paru Obstruktif Kronik (PPOK) merupakan penyakit paru yang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">dapat dicegah dan diobati, yang
ditandai dengan adanya hambatan aliran udara</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pada
saluran pernapasan yang tidak sepenuhnya reversibel. Gangguan yang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">bersifat progresif ini terjadi
karena adanya respon inflamasi paru akibat pajanan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">partikel atau gas beracun yang disertai
efek ekstraparu yang berkontribusi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">terhadap
derajat penyakit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">.<sub>(4)</sub></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit paru obstruksi kronik adalah klasifikasi luas dari gangguan yang
mencakup bronkitis kronik, bronkiektasis, emfisema dan asma, yang merupaka
kondisi ireversibel yang berkaitan dengan dispnea saat aktivitas dan penurunan
aliran masuk dan keluar udara paru-paru.(1)</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.15pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiologi penyakit ini belum diketahui. Penyakit ini dikaitkan dengan
factor-faktor risiko yang terdapat pada penderita antara lain: <sub>(5, 7, 8)</sub></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Pajanan
dari partikel antara lain :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merokok</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Merokok merupakan penyebab PPOK terbanyak (95% kasus)
di negara berkembang. Perokok aktif dapat meng-alami hipersekresi mucus dan
obstruksi jalan napas kronik. Dilaporkan ada hubung-an antara penurunan volume
ekspirasi paksa detik pertama (VEP1) dengan jumlah, jenis dan lamanya merokok.
Studi di China menghasilkan risiko relative merokok 2,47 (95% CI : 1,91-2,94),</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Perokok pasif juga menyumbang terhadap symptom saluran
napas dan PPOK dengan peningkatan kerusakan paru-paru akibat menghisap partikel
dan gas-gas berbahaya. Merokok pada saat hamil juga akan meningkatkan risiko
terhadap janin dan mempengaruhi pertumbuhan paru-paru-nya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Polusi indoor</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">memasak dengan bahan biomass dengan ventilasi dapur
yang jelek misalnya terpajan asap bahan bakar kayu dan asap bahan bakar minyak
diperkirakan memberi kontribusi sampai 35%.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Manusia banyak menghabiskan waktunya pada lingkungan
rumah (indoor) seperti rumah, tempat kerja, perpustakaan, ruang kelas, mall,
dan kendaraan. Polutan indoor yang penting antara lain SO2, NO2 dan CO yang
dihasilkan dari memasak dan kegiatan pemanasan, zat-zat organik yang mudah
menguap dari cat, karpet, dan mebelair, bahan percetakan dan alergi dari gas
dan hewan peliharaan serta perokok pasip.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> WHO melaporkan bahwa
polusi <i>indoor </i>bertanggung jawab terhadap kematian dari 1,6 juta orang
setiap tahunya. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Polusi <i>outdoor</i></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">polusi udara
mempunyai pengaruh buruk pada VEP1, inhalan yang paling kuat menyebabkan PPOK
adalah Cadmium, Zinc dan debu. Bahan asap pem-bakaran/</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pabrik/</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tambang. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimanapun
peningkatan relatif kendara-an sepeda motor di jalan raya pada dekade terakhir
ini</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">saat
ini telah meng-khawatirkan sebagai masalah polusi udara pada banyak kota
metropolitan seluruh dunia. Pada negara dengan <i>income </i>rendah dimana
sebagian besar rumah tangga di masyarakat menggunakan cara masak tradi-sional
dengan minyak tanah dan kayu bakar, polusi <i>indoor </i>dari bahan sampah
biomassa telah memberi kontribusi untuk PPOK dan penyakit kardio respiratory,
khususnya pada perempuan yang tidak merokok </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Polusi di tempat kerja</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 15.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">polusi dari
tempat kerja misalnya debu-debu organik (debu sayuran dan bakteri atau
racun-racun dari jamur), industri tekstil (debu dari kapas) dan lingkungan
industri (pertambangan, industri besi dan baja, industri kayu, pembangunan
gedung), bahan kimia pabrik cat, tinta, sebagainya diperkirakan men-capai 19%. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Genetik
(defisiensi Alpha 1-antitrypsin): Faktor risiko dari genetic memberikan
kontribusi 1 – 3% pada pasien PPOK. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
infeksi saluran napas berulang :Infeksi saliran napas akut adalah infeksi akut
yang melibatkan organ saluran pernafasan, hidung, sinus, faring, atau laring.
Infeksi saluran napas akut adalah suatu penyakit terbanyak diderita anak-anak.
Penyakit saluran pernafasan pada bayi dan anak-anak dapat pula memberi
kecacat-an sampai pada masa dewasa, dimana ada hubungan dengan terjadinya PPOK.
</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-font-size: 12.0pt; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Gender,
usia, konsumsi alkohol dan kurang aktivitas fisik: Studi pada orang dewasa di
Cina14 didapatkan risiko relative pria terhadap wanita adalah 2,80 (95% C I ;
2,64-2,98). Usia tua RR 2,71 (95% CI 2,53-2,89). Konsumsi alkohol RR 1,77 (95%
CI : 1,45 – 2,15), dan kurang aktivitas fisik 2,66 (95% CI ; 2,34 – 3,02).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Klasifikasi<sub>(1)</sub></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit yang termasuk dalam kelompok penyakit paru obstruksi kronik adalah
sebagai berikut:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bronkitis kronik</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bronkitis merupakan definisi klinis batuk-batuk hampir setiap hari disertai
pengeluaran dahak, sekurang-kuranganya 3 bulan dalam satu tahun dan terjadi paling
sedikit selama 2 tahun berturut-turut.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Emfisema
paru</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Emfisema paru merupakan suatu definisi anatomic, yaitu suatu perubahan
anatomic paru yang ditandai dengan melebarnya secara abnormal saluran udara
bagian distal bronkus terminalis, yang disertai kerusakan dinding alveolus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asma merupakan suatu penyakit yang dicirikan oleh hipersensitivitas
cabang-cabang trakeobronkial terhadap pelbagai jenis rangsangan. Keadaan ini
bermanifestasi sebagai penyempitan saluran-saluran napas secara periodic dan reversible
akibat bronkospasme.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bronkiektasis</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bronkiektasis adalah dilatasi bronkus dan bronkiolus kronik yan mungkin
disebabkan oleh berbagai kondisi, termasuk infeksi paru dan obstruksi bronkus,
aspirasi benda asing, muntahan, atau benda-benda dari saluran pernapasan atas,
dan tekanan terhadap tumor, pembuluh darah yang berdilatasi dan pembesaran
nodus limfe.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
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<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b>Tingkat Keparahan PPOK </b></div>
<div class="Default" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
Tingkat keparahan PPOK diukur dari skala sesak napas. Menurut
<i>American Thoracic Society </i>(ATS) penggolongan PPOK berdasarkan derajat
obstruksi saluran napas yaitu ringan, sedang, berat dan sangat berat. Gejala
ini ditandai dengan sesak napas pada penderita yang dirinci sebagai berikut : <span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Tidak ada sesak kecuali dengan aktivitas berat
dengan skala 0. </div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Terganggu oleh sesak napas saat bergegas waktu
berjalan atau sedikit mendaki nilai 1 skala ringan. Serta pengukuran spirometri
menunjuk-kan nilai VEP1 ≥ 50 % </div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Berjalan lebih lambat daripada orang lain yang
sama usia karena sesak napas, atau harus ber-henti sesaat untuk bernapas pada
saat berjalan walau jalan mendatar nilai 2 skala sedang. </div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Harus berhenti bila berjalan 100 meter atau
setelah beberapa menit berjalan nilai 3 skala berat. </div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo5; text-align: justify; text-indent: -21.25pt;">
<span style="mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Sesak napas tersebut menyebabkan kegiatan
sehari-hari terganggu atau sesak napas saat menggunakan atau melepaskan
pakaian, nilai 4 skala sangat berat. </div>
<div class="Default" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
Pada penderita PPOK derajat berat sudah terjadi gangguan
fungsional sangat berat serta mem-butuhkan perawatan teratur dan spesialis
respirasi.<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 14.7pt;">
<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b>Tipe
PPOK</b><b><sub><span lang="EN-US" style="mso-ansi-language: EN-US;">(6)</span></sub></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></b></div>
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Berdasarkan kesepakatan para pakar (PDPI/ Perkumpulan Dokter
Paru Indonesia) tahun 2005 maka PPOK dikelompokkan ke dalam : <span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 42.55pt; mso-list: l19 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>PPOK ringan adalah pasien dengan atau tanpa
batuk. Dengan atau tanpa produksi sputum dan dengan sesak napas derajad nol
sampai satu. Sedangkan pemeriksaan Spirometrinya me-nunjukkan VEP1 ≥ 80% prediksi
(normal) dan VEP1/KVP < 70% <span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
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<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>PPOK sedang adalah pasien dengan gejala klinis
dengan atau batuk. Dengan atau produksi sputum dan sesak napas dengan derajad
dua. Sedangkan pemeriksaan Spirometrinya menunjukkan VEP1 ≥ 70% dan VEP1/KVP
< 80% prediksi <span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
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<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>PPOK berat adalah pasien dengan gejala klinis
sesak napas derajad tiga atau empat dengan gagal napas kroniki. Eksaserbasi
lebih sering terjadi. Disertai komplikasi kor pulmonum atau gagal jantung
kanan. Adapun hasil spirometri menunjukkan VEP1/KVP < 70 %, VEP1< 30 %
prediksi atau VEP1> 30 % dengan gagal napas kronik. Hal ini ditunjukkan
dengan hasil pe-meriksaan analisa gas darah dengan kriteria hipoksemia dengan
normokapnia atau hipokse-mia dengan hiperkapnia.<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
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<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><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="mso-ansi-language: EN-US;">Patofisiologi </span></b></div>
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<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi paru mengalami
kemunduran dengan datangnya usia tua yang disebabkan elastisitas jaringan paru
dan dinding dada makin berkurang. Dalam usia yang lebih lanjut, kekuatan
kontraksi otot pernapasan dapat berkurang sehingga sulit bernapas.</span></div>
<div class="Default" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fungsi paru-paru menentukan
konsumsi oksigen seseorang, yakni jumlah oksigen yang diikat oleh darah dalam
paru-paru untuk digunakan tubuh. Konsumsi oksigen sangat erat hubungannya
dengan arus darah ke paru-paru. Berkurangnya fungsi paru-paru juga disebabkan
oleh berkurangnya fungsi sistem respirasi seperti fungsi ventilasi paru.</span></div>
<div class="Default" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor-faktor risiko tersebut
diatas akan mendatangkan proses inflamasi bronkus dan juga menimbulkan
kerusakan apda dinding bronkiolus terminalis. Akibat dari kerusakan akan
terjadi obstruksi bronkus kecil (bronkiolus terminalis), yang mengalami
penutupan atau obstruksi awal fase ekspirasi. Udara yang mudah masuk ke alveoli
pada saat inspirasi, pada saat ekspirasi banyak terjebak dalam alveolus dan
terjadilah penumpukan udara (air trapping). Hal inilah yang menyebabkan adanya
keluhan sesak napas dengan segala akibatnya. Adanya obstruksi pada awal
ekspirasi akan menimbulkan kesulitan ekspirasi dan menimbulkan pemanjangan fase
ekspirasi. Fungsi-fungsi paru: ventilasi, distribusi gas, difusi gas, maupun
perfusi darah akan mengalami gangguan (Brannon, et al, 1993).(3)</span></div>
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<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><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="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan
Gejala</span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan gejala akan mengarah pada dua tipe pokok: </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempunyai
gambaran klinik dominant kearah bronchitis kronis <i style="mso-bidi-font-style: normal;">(blue bloater).</i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempunyai
gambaran klinik kearah emfisema <i style="mso-bidi-font-style: normal;">(pink
puffers).</i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan gejalanya adalah sebagi berikut:</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelemahan
badan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Batuk</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sesak napas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sesak napas
saat aktivitas dan napas berbunyi</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengi atau
wheeze</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekspirasi
yang memanjang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bentuk dada
tong (Barrel Chest) pada penyakit lanjut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan otot bantu pernapasan</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Suara napas melemah</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadang ditemukan pernapasan paradoksal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo7; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Edema kaki, asites dan jari tabuh.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><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="mso-ansi-language: EN-US;">Pemeriksaan Penunjang</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan penunjang yang diperlukan adalah sebagai berikut:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
radiologis</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
bronchitis kronik secara radiologis ada beberapa hal yang perlu diperhatikan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tubular
shadows atau farm lines terlihat bayangan garis-garis yang parallel, keluar
dari hilus menuju apeks paru. Bayangan tersebut adalah bayangan bronkus yang
menebal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Corak paru
yang bertambah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
emfisema paru terdapat 2 bentuk kelainan foto dada yaitu:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gambaran
defisiensi arteri, terjadi overinflasi, pulmonary oligoemia dan bula. Keadaan
ini lebih sering terdapat pada emfisema panlobular dan pink puffer.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l28 level1 lfo4; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Corakan paru
yang bertambah.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
faal paru</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada bronchitis kronik terdapat VEP1 dan KV yang menurun, VR yang bertambah
dan KTP yang normal. Pada emfisema paru terdapat penurunan VEP1, KV, dan KAEM
(kecepatan arum ekspirasi maksimal) atau MEFR (maximal expiratory flow rate),
kenaikan KRF dan VR, sedangkan KTP bertambah atau normal. Keadaan diatas lebih
jelas pada stadium lanjut, sedang pada stadium dini perubahan hanya pada
saluran napas kecil (small airways). Pada emfisema kapasitas difusi menurun
karena permukaan alveoli untuk difusi berkurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Analisis gas
darah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada bronchitis PaCO2 naik, saturasi hemoglobin menurun, timbul sianosis,
terjadi vasokonstriksi vaskuler paru dan penambahan eritropoesis. Hipoksia yang
kronik merangsang pembentukan eritropoetin sehingga menimbulkan polisitemia.
Pada kondisi umur 55-60 tahun polisitemia menyebabkan jantung kanan harus
bekerja lebih berat dan merupakan salah satu penyebab payah jantung kanan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
EKG</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan yang paling dini adalah rotasi clock wise jantung. Bila sudah
terdapat kor pulmonal terdapat deviasi aksis kekanan dan P pulmonal pada
hantaran II, III, dan aVF. Voltase QRS rendah Di V1 rasio R/S lebih dari 1 dan
V6 rasio R/S kurang dari 1. Sering terdapat RBBB inkomplet.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kultur
sputum, untuk mengetahui petogen penyebab infeksi.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Laboratorium
darah lengkap</span></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;">Penatalaksanaan <sub>(2)</sub></span></b></div>
<div class="Default" style="line-height: 150%; margin-left: 71.5pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mencegah progresi penyakit<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.5pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Menghilangkan gejala<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.5pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Memperbaiki exercise tolerance<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.5pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Memperbaiki status kesehatan<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.5pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mencegah dan mengobati penyulit<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 71.5pt; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mencegah dan mengobati eksaserbasi<span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 71.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menurunkan
mortalitas</span></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; mso-list: l27 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US;">Komplikasi</span></b></div>
<div class="Default" style="line-height: 150%; margin-left: 70.9pt; mso-list: l3 level1 lfo13; tab-stops: 2.0cm list 148.85pt; text-align: justify; text-indent: -32.2pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipoxemia</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 14.2pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipoxemia didefinisikan sebagai penurunan nilai PaO2
kurang dari 55 mmHg,</span><span style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dengan
nilai saturasi Oksigen <85%. Pada awalnya klien akan mengalami perubahan
mood, penurunan konsentrasi dan pelupa. Pada tahap lanjut timbul cyanosis</span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo13; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asidosis Respiratory</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 14.2pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Timbul akibat dari peningkatan nilai PaCO<sub>2</sub>
(hiperkapnia). Tanda yang muncul antara lain : nyeri kepala, fatique, lethargi,
dizzines, tachipnea.</span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo13; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi Respiratory</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 14.2pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi pernafasan akut disebabkan karena peningkatan
produksi mukus, peningkatan rangsangan otot polos bronchial dan edema mukosa.
Terbatasnya aliran udara akan meningkatkan kerja nafas dan timbulnya dyspnea.</span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo13; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gagal jantung</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 14.2pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terutama kor-pulmonal (gagal jantung kanan akibat
penyakit paru), harus diobservasi terutama pada klien dengan dyspnea berat.
Komplikasi ini sering kali berhubungan dengan bronchitis kronis, tetapi klien
dengan emfisema berat juga dapat mengalami masalah ini.</span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo13; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cardiac Disritmia</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 14.2pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Timbul akibat dari hipoxemia, penyakit jantung lain,
efek obat atau asidosis respiratory.</span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; mso-list: l3 level1 lfo13; tab-stops: 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Status Asmatikus</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 2.0cm; tab-stops: 2.0cm; text-align: justify; text-indent: 14.2pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merupakan komplikasi mayor yang berhubungan dengan
asthma bronchial. Penyakit ini sangat berat, potensial mengancam kehidupan dan
seringkali tidak berespon terhadap therapi yang biasa diberikan. Penggunaan
otot bantu pernafasan dan distensi vena leher seringkali terlihat.</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="Default" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 21.3pt; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><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="mso-ansi-language: EN-US;">Konsep Keperawatan</span></b></div>
<div class="Default" style="line-height: 150%; margin-left: 39.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><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="mso-ansi-language: EN-US;">Pengkajian </span></b></div>
<div class="Default" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengkajian mencakup informasi
tentang gejala-gejala terakhir dan manifestasi penyakit sebelumnya. Berikut ini
beberapa pedoman pertanyaan untuk mendapatkan data riwayat kesehatan dari
proses penyakit: <sub>(1, 3)</sub></span></div>
<div class="Default" style="line-height: 150%; margin-left: 49.65pt; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sudah berapa
lama pasien mengalami kesulitan pernapasan?</span><span lang="EN-US" style="mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
aktivitas meningkatkan dispnea?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berapa jauh
batasan pasien terhadap toleransi aktivitas?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kapan pasien
mengeluh paling letih dan sesak napas?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
kebiasaan makan dan tidur terpengaruh?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Riwayat
merokok?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat yang
dipakai setiap hari?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat yang
dipakai pada serangan akut?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l14 level1 lfo14; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa yang
diketahui pasien tentang kondisi dan penyakitnya?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data tambahan yang dikumpulkan melalui observasi dan pemeriksaan sebagai
berikut:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Frekuensi
nadi dan pernapasan pasien?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
pernapasan sama tanpa upaya?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah ada
kontraksi otot-otot abdomen selama inspirasi?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah ada
penggunaan otot-otot aksesori pernapasan selama pernapasan?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Barrel
chest?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah
tampak sianosis?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah ada
batuk?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah ada
edema perifer?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah vena
leher tampak membesar?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apa warna, jumlah dan konsistensi sputum pasien?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bagaimana status sensorium pasien?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Apakah terdapat peningkatan stupor? Kegelisahan?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Palpasi:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Palpasi
pengurangan pengembangan dada?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo16; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adakah
fremitus taktil menurun?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perkusi:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adakah
hiperesonansi pada perkusi?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo17; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diafragma
bergerak hanya sedikit?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 7.1pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi:</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo18; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adakah suara
wheezing yang nyaring?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo18; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Adakah suara
ronkhi?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo18; tab-stops: list 49.65pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vokal
fremitus nomal atau menurun?</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="Default" style="line-height: 150%; margin-left: 39.3pt; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa
Keperawatan</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="Default" style="line-height: 150%; margin-left: 39.3pt; text-align: justify;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa keperawatan utama pasien mencakup
berikut ini: (1, 2, 7)</span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersihan
jalan napas tidak efektif berhubungan dengan bronkokontriksi, peningkatan
produksi sputum, batuk tidak efektif, kelelahan/berkurangnya tenaga dan infeksi
bronkopulmonal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola napas
tidak efektif berhubungan dengan napas pendek, mucus, bronkokontriksi dan
iritan jalan napas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
pertukaran gas berhubungan dengan ketidaksamaan ventilasi perfusi </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas berhubungan dengan ketidakseimbangan antara suplai dengan kebutuhan
oksigen. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko
perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan anoreksia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ganggua pola
tidur berhubungan dengan ketidaknyamanan, pengaturan posisi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang perawatan
diri berhubungan dengan keletihan sekunder akibat peningkatan upaya pernapasan
dan insufisiensi ventilasi dan oksigenasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansietas
berhubungan dengan ancaman terhadap konsep diri, ancaman terhadap kematian,
keperluan yang tidak terpenuhi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Koping individu
tidak efektif berhubungan dengan kurang sosialisasi, ansietas, depresi, tingkat
aktivitas rendah dan ketidakmampuan untuk bekerja.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l29 level1 lfo19; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan berhubungan dengan kurangnya informasi, tidak mengetahui
sumber informasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 39.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi Keperawatan</span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level2 lfo18; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bersihan jalan napas tidak efektif berhubungan dengan bronkokontriksi,
peningkatan produksi sputum, batuk tidak efektif, kelelahan/berkurangnya tenaga
dan infeksi bronkopulmonal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Pencapaian
bersihan jalan napas klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beri pasien
6 sampai 8 gelas cairan/hari kecuali terdapat kor pulmonal</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Ajarkan dan berikan dorongan penggunaan teknik
pernapasan diafragmatik dan batuk.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu dalam
pemberian tindakan nebuliser, inhaler dosis terukur, atau IPPB</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan
drainage postural dengan perkusi dan vibrasi pada pagi hari dan malam hari
sesuai yang diharuskan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Instruksikan
pasien untuk menghindari iritan seperti asap rokok, aerosol, suhu yang ekstrim,
dan asap.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan
tentang tanda-tanda dini infeksi yang harus dilaporkan pada dokter dengan
segera: peningkatan sputum, perubahan warna sputum, kekentalan sputum,
peningkatan napas pendek, rasa sesak didada, keletihan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beriakn
antibiotik sesuai yang diharuskan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo21; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
dorongan pada pasien untuk melakukan imunisasi terhadap <i style="mso-bidi-font-style: normal;">influenzae dan streptococcus pneumoniae.</i></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l2 level1 lfo20; tab-stops: list 3.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pola napas
tidak efektif berhubungan dengan napas pendek, mukus, bronkokontriksi dan
iritan jalan napas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Perbaikan pola pernapasan klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi:</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan
klien latihan bernapas diafragmatik dan pernapasan bibir dirapatkan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
dorongan untuk menyelingi aktivitas dengan periode istirahat. Biarkan pasien
membuat keputusan tentang perawatannya berdasarkan tingkat toleransi pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
dorongan penggunaan latihan otot-otot pernapasan jika diharuskan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
pertukaran gas berhubungan dengan ketidaksamaan ventilasi perfusi Tujuan: Perbaikan
dalam pertukaran gas</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Deteksi
bronkospasme saat auskultasi .</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau klien
terhadap dispnea dan hipoksia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beriakn
obat-obatan bronkodialtor dan kortikosteroid<span style="mso-spacerun: yes;">
</span>dengan tepat dan waspada kemungkinan efek sampingnya.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
terapi aerosol sebelum waktu makan, untuk membantu mengencerkan sekresi
sehingga ventilasi paru mengalami perbaikan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo23; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pantau
pemberian oksigen.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas berhubungan dengan ketidakseimbangan antara suplai dengan kebutuhan
oksigen. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Memperlihatkan
kemajuan pada tingkat yang lebih tinggi dari aktivitas yang mungkin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji respon
individu terhadap aktivitas; nadi, tekanan darah, pernapasan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ukur
tanda-tanda vital segera setelah aktivitas, istirahatkan klien selama 3 menit
kemudian ukur lagi tanda-tanda vital.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dukung
pasien dalam menegakkan latihan teratur dengan menggunakan <i style="mso-bidi-font-style: normal;">treadmill </i>dan <i style="mso-bidi-font-style: normal;">exercycle</i>, berjalan
atau latihan lainnya yang sesuai, seperti berjalan perlahan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat
fungsi pasien yang terakhir dan kembangkan rencana latihan berdasarkan pada
status fungsi dasar.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sarankan
konsultasi dengan ahli terapi fisik untuk menentukan program latihan spesifik
terhadap kemampuan pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sediakan
oksigen sebagaiman diperlukan sebelum dan selama menjalankan aktivitas untuk
berjaga-jaga.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkatkan
aktivitas secara bertahap; klien yang sedang atau tirah baring lama mulai
melakukan rentang gerak sedikitnya 2 kali sehari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkatkan
toleransi terhadap aktivitas dengan mendorong klien melakukan aktivitas lebih
lambat, atau waktu yang lebih singkat, dengan istirahat yang lebih banyak atau
dengan banyak bantuan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level3 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara
bertahap tingkatkan toleransi latihan dengan meningkatkan waktu diluar tempat
tidur sampai 15 menit tiap hari sebanyak 3 kali sehari.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan
dispnea, kelamahan, efek samping obat, produksi sputum dan<span style="mso-spacerun: yes;"> </span>anoreksia, mual muntah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Kebutuhan
nutrisi klien terpenuhi.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
kebiasaan diet, masukan makanan saat ini. Catat derajat kesulitan makan.
Evaluasi berat badan dan ukuran tubuh.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Auskultasi
bunyi usus</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
perawatan oral sering, buang sekret.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong
periode istirahat I jam sebelum dan sesudah makan. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pesankan
diet lunak, porsi kecil sering, tidak perlu dikunyah lama.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hindari
makanan yang diperkirakan dapat menghasilkan gas.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Timbang
berat badan tiap hari sesuai indikasi. </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
pola tidur berhubungan dengan ketidaknyamanan, pengaturan posisi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: <span style="mso-spacerun: yes;"> </span>Kebutuhan tidur terpenuhi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu klien
latihan relaksasi ditempat tidur.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan
pengusapan punggung saat hendak tidur dan anjurkan keluarga untuk melakukan
tindakan tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Atur posisi
yang nyaman menjelang tidur, biasanya posisi high fowler.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan
penjadwalan waktu tidur yang sesuai dengan kebiasaan pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo25; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan
makanan ringan menjelang tidur jika klien bersedia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; tab-stops: list 2.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang perawatan diri berhubungan dengan keletihan sekunder akibat
peningkatan upaya pernapasan dan insufisiensi ventilasi dan oksigenasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Kemandirian
dalam aktivitas perawatan diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan
mengkoordinasikan pernapasan diafragmatik dengan aktivitas seperti berjalan,
mandi, membungkuk, atau menaiki tangga.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong klien
untuk mandi, berpakaian, dan berjalan dalam jarak dekat, istirahat sesuai
kebutuhan untuk menghindari keletihan dan dispnea berlebihan. Bahas tindakan
penghematan energi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan
tentang postural drainage bila memungkinkan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ansietas
berhubungan dengan ancaman terhadap konsep diri, ancaman terhadap kematian,
keperluan yang tidak terpenuhi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Klien
tidak terjadi kecemasan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu klien
untuk menceritakan kecemasan dan ketakutannya pada perawat.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan tinggalkan
pasien sendirian selama mengalami sesak.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jelaskan
kepada keluarga pentingnya mendampingi klien saat mengalami sesak.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; tab-stops: list 92.15pt; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Koping individu tidak efektif berhubungan dengan kurang sosialisasi,
ansietas, depresi, tingkat aktivitas rendah dan ketidakmampuan untuk bekerja.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Pencapaian
tingkat koping yang optimal.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengadopsi
sikap yang penuh harapan dan memberikan semangat yang ditujukan pada pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dorong
aktivitas sampai tingkat toleransi gejala</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan
teknik relaksasi atau berikan rekaman untuk relaksasi bagi pasien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Daftarkan
pasien pada program rehabilitasi pulmonari bila tersedia.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkatkan
harga diri klien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rencanakan
terapi kelompok untuk menghilangkan kekesalan yang sangat menumpuk.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo20; tab-stops: list 3.0cm; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurang pengetahuan berhubungan dengan kurangnya informasi, tidak mengetahui
sumber informasi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan: Klien
meningkat pengetahuannya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
keperawatan:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bantu pasien
mengerti tentang tujuan jangka panjang dan jangka pendek; ajarkan pasien
tentang penyakit dan perawatannya.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo29; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diskusikan
keperluan untuk berhenti merokok. Berikan informasi tentang sumber-sumber
kelompok.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;">Daftar pustaka</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Smeltzer,
Suzanne C. (2001) <i style="mso-bidi-font-style: normal;">Buku Ajar Keperawatan
Medikal Bedah Brunner & Suddarth</i>, alih bahasa: Agung Waluyo (et. al.),
vol. 1, edisi 8, Jakarta: EGC</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Wibisono, Yusuf. Ilmu penyakit paru.
Surabaya. 201</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">1</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Doenges,
Marilynn E. (1999) <i style="mso-bidi-font-style: normal;">Rencana Asuhan
Keperawatan: Pedoman untuk Perencanaan dan Pendokumentasian Pasien</i>, alih
bahasa: I Made Kariasa, Ni Made Sumarwati, edisi 3, Jakarta: EGC</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhimpunan Dokter Paru Indonesia.
Penyakit Paru Obstruktf Kronik :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">
</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pedoman
Praktis Diagnosis dan Penatalaksanaan di Indonesia. Jakarta.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">2010</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">American Thoracic Society.Standards for
Diagnosis and care of patient with COPD. Am J Respir Crit Care Med
1995;152:S77-120</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ario Patrianto Partodimulyo dan Faisal
Yunus, Kualiti Hidup penderita PPOK, J Respir Indo vol 25, no 2, April, 2006 </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Barnes PJ. COPD, N England J Med
2000;343:269-78 </span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Shapiro SD. The Macropage in COPD. Am J
Respir Crit Care Med 1999:160;p.29-32</span><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;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mangunegoro H, PPOK Pedoman diagnosis
dan penatalaksanaan di Indonesia, PDPI, 2001 </span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Darmojo;
Martono (1999) <i style="mso-bidi-font-style: normal;">Buku Ajar Geriatri (Ilmu
Kesehatan Usia Lanjut),</i> Jakarta: Balai penerbit FKUI</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level2 lfo20; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nugroho,
Wahjudi (2000) Keperawatan Gerontik, edisi 2, Jakarta: EGC</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></b></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com1tag:blogger.com,1999:blog-6820832229696207889.post-10268903397249773772013-12-04T14:46:00.000-08:002013-12-22T06:59:24.300-08:00laporan pendahuluan vertigo<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">LAPORAN PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<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;">VERTIGO</span></b></div>
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<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-fareast-font-family: "Times New Roman";"><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-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Konsep
Dasar</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Definisi</span></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vertigo</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> dapat
digolongkan sebagai salah satu bentuk gangguan keseimbangan atau gangguan
orientasi di ruangan. Banyak system atau organ tubuh yang ikut terlibat dalam
mengatur dan mempertahankan keseimbangan tubuh kita. Keseimbangan diatur oleh
integrasi berbagai sistem diantaranya sistem vestibular, system visual dan
system somato sensorik (<span style="mso-bidi-font-style: italic;">propioseptik</span>).
Untuk memperetahankan keseimbangan diruangan, maka sedikitnya 2 dari 3 sistem
system tersebut diatas harus difungsikan dengan baik. Pada <span style="mso-bidi-font-style: italic;">vertigo</span>, penderita merasa atau
melihat lingkunganya bergerak atau dirinya bergerak terhadap lingkungannya.
Gerakan yang dialami biasanya berputar namun kadang berbentuk linier seperti
mau jatuh atau rasa ditarik menjauhi bidang vertikal. Pada penderita <span style="mso-bidi-font-style: italic;">vertigo</span> kadang-kadang dapat kita
saksikan adanya <span style="mso-bidi-font-style: italic;">nistagmus</span>. <span style="mso-bidi-font-style: italic;">Nistagmus</span> yaitu gerak ritmik yang <span style="mso-bidi-font-style: italic;">involunter</span> dari pada bolamata.
(Lumban Tobing. S.M, 2003).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vertigo adalah sensasi berputar atau pusing yang merupakan suatu
gejala, penderita</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">merasakan benda-benda disekitarnya bergerak gerak memutar atau bergerak
naik turun karena gangguan pada sistem keseimbangan. (Arsyad Soepardi efiaty
dan Nurbaiti, 2002)</span><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-style: italic; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">.</span></div>
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<br /></div>
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<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-fareast-font-family: "Times New Roman";"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">Etiologi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otologi<b> </b></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">24-61% kasus
</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Benigna Paroxysmal Positional Vertigo (BPPV) </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meniere Desease </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Parese N VIII Uni/bilateral </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Otitis Media</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neurologik <b><span style="mso-spacerun: yes;"> </span></b></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">23-30% kasus </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
serebrovaskuler batang otak/ serebelum </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ataksia
karena neuropati </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
visus </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Gangguan serebelum </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
sirkulasi LCS </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Multiple
sklerosis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: 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" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vertigo servikal</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Interna<b> </b></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">kurang lebih </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">33% karena gangguan kardiovaskuler </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan
darah naik turun </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aritmia
kordis </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit
koroner </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">glikemia </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoksikasi Obat: Nifedipin, Benzodiazepin, Xanax,</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Psikiatrik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">> 50% kasus </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Depresi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fobia </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anxietas </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Psikosomatis </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l13 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fisiologik </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 78.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; tab-stops: 70.9pt; text-align: justify; text-indent: -21.3pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mel</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ihat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">turun</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">dari ketinggian</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi Klinik</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi
klinis pada klien dengan vertigo yaitu Perasaan berputar yang kadang-kadang
disertai gejala sehubungan dengan reak dan lembab yaitu mual, muntah, rasa
kepala berat, nafsu makan turun, lelah, lidah pucat dengan selaput putih
lengket, nadi lemah, puyeng (dizziness), nyeri kepala, penglihatan kabur,
tinitus, mulut pahit, mata merah, mudah tersinggung, gelisah, lidah merah
dengan selaput tipis.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien
Vertigo akan mengeluh jika posisi kepala berubah pada suatu keadaan tertentu.
Pasien akan merasa berputar atau merasa sekelilingnya berputar jika akan ke
tempat tidur, berguling dari satu sisi ke sisi lainnya, bangkit dari tempat
tidur di pagi hari, mencapai sesuatu yang tinggi atau jika kepala digerakkan ke
belakang. Biasanya vertigo hanya berlangsung 5-10 detik. Kadang-kadang disertai
rasa mual dan seringkali pasien merasa cemas.Penderita biasanya dapat mengenali
keadaan ini dan berusaha menghindarinya dengan tidak melakukan gerakan yang
dapat menimbulkan vertigo. Vertigo tidak akan terjadi jika kepala tegak lurus
atau berputar secara aksial tanpa ekstensi, pada hampir sebagian besar pasien,
vertigo akan berkurang dan akhirnya berhenti secara spontan dalam beberapa hari
atau beberapa bulan, tetapi kadang-kadang dapat juga sampai beberapa tahun. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
anamnesis, pasien mengeluhkan kepala terasa pusing berputar pada perubahan
posisi kepala dengan posisi tertentu. Secara klinis vertigo terjadi pada
perubahan posisi kepala dan akan berkurang serta akhirnya berhenti secara spontan
setelah beberapa waktu. Pada pemeriksaan THT secara umum tidak didapatkan
kelainan berarti, dan pada uji kalori tidak ada paresis kanal.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Uji posisi
dapat membantu mendiagnosa vertigo, yang paling baik adalah dengan melakukan
manuver Hallpike : penderita duduk tegak, kepalanya dipegang pada kedua sisi
oleh pemeriksa, lalu kepala dijatuhkan mendadak sambil menengok ke satu sisi.
Pada tes ini akan didapatkan nistagmus posisi dengan gejala : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penderita vertigo akan merasakan sensasi gerakan
seperti berputar, baik dirinya sendiri atau lingkungan </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Merasakan mual yang luar biasa </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sering muntah sebagai akibat dari rasa mual </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gerakan mata yang abnormal </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tiba - tiba muncul keringat dingin </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Telinga sering terasa berdenging </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengalami kesulitan bicara </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengalami kesulitan berjalan karena merasakan sensasi
gerakan berputar </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l37 level1 lfo3; text-align: justify; text-indent: -25.05pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada keadaan tertentu, penderita juga bisa mengalami
ganguuan penglihatan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patofisiologi </span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Vertigo disebabkan dari berbagai hal
antara lain dari otologi seperti meniere, parese N VIII, otitis media. Dari
berbagai jenis penyakit yang terjadi pada telinga tersebut menimbulkan gangguan
keseimbangan pada saraf ke VIII, dapat terjadi karena penyebaran bakteri maupun
virus (otitis media). </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain dari segi otologi, vertigo
juga disebabkan karena neurologik. Seperti ganggua</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">n </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">visus,
multiple sklerosis, gangguan serebelum, dan penyakit neurologik lainnya. Selain
saraf ke VIII yang terganggu, vertigo juga diakibatkan oleh terganggunya saraf
III, IV, dan VI yang menyebabkan terganggunya penglihatan sehingga mata menjadi
kabur dan menyebabkan sempoyongan jika berjalan dan merespon saraf ke VIII
dalam mempertahankan keseimbangan. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hipertensi dan tekanan darah yang
tidak stabil (tekanan darah naik turun). Tekanan yang tinggi diteruskan hingga
ke pembuluh darah di telinga, akibatnya fungsi telinga akan keseimbangan
terganggudan menimbulkan vertigo. Begitupula dengan tekanan darah yang rendah
dapat mengurangi pasokan darah ke pembuluh darah di telinga sehingga dapat
menyebabkan parese N VIII.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Psikiatrik meliputi depresi, fobia,
ansietas, psikosomatis yang dapat mempengaruhi tekanan darah pada seseorang.
Sehingga menimbulkan tekanan darah naik turun dan dapat menimbulkan vertigo
dengan perjalanannya seperti diatas. Selain itu faktor fisiologi juga dapat
menimbulkan gangguan keseimbangan. Karena persepsi seseorang berbeda-beda.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo8; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klasipikasi </span></b></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Berdasarkan
gejala klinisnya, vertigo dapat dibagi atas beberapa kelompok</span></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Vertigo
paroksismal Yaitu vertigo yang serangannya datang mendadak, berlangsung
beberapa menitatau hari, kemudian menghilang sempurna; tetapi suatu ketika
serangan tersebutdapat muncul lagi. Di antara serangan, penderita sama sekali
bebas keluhan.Vertigo jenis ini dibedakan menjadi :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yang
disertai keluhan telinga : Termasuk kelompok ini adalah : Morbus Meniere,
Arakhnoiditis pontoserebelaris, Sindrom Lermoyes, Sindrom Cogan, tumor
fossa cranii posterior, kelainan gigi/ odontogen.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yang
tanpa disertai keluhan telinga : Termasuk di sini adalah : Serangan iskemi
sepintas arteriavertebrobasilaris, Epilepsi, Migren ekuivalen, Vertigo pada
anak (Vertigode L’enfance), Labirin picu (trigger labyrinth).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l24 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yang
timbulnya dipengaruhi oleh perubahan posisi :Termasuk di sini adalah : Vertigo
posisional paroksismal laten, Vertigo posisional paroksismal benigna.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Vertigo
kronis Yaitu vertigo yang menetap, keluhannya konstan tanpa (Cermin
DuniaKedokteran No. 144, 2004: 47) serangan akut, dibedakan menjadi:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Yang
disertai keluhan telinga : Otitis media kronika, meningitis Tb,labirintitis
kronis, Lues serebri, lesi labirin akibat bahan ototoksik, tumor serebelopontin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanpa
keluhan telinga : Kontusio serebri, ensefalitis pontis, sindrom pascakomosio,
pelagra, siringobulbi, hipoglikemi, sklerosis multipel, kelainanokuler,
intoksikasi obat, kelainan psikis, kelainan kardiovaskuler, kelainanendokrin.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l8 level1 lfo9; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Vertigo
yang dipengaruhi posisi : Hipotensi ortostatik, Vertigo servikalis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo20; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; letter-spacing: .75pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Vertigo yang serangannya mendadak/akut, kemudian
berangsur-angsur mengurang, dibedakan menjadi :</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Disertai
keluhan telinga : Trauma labirin, herpes zoster otikus, labirintitisakuta, perdarahan
labirin, neuritis n.VIII, cedera pada auditivainterna/arteria
vestibulokoklearis.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tanpa
keluhan telinga : Neuronitis vestibularis, sindrom arteriavestibularis
anterior, ensefalitis vestibularis, vertigo epidemika, sklerosismultipleks,
hematobulbi, sumbatan arteria serebeli inferior posterior.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
Penunjang </span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify; text-indent: 21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meliputi uji
tes keberadaan bakteri melalui laboratorium, sedangkan untuk pemeriksaan
diagnostik yang penting untuk dilakukan pada klien dengan kasus vertigo antara
lain:</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan mata </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan alat keseimbangan tubuh </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan neurologik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan otologik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l17 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan fisik umu</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">m</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan khusus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo6; tab-stops: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ENG </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo6; tab-stops: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Audiometri dan BAEP </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l18 level1 lfo6; tab-stops: 3.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Psikiatrik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo4; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan tambahan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Radiologik dan Imaging </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo7; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">EEG, EM</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo8; text-align: justify; text-indent: -24.55pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan
</span></b><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Penatalaksanaan
Medis </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa terapi yang dapat diberikan adalah terapi
dengan obat-obatan seperti :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anti kolinergik </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sulfas Atropin : 0,4 mg/im </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Scopolamin : 0,6 mg IV bisa diulang tiap 3 jam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Simpatomimetika </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Epidame 1,5
mg IV bisa diulang tiap 30 menit </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l25 level1 lfo21; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><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-weight: bold; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menghambat aktivitas nukleus vestibuler </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Golongan antihistamin </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Golongan
ini, yang menghambat aktivitas nukleus vestibularis adalah:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diphenhidramin:
1,5 mg/im/oral bisa diulang tiap 2 jam</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dimenhidrinat:
50-100 mg/ 6 ja</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">m.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 2;"> </span> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika terapi di atas tidak dapat mengatasi kelainan
yang diderita dianjurkan untuk terapi bedah. Terapi menurut (Cermin Dunia
Kedokteran No. 144, 2004: 48) Terdiri dari :<span style="mso-spacerun: yes;">
</span></span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo23; 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="FI" style="mso-ansi-language: FI;">Terapi
kausal</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">sebagian besar kausa vertigo tidak
diketahui penyebabnya, sehingga terapi biasanya bersifat simtomatik. Terapi
kausal disesuaikan dengan faktor penyebabnya.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo23; 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="FI" style="mso-ansi-language: FI;">Terapi
simtomatik</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">ditujukan kepada 2 gejala utama yaitu rasa
berputar dan gejala otonomnya.<span class="apple-converted-space"> </span></span><span lang="SV" style="mso-ansi-language: SV;">Pemilihan obat-obat anti vertigo
tergantung pada efek obat bersangkutan, berat ringan vertigo dan fasenya.
Misalnya pada fase akut dapat diberikan obat penenang untuk menghilangkan rasa
cemas, disamping anti vertigo lainnya.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo23; 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="SV" style="mso-ansi-language: SV;">Terapi
Rehabilitasi</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Bertujuan untuk membangkitkan dan
meningkatkan kompensasi sentral dan habituasi pada pasien dengan gangguan
vestibuler. Beberapa bentuk latihan yang dapat dilakukan adalah latihan
vestibuler, latihan visual vestibuler atau latihan berjalan.</span></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 63.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penatalaksanaan Keperawatan </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karena gerakan kepala memperhebat vertigo, pasien
harus dibiarkan berbaring diam dalam kamar gelap selama 1-2 hari pertama. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fiksasi visual cenderung menghambat nistagmus dan
mengurangi perasaan subyektif vertigo pada pasien dengan gangguan vestibular
perifer, misalnya neuronitis vestibularis. Pasien dapat merasakan bahwa dengan
memfiksir pandangan mata pada suatu obyek yang dekat, misalnya sebuah gambar
atau jari yang direntangkan ke depan, temyata lebih enak daripada berbaring
dengan kedua mata ditutup. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karena aktivitas intelektual atau konsentrasi mental
dapat memudahkan terjadinya vertigo, maka rasa tidak enak dapat diperkecil
dengan relaksasi mental disertai fiksasi visual yang kuat. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila mual dan muntah berat, cairan intravena harus
diberikan untuk mencegah dehidrasi. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bila vertigo tidak hilang. Banyak pasien dengan gangguan
vestibular perifer akut yang belum dapat memperoleh perbaikan dramatis pada
hari pertama atau kedua. Pasien merasa sakit berat dan sangat takut mendapat
serangan berikutnya. Sisi penting dari terapi pada kondisi ini adalah
pernyataan yang meyakinkan pasien bahwa neuronitis vestibularis dan sebagian
besar gangguan vestibular akut lainnya adalah jinak dan dapat sembuh. Dokter
harus menjelaskan bahwa kemampuan otak untuk beradaptasi akan membuat vertigo
menghilang setelah beberapa hari.</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Latihan vestibular dapat dimulai beberapa hari setelah
gejala akut mereda. Latihan ini untuk rnemperkuat mekanisme kompensasi sistem
saraf pusat untuk gangguan vestibular akut</span></div>
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<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cidera fisik</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien dengan vertigo ditandai dengan kehilangan
keseimbangan akibat terganggunya saraf VIII (Vestibularis), sehingga pasien
tidak mampu mempertahankan diri untuk tetap berdiri dan berjalan.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelemahan otot </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 60.55pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien yang mengalami vertigo seringkali tidak
melakukan aktivitas. Mereka lebih sering untuk berbaring atau tiduran, sehingga
berbaring yang terlalu lama dan gerak yang terbatas dapat menyebabkan kelemahan
otot.</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 21.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo11; text-align: justify; text-indent: -21.3pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">konsep Keperawatan</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo25; text-align: justify; text-indent: -14.15pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengkajian</span></b><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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo12; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengumpulan
Data</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anamnesa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas Klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Identitas biasanya berisi tentang
nama, umur, alamat, pendidikan, agama, pekerjaan, dll</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan
Utama</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Keluhan yang
dirasakan pasien pada saat dilakukan pengkajian. Biasanya pada pasien vertigo
keluhan utama yang dirasakan yaitu nyeri kepala hebat serta pusing.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Penyakit Sekarang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat penyakit
yang diderita pasien saat masuk rumah sakit. Pada pasien<span class="apple-converted-space"> </span><span style="mso-bidi-font-style: italic;">vertigo</span><span class="apple-converted-space"> </span>tanyakan adakah pengaruh sikap atau
perubahan sikap terhadap munculnya<span class="apple-converted-space"> </span><span style="mso-bidi-font-style: italic;">vertigo</span>, posisi mana yang dapat
memicu <span style="mso-bidi-font-style: italic;">vertigo</span>.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Riwayat
Penyakit Dahulu</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adakah riwayat
trauma kepala, penyakit infeksi dan<span class="apple-converted-space"> </span><span style="mso-bidi-font-style: italic;">inflamasi<span class="apple-converted-space"> </span></span>dan
penyakit tumor otak. Riwayat penggunaan obat<span class="apple-converted-space"> </span><span style="mso-bidi-font-style: italic;">vestibulotoksik</span><span class="apple-converted-space"> </span>missal<span class="apple-converted-space"> </span><span style="mso-bidi-font-style: italic;">antibiotik,
aminoglikosid, antikonvulsan dan salisilat</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Riwayat Penyakit keluarga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adakah riwayat
penyakit yang sama diderita oleh anggota keluarga lain atau riwayat penyakit
lain baik bersifat genetic maupun tidak.<span style="mso-bidi-font-style: italic;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Riwayat</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Psikososial<span style="mso-bidi-font-style: italic;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Di kaji emosi
klien, body image klien, harga diri, interaksi klien terhadap keluarga dan data
spiritual klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level2 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola-Pola fungsi Kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola Fungsi dan tata laksana kesehatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adakah kecemasan
yang dia lihatkan oleh kurangnya pemahaman pasien dan keluarga mengenai
penyakit, pengobatan dan<span class="apple-converted-space"> </span><span style="mso-bidi-font-style: italic;">prognosa</span>.<span style="mso-bidi-font-style: italic;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola <span style="mso-bidi-font-style: italic;">nutrisi</span> dan metabolism<span style="mso-bidi-font-style: italic;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Adakah<span class="apple-converted-space"> </span><span style="mso-bidi-font-style: italic;">nausea</span><span class="apple-converted-space"> </span>dan muntah<span style="mso-bidi-font-style: italic;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola eliminasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Bagaimana BAK dan BABnya, lancar atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola tidur dan istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Dikaji bagaimana tidur klien nyenyak atau tidak, berapa lama tidur
klien, pada pasien vertigo biasanya pasien mengalami gangguan tidur.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Aktivitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Biasanya pada pasien vertigo aktivitasnya kurang, klien sering
mengalami </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Letih,
lemah, Keterbatasan gerak, Ketegangan mata, kesulitan membaca, Insomnia, bangun
pada pagi hari dengan disertai nyeri kepala, Sakit kepala yang hebat saat
perubahan postur tubuh, aktivitas (kerja) atau karena perubahan cuaca.</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola hubungan peran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Meliputi hubungan pasien dengan keluarga dan masyarakat sekitar</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola presepsi dan konsep diri</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Bagaimana klien menggambarkan dirinya terkait dengan penyakitnya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola sensori dan kognitif</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagaimana klien
menghadapi rasa sakit ? apakah mengalami penurunan panca indra?<span style="mso-bidi-font-style: italic;"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pola <span style="mso-bidi-font-style: italic;">reproduksi</span>
seksual</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Dikaji bagaimana hubungan seksual klien dengan pasangannya, apakah ada
gangguan atau tidak</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola penanggulangan stress</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Meliputi penyebab stress, koping terhadap stress.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pola tata nilai dan keyainan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 4.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Di kaji tentang agama yang di anut klien</span><span lang="EN-US" style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l41 level1 lfo12; text-align: justify; text-indent: -16.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pemeriksaan Fisik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Gambaran Umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Kesadaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Compos mentis, apatis, somnolen, stupor atau koma</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Penampilan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Tidak tampak sakit, sakit ringan, sakit sedang atau sakit berat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo13; text-align: justify; text-indent: -21.25pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">TPRS</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Meliputi BB, TB, Tekanan darah, suhu, nadi RR</span><span lang="EN-US" style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 74.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo27; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Secara sistemik dari kepala sampai kelamin</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Sistem integument</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi : Di lihat warna kulit.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : kelembaban kulit, turgor kulit (normalnya kembali dalam
2detik)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Kepala </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi : Bentuk kepala, warna rambut, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : kekuatan rambut (rontok/tidak), ada nyeri tekan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Leher</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : ada pembesaran kelenjar getah beting dan kelenjar tyroid atau
tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Muka</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi :Bentuk muka, ekspresi muka</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Mata</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Inspeksi :
Biasanya pada pasien vertigo Konjungtiva tidak anemis, sklera tidak ikterik</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Palpasi : ada
nyeri tekan atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Telinga</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi : Bentuk telinga simetris atau tidak, ada kotoran atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : ada nyeri tekan atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Hidung</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi: Bentuk hidung, adanya secret atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : ada nyeri tekan atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Mulut dan Faring</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi : mulut simetris atau tidak, kebersihannya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : ada nyeri tekan tidak, ada benjolan tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Thorax</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi : ada retraksi dinding dada atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : pergerakan dinding dada simetris atau tidak </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Perkusi : bagaimana suara ketukannya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Paru </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi : simetris atau tidak </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : ada benjolan atau tidak</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Auskultasi : biasanya pada pasien vertigo Tidak ada weezing, </span><span class="apple-converted-space"><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></span><span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">rhonki </span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Jantung</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Auskultasi : Pada pasien vertigo S1 dan S2 tunggal</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Abdomen</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Inspeksi : Dilihat bentuk abdomen, </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Palpasi : pembesaran hati dan limpanya di kaji</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 108.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Auskultasi : bising usus</span><span lang="EN-US" style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 70.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo27; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;">Sistem neurologi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test
nervus I (Olfactory)</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi penciuman</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test pemeriksaan, klien tutup mata
dan minta klien mencium benda yang baunya mudah dikenal seperti sabun,
tembakau, kopi</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Bandingkan dengan hidung bagian
kiri dan kanan.</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test
nervus II ( Optikus)</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi aktifitas visual dan lapang
pandang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test aktifitas visual, tutup satu
mata klien kemudian suruh baca dua baris di koran, ulangi untuk satunya.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test lapang pandang, klien tutup
mata kiri, pemeriksa di kanan, klien memandang hidung pemeriksa yang memegang
pena warna cerah, gerakkan perlahan obyek tersebut, informasikan agar klien
langsung memberitahu klien melihat benda tersebut, ulangi mata kedua. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test nervus III, IV, VI
(Oculomotorius, Trochlear dan Abducens)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi koordinasi gerakan mata dan
kontriksi pupil mata (N III).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test N III (respon pupil terhadap
cahaya), menyorotkan senter kedalam tiap pupil mulai menyinari dari arah
belakang dari sisi klien dan sinari satu mata (jangan keduanya), perhatikan
kontriksi pupil kena sinar.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test N IV, kepala tegak lurus,
letakkan obyek kurang lebih 60 cm sejajar mid line mata, gerakkan obyek kearah
kanan. Observasi adanya deviasi bola mata, diplopia, nistagmus.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test N VI, minta klien untuk
melihat kearah kiri dan kanan tanpa menengok. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test nervus V (Trigeminus)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi sensasi, caranya : dengan
mengusap pilihan kapas pada kelopak mata atas dan bawah.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Arial Unicode MS";"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Refleks
kornea langsung maka gerakan mengedip ipsilateral.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l15 level1 lfo28; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Refleks
kornea consensual maka gerakan mengedip kontralateral.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi motorik, caranya : klien
disuruh mengunyah, pemeriksa melakukan palpasi pada otot temporal dan masseter.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test nervus VII (Facialis)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi sensasi, kaji sensasi rasa
bagian anterior lidah, terhadap asam, manis, asin pahit. Klien tutup mata,
usapkan larutan berasa dengan kapas/teteskan, klien tidak boleh menarik masuk lidahnya
karena akan merangsang pula sisi yang sehat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi motorik, kontrol ekspresi
muka dengancara meminta klien untuk : tersenyum, mengerutkan dahi, menutup mata
sementara pemeriksa berusaha membukanya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test nervus VIII (Acustikus)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l43 level1 lfo22; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Fungsi sensoris :</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 117.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Cochlear
(mengkaji pendengaran), tutup satu telinga klien, pemeriksa berbisik di satu
telinga lain, atau menggesekkan jari bergantian kanan-kiri.</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 120.5pt; mso-list: l21 level1 lfo16; tab-stops: list 18.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Vestibulator
(mengkaji keseimbangan), klien diminta berjalan lurus, apakah dapat melakukan
atau tidak.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test nervus IX (Glossopharingeal)
dan nervus X (Vagus)</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 120.5pt; mso-list: l28 level1 lfo17; tab-stops: list 18.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">N IX,
mempersarafi perasaan mengecap pada 1/3 posterior lidah, tapi bagian ini sulit
di test demikian pula dengan M.Stylopharingeus. Bagian parasimpatik N IX
mempersarafi M. Salivarius inferior.</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 120.5pt; mso-list: l28 level1 lfo17; tab-stops: list 18.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">N X, mempersarafi
organ viseral dan thoracal, pergerakan ovula, palatum lunak, sensasi pharynx,
tonsil dan palatum lunak.</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 120.5pt; mso-list: l28 level1 lfo17; tab-stops: list 18.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Test :
inspeksi gerakan ovula (saat klien menguapkan “ah”) apakah simetris dan
tertarik keatas.</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 120.5pt; mso-list: l28 level1 lfo17; tab-stops: list 18.0pt; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Refleks
menelan : dengan cara menekan posterior dinding pharynx dengan tong spatel,
akan terlihat klien seperti menelan.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Test nervus XI (Accessorius)</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 126.0pt; mso-list: l11 level1 lfo18; tab-stops: list 49.5pt; text-indent: -26.75pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Klien disuruh
menoleh kesamping melawan tahanan. Apakah Sternocledomastodeus dapat terlihat ?
apakah atropi ? kemudian palpasi kekuatannya.</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 126.0pt; mso-list: l11 level1 lfo18; tab-stops: list 49.5pt; text-indent: -26.75pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Minta klien mengangkat
bahu dan pemeriksa berusaha menahan -test otot trapezius.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level3 lfo8; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Arial Unicode MS";">Nervus XII (Hypoglosus)</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 126.0pt; mso-list: l39 level1 lfo19; tab-stops: list 18.0pt; text-indent: -26.75pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Mengkaji
gerakan lidah saat bicara dan menelan</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 126.0pt; mso-list: l39 level1 lfo19; tab-stops: list 18.0pt; text-indent: -26.75pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Inspeksi
posisi lidah (mormal, asimetris / deviasi)</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 126.0pt; mso-list: l39 level1 lfo19; tab-stops: list 18.0pt; text-indent: -26.75pt;">
<span lang="EN-US" style="font-family: Wingdings; font-style: normal; mso-bidi-font-family: Wingdings; mso-bidi-font-style: italic; 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" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";">Keluarkan
lidah klien (oleh sendiri) dan memasukkan dengan cepat dan minta untuk
menggerakkan ke kiri dan ke kanan.</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 2.0cm; mso-list: l41 level1 lfo12; text-indent: -18.0pt;">
<span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="background: #FEFDFA; font-style: normal; mso-bidi-font-style: italic;">Pemeriksaan Diagnostik</span><span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";"></span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 74.7pt; mso-list: l36 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="background: #FEFDFA; font-style: normal; mso-bidi-font-style: italic;">Pemeriksaan Radiologi</span><span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";"></span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 74.7pt;">
<span lang="EN-US" style="background: white; font-style: normal; mso-bidi-font-style: italic;">X-foto
kepala posisi Stenver dan Towne, foto mastoid, foto vertebra servikal, CT scan,
MRI dsb (atas indikasi).</span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 74.7pt; mso-list: l36 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="background: white; font-style: normal; mso-bidi-font-style: italic;">Pemeriksaan Laboratorium dan EKG</span><span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";"></span></div>
<div class="MsoBodyText2" style="line-height: 150%; margin-left: 74.7pt; mso-list: l36 level1 lfo29; text-indent: -18.0pt;">
<span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="background: white; font-style: normal; mso-bidi-font-style: italic;">Pemeriksaan lain-lain </span><span lang="EN-US" style="font-style: normal; mso-bidi-font-style: italic; mso-fareast-font-family: "Arial Unicode MS";"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Pemeriksaan
audiologi: tes garpu tala, audiometrik nada murni, audiometrik nada tutur, SISI
tes, Tone Deccay tes, timpanometri, reflek stapedius, dan apabila ada fasilitas
dapat dilakukan BERA (atas indikasi).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l32 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-bidi-font-style: italic; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Tes
kalori, elektronistagmografi, posturografi (atas indikasi).</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 92.15pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo26; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosa Keperawatan</span></b><b style="mso-bidi-font-weight: normal;"><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko jatuh
b.d kerusakan keseimbangan (N. VIII)</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas b.d tirah baring </span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
kurang nutrisi b.d tidak adekuatnya input makanan</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
persepsi pendengaran b.d tinitus</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 53.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l38 level1 lfo30; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Koping
individu tidak efektif b.d metode koping tidak adekuat</span><span style="background: #FEFDFA; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-style: italic;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo26; text-align: justify; text-indent: -18.0pt;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><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="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi Keperawatan</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 black .5pt; mso-border-themecolor: text1; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184; width: 643px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">No </span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnose keperawatan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi</span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rasional</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">1</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Resiko
jatuh b.d Kerusakan keseimbangan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 1x24 jam masalah risiko jatuh dapat
teratasi. </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
Hasil :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
dapat mempertahankan keseimbangan tubuhnya</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l5 level1 lfo31; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
dapat mengantisipasi resiko terjadinya jatuh </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat energi yang dimiliki klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan terapi ringan untuk mempertahankan
kesimbangan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan penggunaan alat-alat alternatif dan atau
alat-alat bantu untuk aktivitas klien.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo32; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan pengobatan nyeri (pusing) sebelum aktivitas</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo33; text-align: justify; text-indent: -12.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Energi yang besar dapat memberikan keseimbangan pada
tubuh saat istirahat</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo33; text-align: justify; text-indent: -12.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Salah satu terapi ringan adalah menggerakan bola
mata, jika sudah terbiasa dilakukan, pusing akan berkurang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo33; text-align: justify; text-indent: -12.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengantisipasi dan meminimalkan resiko jatuh</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l26 level1 lfo33; text-align: justify; text-indent: -12.8pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri yang berkurang dapat meminimalisasi terjadinya
jatuh.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">2</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intoleransi
aktivitas b.d tirah baring</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">setelah
dilakukan tindakan keperawatan selama 3x24 jam masalah intoleransi aktivitas
dapat teratasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meyadari
keterbatasan energi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.25pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo36; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
dapat termotivasi dalam melakukan aktivitas </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: -20.75pt; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji
respon emosi, sosial, dan spiritual terhadap aktivitas </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: -20.75pt; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Berikan motivasi pada klien untuk melakukan
aktivitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: -20.75pt; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan
tentang pengaturan aktivitas dan teknik manajemen waktu untuk mencegah
kelelahan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.75pt; margin-right: -20.75pt; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo34; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi
dengan ahli terapi okupasi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.95pt; margin-right: -5.4pt; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respon emosi, sosial, dan spiritual mempengaruhi
kehendak klien dalam melakukan aktivitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.95pt; margin-right: -5.4pt; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien dapat bersemangat untuk melakukan aktivitas</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.95pt; margin-right: -5.4pt; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Energi yang tidak stabil dapat menghambat dalam
melakukan aktivitas, sehingga perlu dilakukan manajemen wakt</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">u</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 11.95pt; margin-right: -5.4pt; margin-top: 0cm; mso-add-space: auto; mso-list: l35 level1 lfo35; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi okupasi dapat menentukan tindakan alternatif
dalam melakukan aktivitas.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">3</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Risiko kurang nutrisi b.d tidak
adekuatnya input makanan</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -5.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam maslah kurang nutrisi dapat
sedikit teratasi</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo39; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
tidak merasa mual muntah </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo39; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nafsu
makan meningkat </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo39; text-align: justify; text-indent: -10.9pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BB stabil
atau bertahan</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -5.4pt;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji kebiasaan makan yang disukai klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Pantau input
dan output pada klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan untuk makan sedikit tapi sering</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi dengan ahli gizi</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kebiasaan makan yang disukai dapat meningkatkan
nafsu makan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk memantau status nutrisi pada klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Mempertahankan status nutisi pada klien agar
dapat meningkat atau stabil. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo38; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ahli gizi dapat menentukan makanan yang tepat untuk
meningkatkan kebutuhan nutrisi pada klien.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">4</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan
persepsi pendengaran b.d tinitus</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -5.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 3x24 jam maslah gangguan perepsi
sensori pendengaran dapat teratasi. </span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -5.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
Hasil : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo40; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
dapat memfokuskan pendengaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo40; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tidak
terjadi tinitus yang berkelanjutan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 8.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo40; text-align: justify; text-indent: -10.9pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendengaran
adekuat </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo41; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji tingkat pendengaran pada klien </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo41; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lakukan tes rinne, weber, atau swabah untuk
mengetahui keseimbangan pendengaran saat terjadi tinitus </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo41; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan untuk memfokuskan pendengaran saat terjadi
tinitus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l22 level1 lfo41; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kolaborasi penggunaan alat bantu pendengaran</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo42; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui tingkat kemaksimalan pendengaran pada klien
untuk menentukan terapi yang tepat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo42; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui keabnormalan yang terjadi akibat tinitus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo42; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan keadekuatan pendengara</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l3 level1 lfo42; text-align: justify; text-indent: -15.85pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memaksimalkan pendengaran pada klien</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 1.0cm;" valign="top" width="38">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">5</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Koping
individu tidak efektif b.d metode koping tidak adekuat</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormalCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah
dilakukan tindakan keperawatan selama 1x24 jam masalah koping individu tidak
efektif dapat teratsi. </span></div>
<div class="MsoNormalCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kriteria
Hasil :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
dapat menyadari bahwa dirinya mengalami gangguan pendengaran</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo43; text-align: justify; text-indent: -14.2pt;">
<span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien
dapat mengatasi dengan tindakan mandiri </span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kaji kemampuan klien dalam mempertahankan
keadekuatan pendengaran </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berikan motivasi dalam menerima keadaan fisiknya </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ajarkan cara mengatasi masalah pendengaran akibat
pusing yang diderit</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 15.85pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l9 level1 lfo44; text-align: justify; text-indent: -14.15pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span>Kolaborasi
pemberian antidepresan sedatif, neurotonik, atau transquilizer serta vitamin
dan mineral.</span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-bottom-themecolor: text1; mso-border-left-alt: solid black .5pt; mso-border-left-themecolor: text1; mso-border-right-themecolor: text1; mso-border-themecolor: text1; mso-border-top-alt: solid black .5pt; mso-border-top-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 134.65pt;" valign="top" width="180">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level4 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengetahui batas maksimal kemampuan pendengaran
klien</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level4 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Klien tidak mengalami depresi akibat keadaan
fisiknya</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level4 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pusing yang terjadi dapat memunculkan tinitus </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.3pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level4 lfo8; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat untuk mengatasi tinitus.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<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-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Arsyad soepardi, efiaty dan Nurbaiti.2002. Buku ajar ilmu kesehatan
telingahidung tenggorok kepala leher edisi ke lima. Jakarta : Gaya Baru<span style="mso-spacerun: yes;"> </span></span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lumbantobing, SM. Vertigo Tujuh
Keliling. Fakultas Kedokteran Universitas Indonesia. Jakarta 2003</span><span lang="EN-US" style="background: white; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Santosa, Budi.2005.Panduan Diagnosa Keperawatan NANDA 2005-2006.Alih
bahasa.Jakarta : Prima Medika </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Wilkinson, Judith M.2007.Buku Saku Diagnosis Keperawatan dengan Intervensi
NIC dan Kriteria Hasil NOC.Jakarta : EGC</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pitriono Zinbe.2013. Asuhan
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<a href="http://fitrotzinbe.blogspot.com/2013/05/asuhan-keperawatan-vertigo.html"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">http://fitrotzinbe.blogspot.com/2013/05/asuhan-keperawatan-vertigo.html</span></a><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US;">. diakses tanggal 13 november 2013, pukul 21.30 WIB</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com1tag:blogger.com,1999:blog-6820832229696207889.post-6612442728439893992013-09-18T17:17:00.001-07:002013-09-18T17:17:58.431-07:00perkembangan moral menurut kohlberg<!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>IN</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><br />
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">BAB II</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">PEMBAHASAN</span></b></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level2 lfo7; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.1.</span></span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Biografi Kohlberg</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoNormalCxSpFirst" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Lawrence<span style="mso-no-proof: yes;"> </span>Kohlberg tumbuh besar di Bronxville, New York, dan memasuki Akademi Andover di Massachussets, sekolah menengah atas swasta yang mahal dan menuntut kemampuan akademis tinggi. Dia tidak langsung melanjutkan keperguruan tinggi namun pergi membantu pemulangan orang-orang Israel, bekerja sebagai insinyur tingga dua di pesawat angkut yang membawa pelarian dari Eropa melewati blockade Inggris ke Israel. Setelah itu, pada 1948, Kohlberg masuk ke Universitas Chicago di mana dua lulusan tes penerimaan dengan angka yang sangat tinngi sehingga hanya mengambil sedikit saja mata kuliah untuk memperoleh gelar sarjana mudanya. Dan ini memang dicapai hanya dalam waktu setahun. Dia tinggaI Chicago sebentar untuk mengejar gelar sarjananya di dalam psikologi yang awalnya dia ingin mengambil psikologi kimia. Namun segera dia menjadi tertarik kepada piaget dan mulai mewawancarai anak-anak dan remaja tentang masalah-masalah moral. Semua hasil penelitiannya itu ditulis dalam disertasi doktoralnya (1958), rancangan pertama dari teori pentahapan psikologi yang baru. Kohlberg mengajar di Universitas Chicago dari tahun 1962 sampai 1968, dan di Universitas Harvard dari tahun <b>1968</b> sampai ajal menjemputnya ditahun 1987.</span></div><div class="MsoNormalCxSpLast" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level2 lfo7; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.2.</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Pengertian Tahap Perkembangan Moral Menurut Kohlberg</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahapan perkembangan moral adalah ukuran dari tinggi rendahnya moral seseorang berdasarkan perkembangan penalaran moralnya seperti yang diungkapkan oleh Lawrence Kohlberg. Tahapan tersebut dibuat saat ia belajar psikologi di University of Chicago berdasarkan teori yang ia buat setelah terinspirasi hasil kerja Jean Piaget dan kekagumannya akan reaksi anak-anak terhadap dilema moral. Ia menulis disertasi doktornya pada tahun 1958 yang menjadi awal dari apa yang sekarang disebut tahapan-tahapan perkembangan moral dari Kohlberg.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Teori ini berpandangan bahwa penalaran moral, yang merupakan dasar dari perilaku etis, mempunyai enam tahapan perkembangan yang dapat teridentifikasi. Ia mengikuti perkembangan dari keputusan moral seiring penambahan usia yang semula diteliti Piaget, yang menyatakan bahwa logika dan moralitas berkembang melalui tahapan-tahapan konstruktif. Kohlberg memperluas pandangan dasar ini, dengan menentukan bahwa proses perkembangan moral pada prinsipnya berhubungan dengan keadilan dan perkembangannya berlanjut selama kehidupan,walaupun ada dialog yang mempertanyakan implikasi filosofis dari penelitiannya.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kohlberg menggunakan ceritera-ceritera tentang dilema moral dalam penelitiannya, dan ia tertarik pada bagaimana orang-orang akan menjustifikasi tindakan-tindakan mereka bila mereka berada dalam persoalan moral yang sama. Kohlberg kemudian mengkategorisasi dan mengklasifikasi respon yang dimunculkan ke dalam enam tahap yang berbeda. Keenam tahapan tersebut dibagi ke dalam tiga tingkatan: pra-konvensional, konvensional, dan pasca-konvensional.Teorinya didasarkan pada tahapan perkembangan konstruktif; setiap tahapan dan tingkatan memberi tanggapan yang lebih adekuat terhadap dilema-dilema moral dibanding tahap/tingkat sebelumnya.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level2 lfo7; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.3.</span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> <b style="mso-bidi-font-weight: normal;">Tahapan Perkembangan Moral Menurut Kohlberg</b></span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Keenam tahapan perkembangan moral dari Kolhlberg dikelompokkan ke dalam tiga tingkatan: pra-konvensional, konvensional, dan pasca-konvensional.Mengikuti persyaratan yang dikemukakan Piaget untuk suatu Teori perkembangan kognitif, adalah sangat jarang terjadi kemunduran dalam tahapan-tahapan ini.Walaupun demikian, tidak ada suatu fungsi yang berada dalam tahapan tertinggi sepanjang waktu. Juga tidak dimungkinkan untuk melompati suatu tahapan; setiap tahap memiliki perspektif yang baru dan diperlukan, dan lebih komprehensif, beragam, dan terintegrasi dibanding tahap sebelumnya.</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: 21.3pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat 1 (Pra-Konvensional)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi kepatuhan dan hukuman</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi minat pribadi( Apa untungnya buat saya?)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: 21.3pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat 2 (Konvensional)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi keserasian interpersonal dan konformitas ( Sikap anak baik)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi otoritas dan pemeliharaan aturan sosial ( Moralitas hukum dan aturan)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: 21.3pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat 3 (Pasca-Konvensional)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi kontrak sosial</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; mso-list: l2 level1 lfo2; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip etika universal ( Principled conscience)</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pra-Konvensional </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkat pra-konvensional dari penalaran moral umumnya ada pada anak-anak, walaupun orang dewasa juga dapat menunjukkan penalaran dalam tahap ini. Seseorang yang berada dalam tingkat pra-konvensional menilai moralitas dari suatu tindakan berdasarkan konsekuensinya langsung. Tingkat pra-konvensional terdiri dari dua tahapan awal dalam perkembangan moral, dan murni melihat diri dalam bentuk egosentris.</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tahap pertama</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi hukuman dan kepatuhan (punishment and obedience orientation) ialah tahap pertama dalam teori perkembangan moral Kohlberg. Pada tahap ini perkembangan moral didasarkan atas hukuman, seseorang memfokuskan diri pada konsekuensi langsung dari tindakan mereka yang dirasakan sendiri. Sebagai contoh, suatu tindakan dianggap salah secara moral bila orang yang melakukannya dihukum. Semakin keras hukuman diberikan dianggap semakin salah tindakan itu. Sebagai tambahan, ia tidak tahu bahwa sudut pandang orang lain berbeda dari sudut pandang dirinya. Tahapan ini bisa dilihat sebagai sejenis otoriterisme. Anak-anak taat karena orang-orang dewasa menuntut mereka untuk taat. Anak-anak pada tahap ini sulit untuk mempertimbangkan dua sudut pandang dalam dilema moral. Akibatnya, mereka mengabaikan niat orang-orang dan bukan fokus pada ketakutan otoritas dan menghindari hukuman sebagai alasan untuk bersikap secara moral.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tahap dua </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Individualisme dan tujuan (individualism and purpose) ialah tahap kedua dalam teori perkembangan moral Kohlberg. Pada tahap ini penalaran moral didasarkan pada imbalan dan kepentingan diri sendiri. Anak-anak taat bila mereka ingin taat dan bila yang paling baik untuk kepentingan terbaik adalah taat. Apa yang benar adalah apa yang dirasakan baik dan apa yang dianggap menghasilkan hadiah. Anak-anak menyadari bahwa orang dapat memiliki perspektif yang berbeda dalam dilema moral, tetapi pemahaman ini adalah, pada awalnya sangat konkret. Mereka melihat tindakan yang benar sebagai yang mengalir dari kepentingan diri sendiri. Timbal balik dipahami sebagai pertukaran yang sama nikmat “Anda melakukan ini untuk saya dan saya akan melakukannya untuk Anda.”</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Konvensional </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penalaran konvensional adalah tingkat kedua atau tingkat menengah dari teori perkembangan moral Kohlberg. Internalisasi individu pada tahap ini adalah menengah, seseorang mentaati standar-standar (internal) tertentu, tetapi mereka tidak mentaati standar-standar (internal) orang lain, seperti orang tua atau masyarakat. Pada tingkat konvensional, seseorang terus memperhatikan kesesuaian dengan aturan-aturan sosial yang penting, tetapi bukan karena alasan kepentingan diri sendiri. Mereka percaya bahwa aktif dalam memelihara sistem sosial saat ini memastikan hubungan manusia yang positif dan ketertiban masyarakat. Tingkat konvensional umumnya ada pada seorang remaja atau orang dewasa. Orang di tahapan ini menilai moralitas dari suatu tindakan dengan membandingkannya dengan pandangan dan harapan masyarakat:</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tahap tiga</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi keserasian interpersonal dan konformitas ( Sikap anak baik). Norma-norma interpersonal (interpersonal norms) ialah tahap ketiga dalam teori perkembangan moral Kohlberg. Tahap penyesuaian dengan kelompok atau orientasi untuk menjadi “anak manis”. Pada tahap selanjutnya, terjadi sebuah proses perkembangan kearah sosialitas dan moralitas kelompok. Norma-norma interpersonal, pada tahap ini seseorang menghargai kebenaran, kepedulian, dan kesetiaan pada orang lain sebagai landasan pertimbangan-pertimbangan moral.Kesadaran dan kepedulian atas kelompok akrab, serta tercipta sebuah penilaian akan dirinya dihadapan komunitas/kelompok. Keinginan untuk mematuhi aturan karena mereka mempromosikan hubungan harmoni sosial muncul dalam konteks hubungan pribadi yang dekat. Seseorang ingin mempertahankan kasih sayang dan persetujuan dari teman-teman dan kerabat dengan menjadi “orang baik”, bisa dipercaya, setia, menghormati, membantu, dan baik. Anak anak sering mengadopsi standar-standar moral orang tuanya pada tahap ini. Sambil mengharapkan dihargai oleh orangtuanya sebagai seorang perempuan yang baik atau laki-laki yang baik, seseorang memasuki masyarakat dan memiliki peran sosial. Individu mau menerima persetujuan atau ketidaksetujuan dari orang-orang lain karena hal tersebut merefleksikan persetujuan masyarakat terhadap peran yang dimilikinya. Mereka mencoba menjadi seorang “anak baik” untuk memenuhi harapan tersebut, karena telah mengetahui ada gunanya melakukan hal tersebut. Penalaran tahap tiga menilai moralitas dari suatu tindakan dengan mengevaluasi konsekuensinya dalam bentuk hubungan interpersonal, yang mulai menyertakan hal seperti rasa hormat, rasa terimakasih. Keinginan untuk mematuhi aturan dan otoritas ada hanya untuk membantu peran sosial yang stereotip ini.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tahap empat</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi otoritas dan pemeliharaan aturan sosial ( Moralitas hukum dan aturan).<br />
Moralitas sistem sosial (social system morality) ialah tahap keempat dalam teori perkembangan moral Kohlberg. Pada tahap ini, pertimbangan moral didasarkan atas pemahaman aturan sosial, hukum-hukum, keadilan, dan kewajiban. Pada kondisi ini dimana seseorang sudah mulai beranjak pada orientasi hukum legal/peraturan yang berfungsi untuk menciptakan kondisi yang tertib dan nyaman dalam kelompok/komunitas. Seseorang memperhitungkan perspektif yang lebih besar dari hukum masyarakat. pilihan moral tidak lagi tergantung pada hubungan dekat dengan orang lain. Sebaliknya, peraturan harus ditegakkan dengan cara sama untuk semua orang, dan setiap anggota masyarakat memiliki tugas pribadi untuk menegakkan mereka serta mematuhi hukum, keputusan, dan konvensi sosial karena berguna dalam memelihara fungsi dari masyarakat. Penalaran moral dalam tahap empat lebih dari sekedar kebutuhan akan penerimaan individual seperti dalam tahap tiga; kebutuhan masyarakat harus melebihi kebutuhan pribadi. Idealisme utama sering menentukan apa yang benar dan apa yang salah, seperti dalam kasus fundamentalisme. Bila seseorang bisa melanggar hukum, mungkin orang lain juga akan begitu, sehingga ada kewajiban atau tugas untuk mematuhi hukum dan aturan. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasca-Konvensional </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tingkatan pasca konvensional, juga dikenal sebagai tingkat berprinsip, terdiri dari tahap lima dan enam dari perkembangan moral. Kenyataan bahwa individu-individu adalah entitas yang terpisah dari masyarakat kini menjadi semakin jelas. Perspektif seseorang harus dilihat sebelum perspektif masyarakat. Akibat ‘hakekat diri mendahului orang lain’ ini membuat tingkatan pasca-konvensional sering tertukar dengan perilaku pra-konvensional.</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tahap lima</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Orientasi kontrak sosial. Hak-hak masyarakat versus hak-hak individual (community rights versus individual rights) ialah tahap kelima dalam teori perkembangan moral Kohlberg. Pada tahap ini, seseorang memahami bahwa nilai-nilai dan aturan-aturan adalah bersifat relatif dan bahwa standar dapat berbeda dari satu orang ke orang lain, menyadari bahwa hukum penting bagi masyarakat, tetapi juga mengetahui bahwa hukum dapat diubah. Seseorang percaya bahwa beberapa nilai, seperti kebebasan, lebih penting daripada hukum. Seseorang dipandang sebagai memiliki pendapat dan nilai-nilai yang berbeda. Pada tahap ini penting bahwa mereka dihormati dan dihargai tanpa memihak. Permasalahan yang tidak dianggap sebagai relatif seperti kehidupan dan pilihan jangan sampai ditahan atau dihambat. Kenyataannya, tidak ada pilihan yang pasti benar atau absolut ‘memang anda siapa membuat keputusan kalau yang lain tidak?’. Sejalan dengan itu, hukum dilihat sebagai kontrak sosial dan bukannya keputusan kaku. Aturan-aturan yang tidak mengakibatkan kesejahteraan sosial harus diubah bila perlu demi terpenuhinya kebaikan terbanyak untuk sebanyak-banyaknya orang. Hal tersebut diperoleh melalui keputusan mayoritas, dan kompromi. Dalam hal ini, pemerintahan yang demokratis tampak berlandaskan pada penalaran tahap lima. Seseorang menganggap hukum dan aturan sebagai instrumen yang fleksibel untuk melanjutkan tujuan manusia. Mereka dapat membayangkan alternatif tatanan sosial mereka, dan mereka menekankan prosedur yang adil untuk menafsirkan dan mengubah hukum. Ketika hukum konsisten dengan hak-hak individu dan kepentingan mayoritas setiap orang mengikuti mereka karena orientasi partisipasi kontrak sosial bebas dan bersedia dalam sistem karena membawa lebih baik bagi orang-orang dari pada jika tidak ada. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">tahap enam, </span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 1.0cm; mso-add-space: auto; text-align: justify; text-indent: 1.0cm;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prinsip etika universal. Prinsip-prinsip etis universal (universal ethical principles) ialah tahap keenam dan tertinggi dalam teori perkembangan moral Kohlberg. Pada tahap tertinggi, tindakan yang benar didefinisikan sendiri, prinsip-prinsip etis yang dipilih dari hati nurani yang berlaku untuk semua umat manusia, tanpa hukum dan kesepakatan sosial. Penalaran moral berdasar pada penalaran abstrak menggunakan prinsip etika universal. Bila menghadapi konflik secara hukum dan suara hati, seseorang akan mengikuti suara hati, walaupun keputusan itu mungkin melibatkan resiko pribadi. Hukum hanya valid bila berdasar pada keadilan, dan komitmen terhadap keadilan, juga menyertakan keharusan untuk tidak mematuhi hukum yang tidak adil. Hak tidak perlu sebagai kontrak sosial dan tidak penting untuk tindakan moral deontis. Keputusan dihasilkan secara kategoris dalam cara yang absolut dan bukannya secara hipotetis secara kondisional. Hal ini bisa dilakukan dengan membayangkan apa yang akan dilakukan seseorang saat menjadi orang lain, yang juga memikirkan apa yang dilakukan bila berpikiran sama. Tindakan yang diambil adalah hasil konsensus, dengan cara ini tindakan tidak pernah menjadi cara tapi selalu menjadi hasil; seseorang bertindak karena hal itu benar, dan bukan karena ada maksud pribadi, sesuai harapan, legal, atau sudah disetujui sebelumnya.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kohlberg percaya bahwa ketiga tingkat dan keenam tahap tersebut terjadi dalam suatu urutan dan berkaitan dengan usia:</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Sebelum usia 9 tahun, kebanyakan anak-anak berpikir tentang dilema moral dengan cara yang prakonvensional.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada awal masa remaja, mereka berpikir dengan cara-cara yang lebih konvensional.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo5; text-align: justify; text-indent: -18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada awal masa dewasa, sejumlah kecil orang berpikir dengan cara-cara yang pascakonvensional.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l6 level2 lfo7; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.4.</span></span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Contoh Tahap – tahap perkembangan moral menurut Lawrence Kohlberg</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tahap 1(</span></i><i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasi hukuman dan kepatuhan</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketika seorang siswa harus mematuhi perintah dari gurunya agar tidak mendapatkan hukuman.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang siswa rajin belajar agar dia bisa menjadi seorang juara kelas.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang siswa akan rajin belajar agar mendapat nilai bagus dan maksimal karena orang tua menjanjikan sebuah hadiah ketika ia menjadi juara.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang anak tidak mau berkelahi dengan temannya karena jika berkelahi akan diberi sanksi oleh ibunya.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="FR" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: FR; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar tidak dihukum oleh ayahnya, seseorang anak atau remaja menurut patuh terhadap perintah orang tuanya walaupun ia tidak senang</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">,contohnya tidak boleh pulang pulang terlalu larut.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tahap</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 2 (</span><i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasi relativis-intrumental</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Anak aktif sesuai anjuran guru agar dipuji.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang siswa mempunyai sebuah pekerjaan rumah dari gurunya dia meminta kakaknya untuk membantunya dan jika kakak membantunya dia akan membantu kakaknya membersihkan pekerjaan rumah.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tetap melakukan keinginan yang ada pada dirinya walau dilarang oleh orang tua karena itu merupakan potensinya namun tetap menghargai pendapat orang tua contohnya seorang anak mengikuti kegiatan disanggar tari karena itu merupakan potensinya namun karena dilarang oleh orang tua sebab sering pulang larut sehingga dia mngikuti kegiatan tari tesebut namun dia tetap pulang lebih awal.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam melakukan atau memberikan sesuatu kepada orang lain, bukan rasa terima kasih atau sebagai curahan kasih sayang, tetapi bersifat pamrih. Contohnya kegiatan jual beli</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Siswa akan membayar uang sekolah dan mereka berhak menerima apa yang telah menjadi hak mereka seperti.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tahap</span></i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 3</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">(</span><i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasi kesepakatan antara pribadi atau Orientasi ”Anak manis”</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang anak ikut membantu kerja bakti didesanya agar warga sekitar berpandangan baik padanya.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Berperilaku sopan dan santun kepada yang lebih tua. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang anak selalu mengutamakan rasa kebersamaan dengan sahabat baiknya jika sahabatnya sedih maupun senang terkesan dengan sahabat sejati</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Agar anak dikatakan sebagai anak yang baik, maka anak mengambil standar moral yang diberlakukan oleh orang tuanya. Seperti bangun lebih awal ketika hari libur untuk membantu pekerjaan rumah sang ibu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selalu ramah kepada para tetangga untuk lebih menjalin rasa persaudaraan seperti sering mengantarkan makanan, mengunjungi rumahnya.dll</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tahap</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 4 (</span><i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasi hukum dan</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> aturan)</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam ketertiban lalu lintas dianjurkan menggunakan helm SNI dan membawa SIM untuk ketertiban bersama.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang siswa harus mematuhi tata tertib disekolah. Contoh : memakai seragam lengkap dalam upacara bendera.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk menjaga keamanan dan ketertiban dilingkungan seorang yang berkunjung lebih dari 24 jam atau menginap wajib untuk melapor pada RT atau RW setempat.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tertib dalam administrasi yang menyangkut kepentingan bersama. Contohnya membayar pajak , lisrik dan tagihan lain tepat waktu.</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Aparatur polisi menjalankan tugas dan fungsinya sebagai penjaga keamanan dan ketertiban dalam masyarakat sesuai dengan peraturan perundang – undangan yang telah dibuat dan disepakati bersama.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 4.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 4.0pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 4.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tahap</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> 5 (</span><i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasi kontrak sosial legalistis</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang warga aktif dalam mengikuti kegiatan siskamling dengan harapan lingkungan yang dia tinggali aman, nyaman dan tentram.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang mahasiswa mengerjakan tugas dari dosen selain untuk memenuhi kewajibannya sebagai mahasiswa dia juga berharap untuk dapat memperoleh hasil study yang bagus.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ikut bergotong royong dilingkungan desa contohnya ketika seorang warga mempunyai hajat dia turut membantu dengan harapan jika suatu saat dia membutuhkan maka warga yang lain akan turut membantu.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melaksanakan kegiatan adat di desa masing – masing agar tidak dikucilkan oleh masyarakat dan menjadi sebuah kenyamanan bersama.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Melakukan jumat bersih disekolah bagi semua warga sekolah sehingga kondisi belajar mengajar jadi lebih nyaman.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; mso-add-space: auto; mso-list: l4 level1 lfo6; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tahap 6 (</span><i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: SV; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Orientasi Prinsip Etika Universal</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">)</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang suami yang tidak mempunyai uang boleh jadi dia akan mencuri untuk membeli obat untuk keselamatan nyawa istrinya dengan keyakinan menyelematkan kehidupan seseorang merupakan kewajiban moral yang lebih tinggi dari pada mencuri.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam sebuah diskusi untuk mencapai musyawarah mufakat kita senantiasa menghormati pendapat orang lain walaupun bertentangan dengan hatinurani kita.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol; mso-fareast-language: IN;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seorang hakim harus yang memberikan vonis kepada suatu perkara sesuai ketentuan hukum walaupun bertentangan dengan hati nuraninya.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 4.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l1 level1 lfo1; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Symbol; 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font-size: 7.0pt; line-height: 150%; mso-fareast-font-family: Wingdings; mso-fareast-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ketika mendapatkan tugas mendadak diskusi dengan lawan jenis dan tugas itu harus dikumpulkan keesokan harinya, dan kita mengerjakan bersama hingga larut malam niat kita baik untuk mengerjakan tugas namun dimata masyarakat itu pasti dinilai kurang baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 4.0pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 4.0pt; text-align: justify;"><br />
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</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level2 lfo7; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.5.</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;"> Contoh dilema moral yang digunakan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Kohlberg menyusun Wawancara Keputusan Moral dalam disertasi aslinya di tahun 1958. Selama kurang lebih 45 menit dalam wawancara semi-terstruktur yang direkam, pewawancara menggunakan dilema-dilema moral untuk menentukan penalaran moral tahapan mana yang digunakan partisipan. Dilemanya berupa ceritera fiksi pendek yang menggambarkan situasi yang mengharuskan seseorang membuat keputusan moral. Partisipan tersebut diberi serangkaian pertanyaan terbuka yang sistematis, seperti apa yang mereka pikir tentang tindakan yang seharusnya dilakukan, juga justifikasi seperti mengapa tindakan tertentu dianggap benar atau salah. Pemberian skor dilakukan terhadap bentuk dan struktur dari jawaban-jawaban tersebut dan bukan pada isinya; melalui serangkaian dilema moral diperoleh skor secara keseluruhan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l5 level1 lfo4; text-align: justify; text-indent: -18.0pt;"><span style="font-family: Wingdings; font-size: 12.0pt; line-height: 150%; 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 style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dilema Heinz </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Salah satu dilema yang digunakan Kohlberg dalam penelitian awalnya adalah dilema apoteker: Heinz Mencuri Obat di Eropa. Seorang perempuan sudah hampir meninggal dunia akibat semacam kanker. Ada suatu obat yang menurut dokter dapat menyelamatkannya. Obat itu adalah semacam radium yang baru saja ditemukan oleh seorang apoteker di kota yang sama. Obat itu mahal ongkos pembuatannya, tetapi si apoteker menjualnya sepuluh kali lipat ongkos pembuatannya tersebut. Ia membayar $200 untuk radium tersebut dan menjualnya $2.000 untuk satu dosis kecil obat tersebut. Suami dari perempuan yang sakit, Heinz, pergi ke setiap orang yang dia kenal untuk meminjam uang, tapi ia cuma memperoleh $1.000, setengah dari harga obat seharusnya. Ia berceritera kepada apoteker bahwa isterinya sudah sekarat dan memintanya untuk dapat menjual obat dengan lebih murah atau memperbolehkan dia melunasinya di kemudian hari. Tetapi si apoteker mengatakan: “Tidak, saya yang menemukan obat itu dan saya akan mencari uang dari obat itu.” Heinz menjadi putus asa dan membongkar apotek tersebut untuk mencuri obat demi istrinya.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Haruskah Heinz membongkar apotek itu untuk mencuri obat bagi isterinya? Mengapa?</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dari sudut pandang teoretis, apa yang menurut partisipan perlu dilakukan oleh Heinz tidaklah penting. Teori Kohlberg berpendapat bahwa justifikasi yang diberikan oleh partisipanlah yang signifikan, bentuk dari repon mereka.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l6 level2 lfo7; text-align: justify; text-indent: -18.0pt;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.6.</span></span></b><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> Kritik </span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Salah satu kritik terhadap teori Kohlberg adalah bahwa teori tersebut terlalu menekankan pada keadilan dan mengabaikan norma yang lainnya. Konsekuensinya, teori itu tidak akan menilai secara adekuat orang yang menggunakan aspek moral lainnya dalam bertindak. Carol Gilligan berargumentasi bahwa teori Kohlberg terlalu androsentrik Teori Kohlberg semula dikembangkan berdasarkan penelitian empiris yang menggunakan hanya partisipan lelaki; Giligan berargumentasi bahwa hal tersebut membuat tidak adekuatnya teori itu dalam menggambarkan pandangan seorang perempuan. Walaupun penelitian secara umum telah menemukan tidak adanya perbedaan pola yang signifikan antar jenis kelamin, teori perkembangan moral dari Gilligan tidak memusatkan perhatiannya pada norma keadilan. Ia mengembangkan teori penalaran moral alternatif berdasarkan norma perhatian.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Psikolog lain mempertanyakan asumsi bahwa tindakan moral dicapai terutama oleh penalaran formal. Salah satu kelompok yang berpandangan demikian, social intuitionists, mengemukakan bahwa orang sering membuat keputusan moral tanpa mempertimbangkan nilai-nilai seperti keadilan, hukum, hak asasi manusia, dan norma etika yang abstrak. Berdasarkan hal ini, argumen yang telah dianalisis oleh Kohlberg dan psikolog rasionalist lainnya dapat dianggap hanya merupakan rasionalisasi dari keputusan intuitif. Ini berarti bahwa penalaran moral kurang relevan terhadap tindakan moral dibanding apa yang dikemukakan oleh Kohlberg.</span></div>Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-22197237143855023282013-06-06T05:41:00.001-07:002013-06-06T05:41:36.432-07:00komunikasi pada anak<!--[if gte mso 9]><xml>
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span style="font-family: "Times New Roman","serif"; font-size: 14.0pt; line-height: 150%;">KOMUNIKASI
PADA ANAK</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dalam
melakukan <a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">komunikasi</span></a> pada anak perawat perlu memperhatikan berbagai aspek
diantaranya adalah usia tumbuh kembang anak, cara berkomunikasi dengan anak,
metode dalam berkomunikasi dengan anak tahapan atau langkah-langkah dalam
melakukan komunikasi dengan anak serta peran orang tua dalam membantu proses
komunikasi dengan anak sehingga bisa didapatkan informasi yang benar dan
akurat.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">Komunikasi</span></a> dengan anak berdasarkan usia tumbuh kembang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia
Bayi (0-1 tahun)</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span style="mso-spacerun: yes;"> </span><a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">Komunikasi</span></a> pada bayi yang umumnya dapat dilakukan adalah
dengan melalui gerakan-gerakan bayi, gerakan tersebut sebagai alat <a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">komunikasi</span></a> yang efektif, di samping itu komunikasi pada bayi
dapat dilakukan secara non <a href="http://teguhsubianto.blogspot.com/2010/03/komunikasi-verbal.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">verbal</span></a>.
Perkembangan <a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">komunikasi</span></a> pada bayi dapat dimulai dengan kemampuan bayi untuk
melihat sesuatu yang menarik, ketika bayi digerakkan maka bayi akan berespons
untuk mengeluarkan suara-suara bayi. Perkembangan komunikasi pada bayi tersebut
dapat dimulai pada usia minggu ke delapan dimana bayi sudah mampu untuk melihat
objek atau cahaya, kemudian pada minggu kedua belas sudah mulai melakukan
tersenyum. Pada usia ke enam belas bayi sudah mulai menolehkan kepala pada
suara yang asing bagi dirinya. Pada pertengahan tahun pertama bayi sudah mulai
mengucapkan kata-kata awal seperti ba-ba, da-da, dan lain-lain. Pada bulan ke
sepuluh bayi sudah bereaksi terhadap panggilan terhadap namanya, mampu melihat
beberapa gambar yang terdapat dalam buku. Pada akhir tahun pertama bayi sudah
mampu mengucapkan kata-kata yang spesifik antara dua atau tiga kata.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Selain melakukan <a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">komunikasi</span></a> seperti di atas terdapat cara komunikasi yang
efektif pada bayi yakni dengan cara menggunakan komunikasi non <a href="http://teguhsubianto.blogspot.com/2010/03/komunikasi-verbal.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">verbal</span></a>
dengan tehnik sentuhan seperti mengusap, menggendong, memangku, dan lain-lain.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia</span>
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Todler dan Pra Sekolah (1-2,5 tahun, 2,5-5 tahun)</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Perkembangan </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">komunikasi</span></a><span class="fullpost"> pada usia ini dapat
ditunjukkan dengan perkembangan bahasa anak dengan kemampuan anak sudah mampu
memahami kurang lebih sepuluh kata, pada tahun ke dua sudah mampu 200-300 kata
dan masih terdengan kata-kata ulangan.</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span class="fullpost">Pada anak usia ini
khususnya usia 3 tahun anak sudah mampu menguasai sembilan ratus kata dan
banyak kata-kata yang digunakan seperti mengapa, apa, kapan dan sebagainya.
Komunikasi pada </span></span>usia<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> tersebut
sifatnya sangat egosentris, rasa ingin tahunya sangat tinggi, inisiatifnya
tinggi, kemampuan bahasanya mulai meningkat, mudah merasa kecewa dan rasa
bersalah karena tuntutan tinggi, setiap komunikasi harus berpusat pada dirinya,
takut terhadap ketidaktahuan dan perlu diingat bahwa pada usia ini anak masih
belum fasih dalam berbicara (Behrman, 1996).</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span class="fullpost">Pada usia ini cara
berkomunikasi yang dapat dilakukan adalah dengan memberi tahu apa yang terjadi
pada dirinya, memberi kesempatan pada mereka untuk menyentuh alat pemeriksaan
yang akan digunakan, menggunakan nada suara, bicara lambat, jika tidak dijawab
harus diulang lebih jelas dengan pengarahan yang sederhana, hindarkan sikap
mendesak untuk dijawab seperti kata-kata “jawab dong”, mengalihkan aktivitas
saat komunikasi, memberikan mainan saat komunikasi dengan maksud anak mudah
diajak komunikasi dimana kita dalam berkomunikasi dengan anak sebaiknya mengatur
jarak, adanya kesadaran diri dimana kita harus menghindari konfrontasi
langsung, duduk yang terlalu dekat dan berhadapan. Secara non </span><a href="http://teguhsubianto.blogspot.com/2010/03/komunikasi-verbal.html"><span style="color: windowtext; text-decoration: none; text-underline: none;">verbal</span></a><span class="fullpost"> kita selalu memberi dorongan penerimaan dan persetujuan jika
diperlukan, jangan sentuh anak tanpa disetujui dari anak, bersalaman dengan
anak merupakan cara untuk menghilangkan perasaan cemas, menggambar, menulis
atau bercerita dalam menggali perasaan dan fikiran anak si saat melakukan komunikasi.</span></span></div>
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<br /></div>
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<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia
Sekolah (5-11 tahun)</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Perkembangan </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">komunikasi</span></a><span class="fullpost"> pada anak usia ini dapat
dimulai dengan kemampuan anak mencetak, menggambar, membuat huruf atau tulisan
yang besar dan apa yang dilaksanakan oleh anak mencerminkan pikiran anak dan
kemampuan anak membaca disini sudah muncul, pada usia ke delapan anak sudah
mampu membaca dan sudah mulai berfikir tentang kehidupan.</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><a href="http://askep-free.blogspot.com/2010/03/konsep-komunikasi.html" target="_blank"><span style="color: windowtext; text-decoration: none; text-underline: none;">Komunikasi</span></a><span class="fullpost"> yang dapat dilakukan pada usia
sekolah ini adalah tetap masih memperhatikan tingkat kemampuan bahasa anak
yaitu menggunakan kata-kata sederhana yang spesifik, menjelaskan sesuatu yang
membuat ketidakjelasan pada anak atau sesuatu yang tidak diketahui, pada usia
ini keingintahuan pada aspek fungsional dan prosedural dari objek tertentu
sangat tinggi. Maka jelaskan arti, fungsi dan prosedurnya, maksud dan tujuan
dari sesuatu yang ditanyakn secara jelas dan jangan menyakiti atau mengancam
sebab ini akan membuat anak tidak mampu berkomunikasi secara efektif.</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Usia
Remaja (11-18 tahun)</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Perkembangan komunikasi pada usia remaja
ini ditunjukkan dengan kemampuan berdiskusi atau berdebat dan sudah mulai
berpikir secara konseptual, sudah mulai menunjukkan perasaan malu, pada anak
usia sering kali merenung kehidupan tentang masa depan yang direfleksikan dalam
komunikasi. Pada usia ini pola pikir sudah mulai menunjukkan ke arah yang lebih
positif, terjadi konseptualisasi mengingat masa ini adalah masa peralihan anak
menjadi dewasa.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span class="fullpost">Komunikasi yang
dapat dilakukan pada usia ini adalah berdiskusi atau curah pendapat pada teman
sebaya, hindari beberapa pertanyaan yang dapat menimbulkan rasa malu dan jaga
kerahasiaan dalam komunikasi mengingat awal terwujudnya kepercayaan anak dan
merupakan masa transisi dalam bersikap dewasa.</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 14.7pt;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></span><span class="MsoHyperlink"><span style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; text-decoration: none; text-underline: none;">Cara</span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> komunikasi dengan anak</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komunikasi
dengan anak merupakan sesuatu yang penting dalam menjaga hubungan dengan
anak,melalui komunikasi ini pula perawat dapat memudahkan mengambil berbagai
data yang terdapat pada diri anak yang selanjutnya digunakan dalam penentuan
masalah keperawatan atau tindakan keperawatan. Beberapa cara yang dapat
digunakan dalam berkomunikasi dengan anak, antara lain :</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span class="fullpost">1. Melalui orang lain atau pihak ketiga</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Cara
berkomunikasi ini pertama dilakukan oleh anak dalam menumbuhkan kepercayaan
diri anak, dengan menghindari secara langsung berkomunikasi dengan melibatkan
orang tua secara langsung yang sedang berada di samping anak. Selain itu dapat
digunakan cara dengan memberikan komentar tentang mainan, baju yang sedang
dipakainya serta hal lainnya, dengan catatan tidak langsung pada pokok
pembicaraan.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<br />
<span class="fullpost">2. Bercerita</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melalui
cara ini pesan yang akan disampaikan kepada anak dapat mudah diterima,
mengingat anak sangat suka sekali dengan cerita, tetapi cerita yang disampaikan
hendaknya sesuai dengan pesan yang akan disampaikan, yang dapat diekspresikan
melalui tulisan maupun gambar.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">3.
Memfasilitasi</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memfasilitasi
anak adalah bagian cara berkomunikasi, melalui ini ekspresi anak atau respon
anak terhadap pesan dapat diterima. Dalam memfasilitasi kita harus mampu
mengekspresikan perasaan dan tidak boleh dominan, tetapi anak harus diberikan
respons terhadap pesan yang disampaikan melalui mendengarkan dengan penuh
perhatian dan jangan merefleksikan ungkapan negatif yang menunjukkan kesan yang
jelek pada anak.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<br />
<span class="fullpost">4. Biblioterapi</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melalui
pemberian buku atau majalah dapat digunakan untuk mengekspresikan perasaan,
dengan menceritakan isi buku atau majalah yang sesuai dengan pesan yang akan
disampaikan kepada anak.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span class="fullpost">5. Meminta untuk menyebutkan keinginan</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Ungkapan
ini penting dalam berkomunikasi dengan anak, dengan meminta anak untuk
menyebutkan keinginan dapat diketahui berbagai keluhan yang dirasakan anak dan
keinginan tersebut dapat menunjukkan perasaan dan pikiran anak pada saat itu.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<br />
<span class="fullpost">6. Pilihan pro dan kontra</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan
teknik komunikasi ini sangat penting dalam menentukan atau mengetahui perasaan
dan pikiran anak, dengan mengajukan pasa situasi yang menunjukkan pilihan yang
positif dan negatif sesuai dengan pendapat anak.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<br />
<span class="fullpost">7. Penggunaan skala</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penggunaan
skala atau peringkat ini digunakan dalam mengungkapkan perasaan sakit pada anak
seperti penggunaan perasaan nyeri, cemas, sedih dan lain-lain, dengan
menganjurkan anak untuk mengekspresikan perasaan sakitnya.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span class="fullpost">8. Menulis</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Melalui
cara ini anak akan dapat mengekspresikan dirinya baik pada keadaan sedih, marah
atau lainnya dan biasanya banyak dilakukan pada anak yang jengkel, marah dan diam.
Cara ini dapat dilakukan apabila anak sudah memiliki kemampuan untuk menulis.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
<span class="fullpost"></span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">9.
Menggambar</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Seperti
halnya menulis menggambar pun dapat digunakan untuk mengungkapkan ekspresinya,
perasaan jengkel, marah yang biasanya dapat diungkapkan melalui gambar dan anak
akan mengungkapkan perasaannya apabila perawat menanyakan maksud dari gambar
yang ditulisnya. </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"><br />
<span class="fullpost">10. Bermain</span></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; text-align: justify; text-indent: 35.4pt;">
<span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bermain
alat efektif pada anak dalam membantu berkomunikasi, melalui ini hubungan
interpersonal antara anak, perawat dan orang di sekitarnya dapat terjalin, dan
pesan-pesan dapat disampaikan.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"></span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-52895717633672647882013-01-18T02:35:00.003-08:002013-01-18T02:35:42.961-08:00artikel keperawatan dan umum<!--[if gte mso 9]><xml>
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<div align="center" class="MsoNormal" style="line-height: 150%; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 3; text-align: center;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">Artikel Keperawatan dan Umum</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Fraktur (patah tulang) yang
sering terjadi pada lansia</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">poko
rantau 06 oktober 2011</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><br />
<span style="mso-spacerun: yes;"> </span></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Fraktur
merupakan salah satu masalah musculoskeletal (tulang dan otot) yang sering
terjadi pada manusia lanjut usia, dan fraktur yang berhubungan dengan
osteoporosis dianggap yang paling menyebabkan morbiditas dan disalbilitas pada
lanjut usia. Pada tulisan ini, penulis akan mencoba membahas tiga jenis fraktur
berdasarkan lokasinya yang sering terjadi pada lansia yaitu (1) fraktur kompresi
Vertebra, (2) fraktur panggul, dan (3) fraktur pinggul</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Fraktur ini menyebabkan sakit punggung yang merupakan
gejala osteoporosis yang paling sering dijumpai. Gejala yang mungkin terjadi
paling awal adalah nyeri akut pada bagian tengah sampai bagian bawah vertebra
toraksika selama aktifitas harian rutin.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Focus pada perawatan fraktur kompresi akut ini adalah
mengurangi gejala sesegera mungkin dengan <i>bedrest </i>pada posisi apapun
untuk memberikan kenyamanan maksimum pada klien. Relaksan untuk otot seperti
panas dan analgesic juga dapat digunakan bila ada indikasi, karena penggunaan
relaksan otot jangka pendek dalam jumlah sedikit dapat mengurangi spasme otot
yang sering menyertai fraktur-fraktur seperti ini.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Setelah nyeri berkurang, segerakan klien untuk mencoba
bangun dari tempat tidur secara perlahan dan dengan dibantu oleh perawat.
Latihan dengan bantuan ini diharapkan dapat memperbaiki deformitas postural dan
dapat meningkatkan tonus otot. Selain itu klien juga harus diajarkan tentang
cara mencegah ketegangan punggung dengan menghindari gerakan berputar atau
pergerakan yang kuat atau membungkuk secara mendadak. Tindakan yang berhubungan
dengan cara mengangkat dan membawa barang-barang juga perlu dijelaskan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<u><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Fraktur Panggul</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Klien lansia biasanya mengalami cedera ini karena
terjatuh. Walaupun hanya 3% dari semua fraktur adalah fraktur panggul, tipe
cidera ini diperhitungkan menimbulkan 5 sampai 20 % kematian diantara lansia
akibat fraktur. Fraktur panggul adalah hal yang tidak menyenangkan karena
fraktur tersebut dapat juga menyebabkan cedera intraabdomen yang serius,
seperti laserasi kolon, paralisis ileum, perdarahan intrapelvis, dan ruptur
uretra serta kandung kemih.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify;">
<u><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Fraktur Pinggul</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 12.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Hoolbrook (1984) melaporkan bahwa 1 dari 20 klien yang
berusia lebih dari 65 tahun yang baru saja dirawat di rumah sakit mengelami
penyembuhan dari fraktur pinggul, dan pada klien yang berasal dari panti werda,
70% tidak bertahan hidup 1 tahun, hanya sepertiga dari klien yang dapat
bertahan hidup setelah mengalami fraktur pinggul dapat kembali ke gaya hidup
dan tingkat kemandirian yang dapat dibandingkan dengan kondisi sebelum klien
mengalami fraktur tersebut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Antara 75 dan 80% dari semua fraktur tulang pinggul
mempengaruhi wanita, dan hampir setengahnya terjadi pada seseorang yang berusia
80 tahun atau lebih. Manifestasi klinis dari fraktur tulang pinggul ini adalah
rotasi eksternal, pemendekan ekstremitas yang terkena, dan nyeri berat serta
nyeri tekan di lokasi fraktur.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<b><u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"><span style="text-decoration: none;"><br /></span></span></u></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<b><u><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Penatalaksanaan</span></u></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perawat harus mewaspadai faktor-faktor praoperasi dan
pascaoperasi yang jika tidak dikenali dapat menjadi faktor penentu yang
berdampak kurang baik terhadap klien.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<br />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<u><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Praoperasi</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perawat harus mengajarkan klien untuk melatih kaki yang
tidak mengalami cidera dan kedua lengannya. Selain itu sebelum dilakukan
operasi klien harus diajrakna menggunakan <i><u>trapeze</u></i> yang
dipasangkan di atas tempat tidur dan di sisi pengaman tempa tidur yang berfungsi
untuk membantunya dalam mengubah posisi, klien juga perlu mempraktikan
bagaimana cara bangun dari tempat tidur dan pindah ke kursi.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<br />
<br />
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify;">
<u><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Pascaoperasi</span></u><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; text-align: justify; text-indent: .5in;">
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Perawat memantau tanda vital serta memantau asupan dan
keluaran cairan, mengawasi aktivitas pernapasan, seperti napas dalam dan batuk,
memberikan pengobatan untuk menghilangkan rasa nyeri, dan mengobservasi balutan
luka terhadap tanda-tanda infeksi dan perdarahan. Sesudah dan sebelum reduksi
fraktur, akan selalu ada resiko mengalami gangguan sirkulasi, sensasi, dan
gerakan. Tungkai klien tetap diangkat untuk menghindari edema. Bantal pasir
dapat sangat membantu untuk mempertahankan agar tungkai tidak mengalami rotasi
eksterna. Untuk menurunkan kebutuhan akan penggunaan narkotika dapat
menggunakan transcutaneus electrical nerve stimulator (TENS).</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";"></span></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;">Untuk mencegah dislokasi prosthesis, perawat
harus senantiasa menggunakan 3 bantal diantara tungkai klien ketika mengganti
posisi, pertahankan bidai abductor tungkai pada klien kecuali pada saat mandi,
hindari mengganti posisi klien ke sisi yang mengalami fraktur. Menahan
benda/beban yang berat pada ekstremitas yang terkena fraktur tidak dapat
diizinkan kecuali telah mendapatkan hasil dari bagian radiologi yang menyatakan
adanya tanda-tanda penyembuhan yang adekuat, umumnya pada waktu 3 sampai 5
bulan</span>Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-69698783225065504952012-11-15T04:18:00.000-08:002012-11-15T04:18:15.645-08:00ARDS<!--[if gte mso 9]><xml>
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<b><span style="color: green; font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Syndrome (ARDS) atau
Sindrom Gawat Pernafasan Akut</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span></b></div>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sindrom
Gawat Pernafasan Akut (<i>Sindroma Gawat Pernafasan Dewasa</i>) adalah suatu
jenis kegagalan paru-paru dengan berbagai kelainan yang berbeda, yang
menyebabkan terjadinya pengumpulan cairan di paru-paru (<i>edema paru</i>). <i>Sindroma
gawat pernafasan akut</i> merupakan kedaruratan medis yang dapat terjadi pada
orang yang sebelumnya mempunyai <i>paru-paru</i> yang normal. Walaupun sering
disebut <i>sindroma gawat pernafasan akut dewasa</i>, keadaan ini dapat juga
terjadi pada anak-anak.</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sejak Perang
Dunia I, beberapa pasien dengan cedera nonthoracic, pankreatitis parah,
transfusi masif, sepsis, dan kondisi lain nebgakibatkan gangguan pernapasan,
infiltrat paru, dan gagal napas, kadang-kadang setelah tertunda
beberapa jam sampai beberapa hari. Ashbaugh dkk menggambarkan 12
pasien tersebut pada tahun 1967, dengan menggunakan “sindrom gangguan
pernapasan dewasa” untuk menggambarkan kondisi ini.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebelum
penelitian patogenesis dan pengobatan sindrom ini bisa dilanjutkan, maka perlu
merumuskan definisi yang jelas dari sindrom. Definisi yang demikian
dikembangkan pada tahun 1994 oleh the American-European Consensus Conference
(AECC) pada sindrom gangguan pernapasan akut (ARDS)</span></div>
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<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Istilah
“pernapasan sindrom gangguan akut” digunakan bukan “sindrom gangguan pernapasan
dewasa”. Karena sindrom terjadi pada orang dewasa dan anak-anak.<br />
ARDS diakui sebagai bentuk yang paling parah cedera paru akut (ALI), suatu bentuk
cedera alveolar difus. Para AECC didefinisikan sebagai kondisi ARDS akut
ditandai dengan infiltrat paru bilateral dan hipoksemia berat karena tidak
adanya bukti untuk edema paru kardiogenik.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Menurut
kriteria AECC, yaitu aspek keparahan hipoksemia diperlukan untuk membuat
diagnosis ARDS didefinisikan oleh rasio tekanan parsial oksigen dalam darah
arteri pasien (PaO2) untuk fraksi oksigen dalam udara inspirasi (FiO2). Dalam
ARDS, rasio PaO2/FIO2 kurang dari 200, dan ALI, itu kurang dari 300. Selain itu,
edema paru kardiogenik harus dikeluarkan baik oleh kriteria klinis atau dengan
tekanan baji kapiler pulmonal (PCWP) lebih rendah dari 18 mmHg pada pasien
dengan arteri pulmonalis (Swan-Ganz) kateter di tempat.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patofisiologi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ARDS
dikaitkan dengan kerusakan alveolar difus (DAD) dan cedera paru endotel
kapiler. Tahap awal digambarkan sebagai eksudatif, sedangkan fase kemudian
adalah fibroproliferative dalam karakter. ARDS awal ditandai dengan peningkatan
permeabilitas penghalang alveolar-kapiler, menyebabkan masuknya cairan ke dalam
alveoli. Hambatan alveolar-kapiler dibentuk oleh endotel mikrovaskuler dan
lapisan epitel alveoli. Berbagai beban mengakibatkan kerusakan baik pada
endotel pembuluh darah atau epitel alveolar dapat mengakibatkan ARDS.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Situs utama dari
cedera dapat difokuskan pada baik endotelium vaskular misalnya sepsis atau
epitel alveolar misalnya aspirasi isi lambung. Cedera pada hasil endotelium
permeabilitas kapiler meningkat dan masuknya kaya protein cairan ke ruang
alveolar.<br />
Cedera pada sel-sel lapisan alveolar juga mempromosikan pembentukan edema paru.
Dua jenis sel epitel alveolar ada. Tipe I sel, yang membentuk 90% dari epitel
alveolar, terluka dengan mudah. Kerusakan tipe I sel memungkinkan baik masuknya
peningkatan cairan ke dalam alveoli dan penurunan pengeluaran cairan dari ruang
alveolar.<br />
Alveolar tipe II sel epitel relatif lebih tahan terhadap cedera. Namun, tipe II
sel memiliki beberapa fungsi penting, termasuk produksi surfaktan, transportasi
ion, dan proliferasi dan diferensiasi menjadi sel jenis l setelah cedera
selular. Kerusakan sel ketik II hasil penurunan produksi surfaktan dengan
kepatuhan menurun resultan dan keruntuhan alveolar. Gangguan pada proses
perbaikan normal di paru-paru dapat menyebabkan perkembangan fibrosis.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Neutrofil
diperkirakan memainkan peran kunci dalam patogenesis ARDS, seperti yang
disarankan oleh penelitian dari bronchoalveolar lavage (BAL) dan biopsi
paru-paru spesimen dalam ARDS awal. Meskipun pentingnya jelas neutrofil pada
sindrom ini, ARDS dapat berkembang pada pasien neutropenia sangat, dan infus
granulocyte colony-stimulating factor (G-CSF) pada pasien dengan
ventilator-associated pneumonia (VAP) tidak mempromosikan perkembangannya.
Bukti ini dan lainnya menunjukkan bahwa neutrofil diamati pada ARDS mungkin
reaktif daripada penyebab.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sitokin
seperti tumor necrosis factor [TNF], leukotrien, makrofag faktor penghambat,
dan lainnya, bersama dengan penyerapan trombosit dan aktivasi, juga penting
dalam pengembangan ARDS. Ketidakseimbangan sitokin proinflamasi dan
antiinflamasi diperkirakan terjadi setelah peristiwa menghasut, seperti sepsis.
Bukti dari studi hewan menunjukkan bahwa perkembangan ARDS dapat dipromosikan
oleh tekanan saluran udara positif yang disampaikan ke paru-paru dengan
ventilasi mekanis. Ini disebut ventilator terkait cedera paru (Vali).</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ARDS
mengekspresikan dirinya sebagai proses homogen. Alveoli relatif normal, yang
sesuai lebih dari alveoli yang terkena, dapat menjadi overdistensi oleh volume
tidal disampaikan, sehingga barotrauma (pneumotoraks dan udara interstisial).
Alveoli sudah rusak akibat ARDS mungkin mengalami cedera lebih lanjut dari gaya
geser yang diberikan oleh siklus kehancuran pada akhir kadaluarsa dan
reexpansion oleh tekanan positif pada inspirasi berikutnya disebut volutrauma.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain efek
mekanis pada alveoli, kekuatan-kekuatan mempromosikan sekresi sitokin
proinflamasi dengan peradangan memburuk resultan dan edema paru. Penggunaan
positif akhir ekspirasi tekanan (PEEP) untuk mengurangi runtuhnya alveolar dan
penggunaan volume tidal rendah dan tingkat terbatas tekanan mengisi inspirasi
tampaknya bermanfaat dalam mengurangi Vali diamati.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ARDS
menyebabkan peningkatan ditandai shunting intrapulmonal, menyebabkan hipoksemia
berat. Meskipun FiO2 tinggi diperlukan untuk mempertahankan oksigenasi jaringan
yang memadai dan kehidupan, langkah-langkah tambahan, seperti perekrutan paru
dengan PEEP, sering diperlukan. Secara teoritis, FiO2 tinggi level dapat
menyebabkan AYAH melalui oksigen bebas stres oksidatif radikal dan terkait,
secara kolektif disebut toksisitas oksigen. Umumnya, oksigen konsentrasi yang
lebih tinggi dari 65% untuk jangka waktu (hari) dapat mengakibatkan AYAH,
pembentukan membran hialin, dan, akhirnya, fibrosis.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ARDS secara
seragam dikaitkan dengan hipertensi paru. Vasokonstriksi arteri paru mungkin
memberikan kontribusi untuk ketidakseimbangan ventilasi-perfusi dan merupakan
salah satu mekanisme hipoksemia pada ARDS. Normalisasi tekanan arteri paru
terjadi sebagai sindrom terpecahkan. Pengembangan hipertensi paru progresif
dikaitkan dengan prognosis buruk.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fase akut
ARDS biasanya sembuh sepenuhnya. Kurang umum, fibrosis paru sisa terjadi, di
mana ruang-ruang alveolar diisi dengan sel mesenchymal dan pembuluh darah baru.
Proses ini tampaknya akan difasilitasi oleh interleukin (IL) -1. Pengembangan
menjadi fibrosis dapat diprediksi di awal saja dengan ditemukannya peningkatan
kadar prokolagen peptida III (PCP-III) dalam cairan yang diperoleh dengan UUPA.
Ini dan temuan fibrosis pada biopsi berkorelasi dengan tingkat kematian
meningkat</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Etiologi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor
risiko ada untuk ARDS. Sekitar 20% pasien dengan ARDS tidak memiliki faktor
risiko diidentifikasi. ARDS faktor risiko termasuk cedera paru-paru langsung
(paling sering, aspirasi isi lambung), penyakit sistemik, dan cedera. Faktor
risiko yang paling umum untuk ARDS adalah sepsis.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mengingat
jumlah penelitian orang dewasa, faktor risiko utama yang terkait dengan
pengembangan ARDS meliputi:</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Infeksi berat dan luas (sepsis)</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pneumonia</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan darah yang sangat
rendah (syok)</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terhirupnya makanan ke dalam
paru (menghirup muntahan dari lambung)</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa transfusi darah</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kerusakan paru-paru karena
menghirup oksigen konsentrasi tinggi</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Emboli paru</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cedera pada dada</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Luka bakar hebat</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tenggelam</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peradangan pankreas
(pankreatitis)</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Overdosis obat seperti heroin,
metadon, propoksifen atau aspirin</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma hebat</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Transfusi darah (terutama dalam
jumlah yang sangat banyak).</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">bakteremia</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">keracunan darah</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trauma, dengan atau tanpa memar
paru</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Patah tulang, patah tulang dan
patah tulang terutama beberapa tulang panjang</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">luka bakar</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">transfusi masif</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pneumonia</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">aspirasi</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">overdosis obat</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Near Drowning (hampir
tenggelam)</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Postperfusion injury after
cardiopulmonary bypass•</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">pankreatitis</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l3 level1 lfo1; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fat emboli</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor
risiko umum untuk ARDS belum prospektif dipelajari dengan menggunakan kriteria
tahun 1994 EACC. Namun, beberapa faktor tampaknya meningkatkan risiko ARDS
setelah peristiwa menghasut, termasuk usia lanjut, jenis kelamin perempuan
(dalam kasus-kasus trauma), merokok, dan penggunaan alkohol. Untuk setiap
penyebab yang mendasari, penyakit semakin parah seperti yang diperkirakan oleh
sistem penilaian keparahan seperti Fisiologi Akut Dan Kronis Evaluasi Kesehatan
(APACHE) meningkatkan risiko pengembangan ARDS.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor
genetik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah studi
oleh Glavan dkk meneliti hubungan antara variasi genetik pada gen FAS dan
kerentanan ALI. Studi ini mengidentifikasi hubungan antara empat polimorfisme
nukleotida tunggal dan peningkatan kerentanan ALI . Penelitian lebih lanjut
diperlukan untuk meneliti peran FAS di ALI.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Epidemiologi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Insiden ARDS
sangat bervariasi, sebagian karena penelitian telah menggunakan definisi yang
berbeda dari penyakit. Selain itu, untuk menentukan perkiraan yang akurat dari
insiden, semua kasus ARDS dalam populasi tertentu harus ditemukan dan
disertakan. Meskipun ini mungkin bermasalah, data terakhir yang tersedia dari
Amerika Serikat dan studi internasional yang dapat menjelaskan kejadian yang
sebenarnya dari kondisi ini.<br />
Amerika Serikat statistik</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada
1970-an, ketika sebuah penelitian Institut Kesehatan Nasional (NIH) ARDS sedang
direncanakan, frekuensi tahunan diperkirakan adalah 75 kasus per 100.000
penduduk. Penelitian selanjutnya, sebelum pengembangan definisi AECC, yaitu
aspek melaporkan angka jauh lebih rendah. Sebagai contoh, sebuah studi dari
Utah menunjukkan kejadian diperkirakan 4,8-8,3 kasus per 100.000 penduduk.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Data yang
diperoleh baru-baru ini oleh Jaringan Studi NIH disponsori ARDS menunjukkan
bahwa kejadian ARDS sebenarnya mungkin lebih tinggi dari perkiraan semula dari
75 kasus per 100.000 penduduk. Sebuah penelitian prospektif dengan menggunakan
definisi 1994 AECC dilakukan di King County, Washington, dari April 1999 sampai
Juli 2000 dan menemukan bahwa kejadian yang disesuaikan menurut umur dari ALI
adalah 86,2 per 100.000 orang-tahun</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meningkat
dengan usia, mencapai 306 per 100.000 orang-tahun untuk orang di usia 75-84
tahun. Berdasarkan statistik ini, diperkirakan 190.600 kasus ada di Amerika
Serikat setiap tahun dan bahwa kasus-kasus yang berhubungan dengan 74.500
kematian.<br />
Internasional statistik Studi pertama yang menggunakan definisi AECC 1994
dilakukan di Skandinavia, yang melaporkan tingkat tahunan 17,9 kasus per
100.000 penduduk untuk ALI dan 13,5 kasus per 100.000 penduduk untuk ARDS.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ARDS dapat
terjadi pada orang dari segala usia. Insiden meningkat dengan usia lanjut,
mulai dari 16 kasus per 100.000 orang-tahun pada mereka yang berusia 15-19
tahun untuk 306 kasus per 100.000 orang-tahun pada mereka yang berusia antara
75 dan 84 tahun. Distribusi usia mencerminkan kejadian penyebab yang mendasari.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk ARDS
berhubungan dengan sepsis dan penyebab lain, tidak ada perbedaan insidens
antara pria dan wanita tampaknya ada. Namun, pada pasien trauma saja, insiden
penyakit ini mungkin sedikit lebih tinggi di antara perempuan.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Prognosis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sampai
1990-an, kebanyakan studi melaporkan tingkat mortalitas 40-70% untuk ARDS.
Namun, 2 laporan pada 1990-an, satu dari rumah sakit daerah yang besar di
Seattle dan satu dari Inggris, menyarankan tingkat kematian jauh lebih rendah,
di kisaran 30-40% [7, 8]. Penjelasan yang mungkin untuk tingkat kelangsungan
hidup lebih baik mungkin pemahaman yang lebih baik dan pengobatan sepsis,
perubahan terbaru dalam penerapan ventilasi mekanik, dan lebih baik perawatan
suportif keseluruhan pasien sakit kritis.<br />
Perhatikan bahwa kebanyakan kematian pada pasien ARDS yang disebabkan sepsis
(faktor prognosis yang buruk) atau kegagalan multiorgan daripada penyebab paru
primer, meskipun keberhasilan baru-baru ventilasi mekanik dengan menggunakan
volume pasang surut yang lebih kecil mungkin menyarankan peran cedera paru-paru
sebagai penyebab langsung kematian.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mortalitas
pada ARDS meningkat dengan bertambahnya umur. Penelitian dilakukan di King
County, Washington, menemukan tingkat kematian 24% pada pasien antara usia 15
dan 19 tahun dan 60% pada pasien berusia 85 tahun dan lebih tua. Dampak buruk
dari usia mungkin terkait dengan status kesehatan yang mendasarinya. Indeks
oksigenasi dan ventilasi, termasuk rasio PaO2/FIO2, jangan memprediksi hasil
atau risiko kematian. Tingkat keparahan hipoksemia pada saat diagnosis tidak
berkorelasi dengan baik dengan tingkat ketahanan hidup. Namun, kegagalan fungsi
paru membaik pada minggu pertama pengobatan adalah faktor prognostik miskin.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tingkat
darah perifer dari reseptor umpan 3 (DcR3), sebuah protein terlarut dengan efek
imunomodulator, secara independen memprediksi 28-hari kematian pada pasien
ARDS. Dalam sebuah penelitian yang membandingkan DcR3, reseptor memicu larut
diekspresikan pada sel-sel myeloid (sTREM) -1, TNF-alfa, dan IL-6 pada pasien
ARDS, plasma DcR3 kadar biomarker hanya untuk membedakan yang selamat dari
nonsurvivors di semua titik waktu di minggu 1 ARDS [9]. nonsurvivors memiliki
tingkat DcR3 lebih tinggi dari korban, terlepas dari skor APACHE II, dan
kematian lebih tinggi pada pasien dengan tingkat DcR3 lebih tinggi.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Morbiditas
cukup besar. Pasien dengan ARDS cenderung memiliki program rumah sakit yang
berkepanjangan, dan mereka sering mengalami infeksi nosokomial, terutama
ventilator-associated pneumonia (VAP). Selain itu, pasien sering memiliki berat
badan yang signifikan dan kelemahan otot, dan gangguan fungsional dapat
bertahan selama berbulan-bulan setelah keluar rumah sakit.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit
berat dan durasi berkepanjangan ventilasi mekanis adalah prediktor kelainan
terus-menerus dalam fungsi paru. Korban ARDS memiliki gangguan fungsional yang
signifikan untuk tahun-tahun setelah pemulihan.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam sebuah
penelitian dari 109 korban ARDS, 12 pasien meninggal pada tahun pertama. Dalam
83 selamat dievaluasi, spirometri dan paru-paru volume normal pada 6 bulan,
tetapi kapasitas difusi tetap agak berkurang (72%) pada 1 tahun. [10] ARDS
selamat harus normal 6-menit jarak berjalan pada 1 tahun, dan hanya 49%
memiliki kembali bekerja. Berhubungan dengan kesehatan kualitas hidup mereka
secara signifikan di bawah normal. Namun, tidak ada pasien tetap oksigen
tergantung pada 12 bulan. Kelainan radiografi juga tuntas.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah studi
dari kelompok pasien yang sama 5 tahun setelah sembuh dari ARDS (9 pasien
tambahan meninggal dan 64 dievaluasi) baru-baru ini diterbitkan dan menunjukkan
penurunan latihan lanjutan dan penurunan kualitas hidup berhubungan dengan
faktor fisik dan neuropsikologis. Sebuah studi memeriksa kesehatan yang
berhubungan dengan kualitas hidup (HRQL) setelah ditetapkan bahwa ARDS ARDS
selamat harus HRQL keseluruhan lebih miskin daripada populasi umum pada 6 bulan
setelah pemulihan. Hal ini termasuk nilai lebih rendah dalam mobilitas, energi,
dan isolasi sosial.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi
Klinis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Acute
Respiratory Distress Syndrome (ARDS) ditandai oleh perkembangan dyspnea akut
dan hipoksemia dalam waktu jam dan beberapa hati , seperti trauma, sepsis,
overdosis obat, transfusi masif, pankreatitis akut, atau aspirasi. Dalam banyak
kasus, hal menghasut jelas, tetapi, pada orang lain (misalnya, obat overdosis),
mungkin lebih sulit untuk mengidentifikasi.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sindroma
gawat pernafasan akut</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> terjadi
dalam waktu 24-48 jam setelah kelainan dasarnya. Di awali penderita akan
merasakan sesak nafas, dan bisanya berupa pernafasan yang cepat dan dangkal.
Karena rendahnya kadar oksigen dalam darah, kulit terlihat pucat atau biru, dan
organ lain seperti <i>jantung</i> dan otak akan mengalami kelainan fungsi.
Hilangnya oksigen karena sindroma ini dapat menyebabkan komplikasi dari organ
lain segera setelah sindroma terjadi atau beberapa hari/minggu kemudian bila
keadaan penderita tidak membaik. Kehilangan oksigen yang berlangsung lama bisa
menyebabkan komplikasi serius seperti <i>gagal ginjal</i>. Tanpa pengobatan
yang tepat, 90% kasus berakhir dengan kematian. Bila pengobatan yang diberikan
sesuai, 50% penderita akan selamat. Karena penderita kurang mampu melawan
infeksi, mereka biasanya menderita <i>pneumonia bakterial</i> dalam perjalanan
penyakitnya. Gejala lainnya yang mungkin ditemukan:</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l7 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">cemas, merasa ajalnya hampir
tiba</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l7 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tekanan darah rendah atau syok
(tekanan darah rendah disertai oleh kegagalan organ lain)</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l7 level1 lfo2; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">penderita seringkali tidak
mampu mengeluhkan gejalanya karena tampak sangat sakit.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien dalam
perjalanan penyakitnya menjadi ARDS, sering disertai dengan kegagalan
multisistem organ, dan mereka mungkin tidak mampu memberikan informasi
historis. Biasanya, penyakit berkembang dalam 12-48 jam setelah kejadian
menghasut, meskipun, dalam kasus yang jarang, mungkin diperlukan waktu hingga
beberapa hari.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
terjadinya cedera paru-paru, pasien awalnya dicatat dyspnea dengan pengerahan
tenaga. Hal ini dengan cepat berkembang menjadi dispnea berat saat istirahat,
takipnea, gelisah, agitasi, dan kebutuhan untuk konsentrasi semakin tinggi
oksigen terinspirasi.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemeriksaan
fisik</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Temuan fisik
sering tidak spesifik dan termasuk takipnea, takikardia, dan kebutuhan untuk
sebagian kecil tinggi oksigen terinspirasi (FiO2) untuk mempertahankan saturasi
oksigen. Pasien mungkin demam atau hipotermia. Karena ARDS sering terjadi dalam
konteks sepsis, hipotensi terkait dan vasokonstriksi perifer dengan ekstremitas
dingin mungkin ada. Sianosis pada bibir dan kuku tempat tidur dapat terjadi.
Pemeriksaan paru-paru dapat mengungkapkan rales bilateral. Rales mungkin tidak
hadir meskipun keterlibatan luas. Karena pasien sering diintubasi dan ventilasi
mekanik, bunyi nafas menurun lebih dari 1 paru-paru dapat menunjukkan
pneumotoraks atau tabung endotrakeal turun bronkus utama kanan.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Manifestasi
dari penyebab yang mendasari misalnya, temuan perut akut dalam kasus ARDS
disebabkan oleh pankreatitis. Pada pasien septik tanpa sumber yang jelas,
perhatikan selama pemeriksaan fisik untuk mengidentifikasi penyebab potensial
dari sepsis, termasuk tanda-tanda konsolidasi paru-paru atau temuan konsisten
dengan abdomen akut. Hati-hati memeriksa situs garis intravaskuler, luka bedah,
situs tiriskan, dan ulkus dekubitus untuk bukti infeksi. Periksa subkutan
udara, manifestasi infeksi atau barotrauma. Karena edema paru kardiogenik harus
dibedakan dari ARDS, hati-hati mencari tanda-tanda gagal jantung kongestif atau
kelebihan beban volume intravaskular, termasuk distensi vena jugularis, murmur
jantung dan gallop, hepatomegali, dan edema.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Komplikasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien
dengan ARDS sering membutuhkan ventilasi mekanis intensitas tinggi, termasuk
tingginya tingkat positif akhir ekspirasi tekanan (PEEP) atau terus menerus
tekanan saluran udara positif (CPAP) dan, mungkin, tinggi berarti tekanan jalan
napas, dengan demikian, barotrauma dapat terjadi. Pasien datang dengan
pneumomediastinum, pneumotoraks, atau keduanya. Komplikasi potensial lainnya
yang mungkin terjadi pada pasien ini ventilasi mekanik termasuk ekstubasi
kecelakaan dan intubasi mainstem benar.<br />
Jika ventilasi mekanis yang lama diperlukan, pasien mungkin akhirnya
membutuhkan trakeostomi. Dengan intubasi berkepanjangan dan trakeostomi,
komplikasi saluran udara bagian atas dapat terjadi, terutama edema laring
postextubation dan stenosis subglottic.<br />
Karena pasien dengan ARDS sering membutuhkan ventilasi mekanis yang
berkepanjangan dan pemantauan hemodinamik invasif, mereka berisiko untuk
infeksi nosokomial serius, termasuk ventilator-associated pneumonia (VAP) dan
sepsis baris. Insiden VAP pada pasien ARDS mungkin setinggi 55% dan tampaknya
lebih tinggi dari itu pada populasi lain yang membutuhkan ventilasi mekanis.
Strategi pencegahan termasuk elevasi kepala tempat tidur, penggunaan tabung
hisap subglottic endotrakeal, dan dekontaminasi oral.<br />
Infeksi potensial lainnya termasuk infeksi saluran kemih (ISK) yang berkaitan
dengan penggunaan kateter urin dan sinusitis yang berhubungan dengan penggunaan
makanan hidung dan tabung drainase. Pasien juga dapat mengembangkan kolitis
Clostridium difficile sebagai komplikasi spektrum luas terapi antibiotik.
Pasien dengan ARDS, karena unit perawatan diperpanjang intensif (ICU) tinggal
dan pengobatan dengan antibiotik ganda, juga dapat mengembangkan infeksi yang
resistan terhadap obat organisme seperti methicillin-resistant Staphylococcus
aureus (MRSA) dan vancomycin-resistant Enterococcus (VRE).<br />
Dalam sebuah studi yang selamat dari ARDS, gangguan fungsional yang signifikan
tercatat pada 1 tahun, terutama terkait dengan pengecilan otot dan kelemahan
[10] pengobatan kortikosteroid dan penggunaan blokade neuromuskuler. Merupakan
faktor risiko untuk kelemahan otot dan pemulihan fungsional miskin.<br />
Pasien mungkin mengalami kesulitan menyapih dari ventilasi mekanis. Strategi
untuk memfasilitasi penyapihan, seperti gangguan harian sedasi, [13] lembaga
awal terapi fisik, perhatian untuk mempertahankan nutrisi, dan penggunaan protokol
menyapih, dapat menurunkan durasi ventilasi mekanis dan memfasilitasi
pemulihan.<br />
Gagal ginjal merupakan komplikasi yang sering ARDS, terutama dalam konteks
sepsis. Gagal ginjal mungkin berhubungan dengan hipotensi, obat-obatan
nefrotoksik, atau penyakit yang mendasarinya. Manajemen cairan rumit dalam
konteks ini, terutama jika pasien oliguria. Kegagalan organ multisistem,
daripada kegagalan pernafasan saja, biasanya merupakan penyebab kematian pada
ARDS.<br />
Komplikasi potensial lainnya termasuk ileus, gastritis stres, dan anemia. Stres
profilaksis ulkus diindikasikan untuk pasien ini. Anemia dapat dicegah dengan
penggunaan faktor pertumbuhan (epopoietin)</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; mso-outline-level: 2;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 13.5pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gangguan Penyakit Yang menyertai:</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 18.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></b></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pulmonary hemorrhage</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Near drowning</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Drug reaction</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Noncardiogenic pulmonary edema</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hamman-Rich syndrome</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Retinoic acid syndrome</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Acute hypersensitivity
pneumonitis</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Transfusion-related acute lung
injury (TRALI)</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Acute eosinophilic pneumonia</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Reperfusion injury</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Leukemic infiltration</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l6 level1 lfo3; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Fat embolism syndrome</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis
Banding</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Goodpasture Syndrome</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hypersensitivity Pneumonitis</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Multisystem Organ Failure of
Sepsis</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nosocomial Pneumonia</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perioperative Pulmonary
Management</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pneumocystis Carinii Pneumonia</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pneumonia, Aspiration,
Bacterial, Viral atau Eosinophilia</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Respiratory Failure</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sepsis, Bacterial</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Septic Shock</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Shock, Hemorrhagic</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Toxic Shock Syndrome</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Toxicity, Heroin</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Toxicity, Salicylate</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Transfusion Reactions</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tumor Lysis Syndrome</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilation, Mechanical</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilation, Noninvasive</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l9 level1 lfo4; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilator-Associated Pneumonia</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Diagnosis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Acute
Respiratory Distress Syndrome (ARDS) didefinisikan oleh onset akut dari
infiltrat paru bilateral dan hipoksemia berat karena tidak adanya bukti edema
paru kardiogenik. Hasil pemeriksaan termasuk tes laboratorium dipilih,
pencitraan diagnostik, pemantauan hemodinamik, dan bronkoskopi. ARDS adalah
diagnosis klinis, dan tidak ada kelainan laboratorium khusus dicatat di luar
gangguan yang diharapkan dalam pertukaran gas dan temuan radiografi.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemriksaan
Laboratorium</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam ARDS,
jika tekanan parsial oksigen dalam darah arteri pasien (PaO2) dibagi oleh
fraksi oksigen dalam udara inspirasi (FiO2), hasilnya adalah 200 atau kurang.
Untuk pasien bernafas oksigen 100%, ini berarti bahwa PaO2 kurang dari 200.
Pada cedera paru akut (ALI), rasio PaO2/FIO2 kurang dari 300.<br />
Selain hipoksemia, gas darah arteri sering awalnya menunjukkan alkalosis
pernapasan. Namun, dalam ARDS terjadi dalam konteks sepsis, asidosis metabolik
dengan atau tanpa kompensasi pernapasan mungkin ada.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saat kondisi
berlangsung dan pekerjaan peningkatan pernapasan, tekanan parsial karbon
dioksida (PCO2) mulai meningkat dan alkalosis pernapasan memberikan cara untuk
asidosis pernafasan. Pasien pada ventilasi mekanik untuk ARDS mungkin
diperbolehkan untuk tetap hiperkapnia (hiperkapnia permisif) untuk mencapai
tujuan dari volume tidal rendah dan terbatas dataran tinggi strategi ventilator
tekanan yang bertujuan untuk membatasi ventilator terkait cedera paru-paru.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk
mengecualikan edema paru kardiogenik, mungkin akan membantu untuk mendapatkan
plasma B-type natriuretic peptide (BNP) nilai dan ekokardiogram. Tingkat BNP
kurang dari 100 pg / mL pada pasien dengan infiltrat bilateral dan hipoksemia
nikmat diagnosis ARDS / cedera paru akut (ALI) daripada edema paru kardiogenik.
Echocardiogram yang menyediakan informasi tentang fraksi ejeksi ventrikel kiri,
gerakan dinding, dan kelainan katup.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kelainan
lain yang diamati pada ARDS tergantung pada penyebab atau komplikasi yang
terkait dan mungkin termasuk yang berikut:</span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l13 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hematologi</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l13 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pasien septik, leukopenia
atau leukositosis dapat dicatat. Trombositopenia dapat diamati pada pasien
sepsis dengan adanya koagulasi intravaskular diseminata (DIC). Von
Willebrand Factor (vWF) dapat meningkat pada pasien berisiko untuk ARDS
dan dapat menjadi penanda cedera endotel.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l13 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ginjal – nekrosis tubular akut
(ATN) sering terjadi kemudian dalam perjalanan ARDS, mungkin dari iskemia
ke ginjal. Fungsi ginjal harus dimonitor secara seksama.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l13 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Hati -</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> hati kelainan fungsi dapat
dicatat baik dalam pola cedera hepatoseluler atau kolestasis.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l13 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sitokin</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> – sitokin Beberapa, seperti
interleukin (IL) -1, IL-6, dan IL-8, yang meningkat dalam serum pasien
pada risiko ARDS.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Radiografi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l11 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">ARDS didefinisikan oleh adanya
infiltrat paru bilateral. Para infiltrat mungkin menyebar dan simetris
atau asimetris, terutama jika dilapiskan di atas sudah ada sebelumnya
penyakit paru-paru atau jika penghinaan menyebabkan ARDS adalah proses
paru, seperti aspirasi atau memar paru-paru.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l11 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Para infiltrat paru biasanya
berkembang dengan cepat, dengan tingkat keparahan maksimal dalam 3 hari
pertama. Infiltrat dapat terlihat pada radiografi dada segera setelah
timbulnya kelainan pertukaran gas. Mereka mungkin interstisial, ditandai
dengan pengisian alveolar, atau keduanya.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l11 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Awalnya, infiltrat mungkin
memiliki distribusi perifer merata, tapi segera mereka maju untuk
meredakan keterlibatan bilateral dengan perubahan kaca tanah atau alveolar
jujur infiltrat (lihat gambar di bawah). Anteroposterior rontgen dada
portabel pada pasien yang telah di kegagalan pernafasan selama 1 minggu
dengan diagnosis sindrom gangguan pernapasan akut. Gambar menunjukkan
tabung endotrakeal, meninggalkan subklavia pusat vena kateter pada vena
kava superior, dan kekeruhan merata bilateral di zona paru-paru sebagian
besar menengah ke bawah. Korelasi antara temuan radiografi dan beratnya
hipoksemia sangat bervariasi. Selain itu, diuresis cenderung meningkatkan
infiltrat dan volume overload cenderung memburuk mereka, terlepas dari
perbaikan atau memburuk di ARDS mendasarinya.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l11 level1 lfo6; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk pasien yang mulai membaik
dan menunjukkan tanda-tanda resolusi, perbaikan dalam kelainan radiografi
umumnya terjadi selama 10-14 hari, namun.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Computed
Tomography</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara umum, evaluasi klinis
dan radiografi dada yang cukup rutin pada pasien dengan ARDS. Namun,
computed tomography (CT) scanning dapat diindikasikan dalam beberapa
situasi. CT scan lebih sensitif dibandingkan radiografi dada polos dalam
mendeteksi emfisema interstisial paru, pneumotoraks dan pneumomediastinum,
efusi pleura, kavitasi, dan limfadenopati mediastinum. Heterogenitas keterlibatan
alveolar sering terlihat pada CT scan bahkan di hadapan infiltrat difus
homogen pada radiograf dada rutin.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l4 level1 lfo7; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam beberapa kasus, penemuan
patologi paru tak terduga, seperti pneumotoraks, mungkin menyelamatkan
nyawa. Namun, ini potensi manfaat harus dipertimbangkan terhadap risiko
yang terkait dengan mengangkut pasien sakit kritis pada intensitas tinggi
ventilasi mekanis keluar dari unit perawatan intensif (ICU) dengan
peralatan CT scan.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Echocardiography</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai bagian dari
pemeriksaan, pasien dengan ARDS harus menjalani ekokardiografi 2-dimensi
untuk tujuan skrining. Jika temuan ini sugestif shunting paten foramen
ovale, 2-dimensi ekokardiografi harus ditindaklanjuti dengan
transesophageal echocardiography</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karena pasien dengan ARDS parah
sering membutuhkan posisi rentan berkepanjangan karena hipoksemia
refraktori, sebuah studi dinilai penggunaan transesophageal
echocardiography (TEE) pada pasien dalam posisi rawan. Penelitian
menetapkan bahwa TEE dapat dengan aman dan efisien dilakukan pada pasien
dengan ARDS parah dalam posisi rawan.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemantauan hemodinamik invasif</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Karena diagnosis diferensial dari ARDS meliputi edema paru kardiogenik,
pemantauan hemodinamik dengan arteri pulmonalis (Swan-Ganz) kateter
mungkin dapat membantu dalam kasus-kasus yang dipilih untuk membedakan
dari edema paru kardiogenik noncardiogenic.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kateter arteri paru melayang
melalui introducer yang dipasang di pembuluh darah sentral, biasanya vena
jugularis atau subklavia kanan internal. Dengan balon digelembungkan,
kateter maju dengan pemantauan tekanan berkelanjutan. Hal ini memungkinkan
pengukuran tekanan atrium kanan, tekanan ventrikel kanan, tekanan arteri
pulmonalis, dan arteri tekanan oklusi paru (PAOP).</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan kateter dalam
posisi benar, PAOP mencerminkan tekanan mengisi di sisi kiri jantung
dan secara tidak langsung, status volume intravaskular. PAOP A lebih
rendah dari 18 mm Hg biasanya konsisten dengan edema paru noncardiogenic,
meskipun faktor-faktor lain, seperti tekanan onkotik plasma rendah,
memungkinkan edema paru kardiogenik terjadi pada tekanan lebih rendah.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kateter arteri paru-paru juga
menyediakan informasi lainnya yang dapat membantu baik dalam diagnosis
diferensial dan pengobatan pasien tersebut. Sebagai contoh, perhitungan
resistensi pembuluh darah sistemik berdasarkan keluaran thermodilution
jantung, tekanan atrium kanan, dan rata-rata tekanan arteri dapat
memberikan dukungan untuk kecurigaan klinis dari sepsis.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saturasi oksigen vena campuran
untuk memungkinkan perhitungan shunt dan pengiriman oksigen digunakan oleh
beberapa untuk menyesuaikan parameter ventilator dan dukungan vasoaktif.
Saturasi oksigen vena campuran juga digunakan dalam tujuan-diarahkan
terapi untuk sepsis.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karena menghindari cairan yang
berlebihan mungkin bermanfaat dalam pengelolaan ARDS, penggunaan kateter
vena sentral atau kateter arteri paru dapat memfasilitasi manajemen cairan
yang tepat dalam pasien yang menilai status volume intravaskular
berdasarkan gejala klinis mungkin sulit atau tidak mungkin. Hal ini
mungkin sangat berguna pada pasien yang hipotensi atau mereka dengan gagal
ginjal terkait.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meskipun kateter arteri
paru-paru memberikan informasi yang cukup, penggunaannya bukan tanpa
kontroversi. Para ARDS Clinical Trials Jaringan mempelajari apakah
perbedaan angka kematian dapat ditemukan pada pasien ARDS yang cairan
manajemen dipandu oleh kateter arteri paru-paru dibandingkan dengan
kateter vena sentral setelah resusitasi awal. Penelitian ini tidak
menemukan perbedaan dalam kematian, hari ventilator, ICU hari , atau perlu
untuk pressors atau dialisis. Kelompok kateter arteri paru-paru memiliki
dua kali lebih banyak kateter terkait komplikasi, terutama aritmia.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Studi lain retrospektif besar
pasien kritis dipantau dengan kateter arteri paru-paru dalam 24 jam
pertama masuk ICU menunjukkan bahwa pasien dengan kateter arteri paru-paru
memiliki tingkat kematian meningkat, biaya rumah sakit, dan lama tinggal
dibandingkan dengan kelompok pasien secara retrospektif. Penggunaan
kateter arteri pulmonalis masa lalu saat resusitasi awal tidak bermanfaat
kelangsungan hidup dan mungkin memiliki efek buruk pada kelangsungan
hidup.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengukuran akurat dari
parameter hemodinamik dengan kateter arteri paru-paru membutuhkan
keterampilan dan perawatan. Hal ini terutama sulit pada pasien baik pada
ventilasi mekanik atau dengan inspirasi spontan dipaksakan karena tekanan
menelusuri dipengaruhi oleh tekanan intrathoracic. PCWP harus diukur pada
akhir ekspirasi dan dari pelacakan bukan dari display digital pada monitor
di samping tempat tidur.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bronkoskopi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Bronkoskopi dapat dipertimbangkan untuk mengevaluasi kemungkinan infeksi,
perdarahan alveolar, atau akut pneumonia eosinofilik pada pasien akut
dengan infiltrat paru bilateral. Materi budaya dapat diperoleh dengan
wedging bronkoskop dalam bronkus subsegmental dan mengumpulkan cairan
disedot setelah menanamkan volume besar garam nonbacteriostatic
(bronchoalveolar lavage; UUPA). Cairan dianalisis untuk diferensial sel,
sitologi, perak noda, dan Gram noda dan kuantitatif berbudaya.<br />
Sepuluh ribu organisme per mililiter umumnya dianggap signifikan pada
pasien yang sebelumnya tidak diobati dengan antibiotik. Sebagaimana
dicatat (lihat di atas), ARDS awal ditandai oleh adanya neutrofil dalam
cairan BAL, sehingga kehadiran organisme intraseluler dan penggunaan
kultur kuantitatif penting dalam membangun infeksi.<br />
Cara alternatif untuk memperoleh suatu budaya adalah dengan cara sikat
spesimen yang dilindungi, yang dilewatkan melalui bronkoskop menjadi
bronkus segmental. Selanjutnya, sikat dipotong menjadi 1 mL saline nonbacteriostatic
steril. Budaya 1000 organisme dianggap signifikan.<br />
Analisis jenis sel hadir dalam cairan BAL dapat membantu dalam diagnosis
banding pasien dengan ARDS. 20%) in the BAL fluid is consistent with the
diagnosis of acute eosinophilic pneumonia.”>Sebagai contoh,
ditemukannya persentase yang tinggi dari eosinofil (> 20%) pada cairan
BAL konsisten dengan diagnosis pneumonia eosinofilik akut. Penggunaan
kortikosteroid dosis tinggi pada pasien ini mungkin menyelamatkan nyawa.<br />
Sebagian besar dari limfosit dapat diamati pada pneumonitis
hipersensitivitas akut, sarkoidosis, atau bronchiolitis obliterans
mengorganisir pneumonia (Boop). Sel darah merah dan hemosiderin-sarat
makrofag dapat diamati pada perdarahan paru. Makrofag sarat lipid sugestif
dari aspirasi atau pneumonia lipoid.<br />
Evaluasi sitologi dari cairan BAL juga dapat membantu dalam diagnosis
diferensial ARDS. Hal ini dapat mengungkapkan perubahan sitopatik virus,
misalnya. Perak noda dapat membantu dalam mendiagnosis infeksi, seperti
pneumonia.<br />
Penggunaan bronkoskopi sebagai tambahan untuk terapi surfaktan telah
dilaporkan. Dalam 10 orang dewasa dengan ARDS, lavage segmental sekuensial
bronkopulmonalis dengan sintetik encer itu aman, ditoleransi dengan baik,
dan terkait dengan penurunan kebutuhan oksigen.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Temuan histologis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Perubahan histologis dalam ARDS adalah dari kerusakan alveolar difus.
Sebuah fase eksudatif terjadi pada beberapa hari pertama dan ditandai oleh
edema interstitial, perdarahan alveolar dan edema, kolaps alveolar,
kemacetan kapiler paru, dan pembentukan membran hialin.
Perubahan-perubahan histologis tidak spesifik dan tidak memberikan
informasi yang akan memungkinkan ahli patologi untuk menentukan penyebab
ARDS. Fotomikrograf dari pasien dengan sindrom gangguan pernapasan akut
(ARDS). Gambar menunjukkan dalam tahap ARDS eksudatif. Perhatikan membran
hialin dan hilangnya epitel alveolar dalam tahap awal ARDS. Biopsi
dilakukan setelah beberapa hari menunjukkan awal organisasi eksudat
intra-alveolar dan perbaikan, fase proliferasi ARDS, yang ditandai oleh
pertumbuhan tipe 2 pneumocytes di dinding alveolar dan penampilan
fibroblas, myofibroblasts, dan kolagen pengendapan di interstitium.<br />
Tahap akhir dari ARDS adalah fibrosis. Dinding alveolar yang menebal oleh
jaringan ikat bukan edema atau selular menyusup</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pementasan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Pada 1980-an, Murray dan rekan kerja mengembangkan cedera paru-paru sistem
penilaian, yang telah terbukti membantu dalam penelitian klinis pada ARDS</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l1 level1 lfo8; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sistem ini didasarkan pada 4
parameter berikut.:</span></li>
</ul>
<ol start="1" type="1">
<li class="MsoNormal" style="line-height: normal; mso-list: l12 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keparahan konsolidasi berdasarkan
temuan radiograf dada</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l12 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beratnya hipoksemia berdasarkan
rasio PaO2/FIO2</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l12 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Paru</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l12 level1 lfo9; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">tingkat kebutuhan PEEP</span></li>
</ol>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah studi
oleh Calfee et al meneliti penggunaan biomarker plasma di beberapa
reklasifikasi risiko pada saat diagnosis ALI . Plasma biomarker molekul adhesi
antar sel 1, von Willebrand faktor, interleukin 8, nekrosis faktor reseptor
larut tumor 1, dan surfaktan protein D meningkatkan akurasi prediksi resiko
bila dikombinasikan dengan data klinis.<br />
Dalam sebuah studi, prospektif, multisenter kohort observasional, Gajic dkk
mengidentifikasi kondisi predisposisi dan pengubah risiko prediktif pembangunan
ALI dari data klinis rutin tersedia selama evaluasi awal [22]. Risiko kematian
dari ALI ditentukan setelah penyesuaian untuk tingkat keparahan penyakit dan predisposisi
kondisi. Cedera paru prediksi skor (LIPS) berhasil pada pasien diskriminatif
yang mengembangkan ALI dari mereka yang tidak, yang dapat mengingatkan dokter
untuk menerapkan strategi pencegahan.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penanganan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Belum ada
obat yang terbukti bermanfaat dalam pencegahan atau pengelolaan sindrom
gangguan pernapasan akut (ARDS). Administrasi awal kortikosteroid untuk pasien
sepsis tidak mencegah perkembangan ARDS. Sebuah studi oleh Martin-Loeches dkk
menyimpulkan bahwa penggunaan awal kortikosteroid juga tidak efektif pada
pasien dengan influenza H1N1 pandemi infeksi A, mengakibatkan peningkatan
risiko superinfeksi. Temuan ini juga bergema dalam studi oleh Brun- Buisson
dkk, yang tidak menemukan bukti manfaat yang terkait dengan kortikosteroid pada
pasien dengan ARDS sekunder pneumonia influenza tapi memang menemukan bahwa
terapi kortikosteroid awal mungkin berbahaya.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Banyak
terapi farmakologis, termasuk penggunaan surfaktan sintetis inhalasi, intravena
(IV) antibodi terhadap endotoksin, ketoconazole, dan ibuprofen, telah dicoba
dan tidak efektif.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah studi
yang meneliti penggunaan dan hasil terkait dengan terapi penyelamatan pada
pasien dengan ALI menetapkan bahwa terapi ini tidak memberikan manfaat
kelangsungan hidup. Penelitian ini juga ditentukan bahwa terapi penyelamatan
yang paling sering digunakan pada pasien muda dengan defisit oksigenasi lebih
berat.<br />
Sebuah uji coba, acak klinis menetapkan bahwa simvastatin, sebuah
hydroxymethylglutaryl-koenzim A reduktase inhibitor, mengakibatkan oksigenasi
lebih baik dan mekanik pernafasan lebih baik pada pasien dengan ALI Penelitian
lebih lanjut diperlukan, tetapi pengobatan dengan simvastatin muncul aman dan
mungkin terkait dengan disfungsi organ baik di pasien dengan ALI.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Uji sepsis
Kecil menunjukkan peran potensial untuk antibodi terhadap tumor necrosis factor
(TNF) dan interleukin rekombinan (IL) -1 antagonis reseptor. Nitrat oksida
inhalasi (NO), vasodilator paru kuat, tampak menjanjikan dalam uji coba awal,
tapi dalam percobaan terkontrol yang lebih besar, hal itu tidak mengubah
tingkat kematian pada orang dewasa dengan ARDS.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah
tinjauan sistematis, meta-analisis, dan percobaan analisis sekuensial dari 14
percobaan terkontrol acak, termasuk 1.303 pasien, menemukan bahwa oksida nitrat
inhalasi tidak mengurangi angka kematian dan menghasilkan hanya perbaikan
sementara dalam oksigenasi.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meskipun
tidak ada terapi spesifik ada untuk ARDS, pengobatan kondisi-kondisi tersebut
penting, bersama dengan perawatan suportif, ventilasi invasif atau ventilasi
mekanis dengan menggunakan volume tidal rendah, dan manajemen fluida
konservatif. Karena infeksi seringkali penyebab ARDS, administrasi awal terapi
antibiotik yang tepat cukup luas untuk menutupi patogen yang dicurigai sangat
penting, bersama dengan penilaian hati-hati pasien untuk menentukan sumber
infeksi potensial. Dalam beberapa kasus, penghapusan garis intravaskuler,
drainase koleksi cairan yang terinfeksi, atau debridement atau reseksi dari
sebuah situs yang terinfeksi misalnya, iskemia usus mungkin diperlukan karena
sepsis terkait ARDS tidak menyelesaikan masalah tanpa penanganan tersebut.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Intervensi
penting lainnya pada sepsis adalah tujuan terapi, penggunaan
drotrecogin alfa (Xigris) pada pasien dipilih dengan sepsis berat (APACHE skor
≥ 25) dan tidak ada kontraindikasi, pencegahan komplikasi perdarahan dengan
cara profilaksis untuk trombosis vena dalam (DVT ) dan stres, mobilisasi dini,
berbalik dan perawatan kulit, penghapusan kateter dan tabung sesegera mungkin,
dan elevasi kepala tempat tidur dan strategi lain untuk mencegah
ventilator-associated pneumonia, termasuk fasilitasi menyapih dari ventilasi
mekanis oleh harian gangguan sedasi dikoordinasikan dengan harian uji
pernapasan spontan.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Drotrecogin
alfa ditarik dari pasar di seluruh dunia 25 Oktober 2011. Dalam uji klinis
Recombinant Human Activated Protein C Worldwide Evaluation in Severe Sepsis
(PROWESS)-SHOCK , drotrecogin alfa gagal untuk menunjukkan penurunan signifikan
secara statistik pada 28-hari semua penyebab kematian pada pasien dengan sepsis
berat dan syok septik. Hasil uji coba mengamati 28-hari semua penyebab angka
kematian 26,4% pada pasien yang diobati dengan aktif drotrecogin alfa
dibandingkan dengan 24,2% pada kelompok plasebo penelitian.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penggunaan
stres steroid dosis pada pasien dengan syok septik tidak mengubah kelangsungan
hidup dalam uji coba terkontrol baru-baru ini dilaporkan, meskipun percobaan
awal menunjukkan manfaat kelangsungan hidup.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan
perkembangan dari the National Institutes of Health (NIH) yang mendukung ARDS
Clinical Trials Network, beberapa penelitian besar yang terkendali dengan baik
ARDS terapi telah selesai. Sejauh ini, pengobatan hanya ditemukan untuk
meningkatkan kelangsungan hidup pada ARDS adalah strategi ventilasi mekanis
dengan menggunakan volume tidal rendah (6 mL / kg berdasarkan berat badan
ideal).</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kekhawatiran
utama yang mendasari masalah yang berpotensi dapat diobati atau
komplikasi ARDS. Pada pasien sakit kritis, perhatikan pengenalan dini
komplikasi potensial di unit perawatan intensif (ICU), termasuk pneumotoraks,
IV line infeksi, kerusakan kulit, nutrisi yang tidak memadai, oklusi arteri di
lokasi intra-arteri perangkat pemantauan, DVT dan emboli paru (PE), perdarahan
retroperitoneal, gastrointestinal perdarahan, penempatan yang salah dari
garis dan tabung, dan pengembangan kelemahan otot.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam
situasi di mana pasien memerlukan penggunaan melumpuhkan agen untuk
memungkinkan mode tertentu ventilasi mekanik, mengurus teliti untuk memastikan
bahwa sistem alarm yang memadai di tempat untuk mengingatkan staf untuk
pemutusan ventilator mekanis atau kerusakan. Selain itu, sedasi yang cukup
penting pada kebanyakan pasien pada ventilator dan sangat penting ketika agen
lumpuh sedang digunakan.<br />
Seperti dalam semua situasi di mana pasien sakit kritis, keluarga dan teman
sedang stres dan mungkin memiliki banyak pertanyaan dan kekhawatiran. Menjaga
mereka informasi dan memungkinkan mereka untuk berada di samping tempat tidur
sebanyak mungkin. Pengasuh harus mengasumsikan bahwa meskipun dibius, pasien
mungkin mampu mendengar dan memahami semua percakapan di ruangan dan mungkin
mengalami rasa sakit. Menjaga ini dalam pikiran, semua percakapan di samping
tempat tidur harus sesuai dan semua prosedur harus dilakukan dengan anestesi
lokal dan obat nyeri.</span></div>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi
Cairan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Membedakan antara resusitasi
cairan awal, seperti yang digunakan untuk tujuan awal diarahkan terapi
syok septik, dan pemeliharaan terapi cairan adalah penting. Resusitasi
agresif awal untuk shock peredaran darah terkait dan cedera organ terkait
yang terpencil merupakan aspek sentral dari manajemen awal.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Namun, uji kecil beberapa telah
menunjukkan hasil yang lebih baik untuk ARDS pada pasien yang diobati
dengan diuretik atau dialisis untuk mempromosikan keseimbangan cairan
negatif dalam beberapa hari pertama.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan demikian, perbedaan
antara ARDS utama karena cedera aspirasi, pneumonia, atau inhalasi, yang
biasanya dapat diobati dengan restriksi cairan, dari ARDS sekunder akibat
infeksi atau peradangan terpencil yang membutuhkan cairan awal dan terapi
obat yang potensial vasoaktif merupakan pusat dalam mengarahkan perawatan
awal untuk menstabilkan pasien.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah ARDS Clinical Trials
tentang strategi cairan-konservatif versus strategi cairan-liberal dalam
pengelolaan pasien dengan ARDS atau cedera paru akut (ALI) tidak menemukan
perbedaan signifikan secara statistik pada 60-hari kematian antara 2
kelompok 72 jam setelah presentasi dengan ARDS.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Namun, pasien yang diobati
dengan strategi cairan konservatif memiliki indeks oksigenasi lebih baik
dan paru-paru skor cedera dan peningkatan ventilator bebas hari, tanpa
peningkatan kegagalan organ nonpulmonary. Kelompok cairan-konservatif
benar-benar memiliki bahkan bukan keseimbangan cairan negatif selama 7
hari pertama, yang meningkatkan kemungkinan bahwa manfaat yang mungkin
telah diremehkan. Pasien yang cairan dikelola secara konservatif tidak
memiliki peningkatan kebutuhan vasopressors atau dialisis.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mempertahankan volume
intravaskuler rendah-normal dapat difasilitasi dengan pemantauan
hemodinamik dengan vena sentral atau arteri paru (Swan-Ganz) kateter,
ditujukan untuk mencapai tekanan vena sentral (CVP) atau tekanan baji
kapiler pulmonal (PCWP) pada ujung bawah normal. Para ARDS uji klinis
jaringan kateter arteri paru-paru dibandingkan CVP untuk memandu manajemen
cairan di ARDS menunjukkan tidak ada perbedaan di hari kematian atau
ventilator-bebas, terlepas dari apakah status cairan dipantau dengan
kateter arteri paru atau CVP.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Memonitor output urin dan mengelola
diuretik untuk memfasilitasi keseimbangan cairan negatif. Pada pasien
oliguria, hemodialisis dengan ultrafiltrasi atau terus-menerus Veno-vena
hemofiltration / dialisis (CVVHD) mungkin diperlukan.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l5 level1 lfo10; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah studi oleh Lakhal dkk
menentukan bahwa pulsa variasi tekanan pernafasan gagal untuk memprediksi
respon cairan pada pasien dengan ARDS. ehati-hatian
pemberian cairan mungkin menjadi alternatif yang lebih aman.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Noninvasif
Ventilasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l10 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karena intubasi dan ventilasi
mekanis mungkin berhubungan dengan peningkatan insiden komplikasi, seperti
barotrauma dan pneumonia nosokomial, noninvasif ventilasi tekanan positif
(NIPPV) mungkin bermanfaat pada pasien dengan cedera paru akut (ALI). Hal
ini biasanya diberikan oleh sungkup muka penuh. Kadang-kadang tekanan
saluran udara positif kontinu (CPAP) ventilasi saja mungkin cukup untuk
meningkatkan oksigenasi.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l10 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilasi invasif adalah
bantuan terbaik pada pasien dengan gagal napas hiperkapnia
disebabkan oleh penyakit paru obstruktif kronik (PPOK) atau kelemahan neuromuskuler,
namun dalam seri kecil pasien dengan ARDS / ALI, penggunaan teknik ini
mungkin telah memungkinkan beberapa pasien untuk menghindari intubasi
. Hal ini merupakan pendekatan terutama berguna pada pasien
immunocompromised atau neutropenia.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l10 level1 lfo11; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien yang memiliki tingkat
kesadaran berkurang, muntah, perdarahan GI atas, atau kondisi lain yang
meningkatkan risiko aspirasi tidak kandidat untuk NIPPV. Kontraindikasi
relatif lainnya termasuk ketidakstabilan hemodinamik, agitasi, dan
ketidakmampuan untuk memperoleh cocok masker yang baik.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilasi
mekanis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tujuan ventilasi mekanis di
ARDS adalah untuk mempertahankan oksigenasi sambil menghindari toksisitas
oksigen dan komplikasi ventilasi mekanis. Umumnya, ini melibatkan
mempertahankan saturasi oksigen dalam kisaran 85-90%, dengan tujuan
mengurangi fraksi oksigen inspirasi (FiO2) menjadi kurang dari 65% dalam
24-48 jam pertama. Mencapai tujuan ini hampir selalu memerlukan penggunaan
moderat ke tinggi tingkat positif akhir ekspirasi tekanan (PEEP).</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eksperimenal studi telah
menunjukkan bahwa ventilasi mekanis dapat mempromosikan jenis cedera paru
akut disebut ventilator terkait cedera paru-paru. Sebuah strategi
ventilasi pelindung menggunakan volume tidal rendah dan dataran tinggi
tekanan terbatas meningkatkan kelangsungan hidup bila dibandingkan dengan
volume tidal dan tekanan konvensional.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam penelitian Jaringan ARDS,
pasien dengan ALI dan ARDS secara acak ventilasi mekanik baik di volume
tidal dari 12 mL / kg berat badan diprediksi dan tekanan inspirasi dari 50
cm atau kurang air atau pada volume tidal dari 6 mL / kg dan tekanan
inspirasi dari 30 cm atau kurang air; studi itu dihentikan lebih awal
setelah analisis sementara dari 861 pasien menunjukkan bahwa subjek pada
kelompok rendah-volume tidal memiliki angka kematian lebih rendah secara
signifikan (31% versus 39,8%).</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sedangkan penelitian sebelumnya
menggunakan volume tidal rendah memungkinkan pasien untuk hiperkapnia
(hiperkapnia permisif) dan asidosis untuk mencapai tujuan ventilasi
pelindung dari volume tidal rendah dan tekanan udara rendah inspirasi,
studi Jaringan ARDS membolehkan meningkatnya laju pernapasan dan pemberian
bikarbonat untuk mengoreksi asidosis . Ini dapat menjelaskan hasil positif
dalam studi ini dibandingkan dengan studi sebelumnya yang telah gagal
untuk menunjukkan manfaat.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilasi mekanis dengan volume
tidal dari 6 mL / kg berat badan diperkirakan dianjurkan, dengan
penyesuaian volume pasang surut ke level 4 / kg mL jika diperlukan untuk
membatasi tekanan inspirasi dataran tinggi sampai 30 cm atau kurang air.
Meningkatkan tingkat ventilator dan mengelola bikarbonat yang diperlukan
untuk menjaga pH pada tingkat mendekati normal (7.3).</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dalam studi Jaringan ARDS,
pasien berventilasi dengan volume tidal rendah diperlukan tingkat yang lebih
tinggi PEEP (9,4 vs 8,6 cm air) untuk mempertahankan saturasi oksigen pada
85% atau lebih. Beberapa penulis berspekulasi bahwa tingkat yang lebih
tinggi PEEP juga mungkin telah berkontribusi pada tingkat ketahanan hidup
lebih baik. Namun, ARDS berikutnya Jaringan percobaan kadar PEEP yang
lebih tinggi dibandingkan lebih rendah pada pasien dengan ARDS tidak
menunjukkan manfaat dari tingkat PEEP yang lebih tinggi dalam hal
kelangsungan hidup baik atau durasi ventilasi mekanis.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien dengan ARDS parah menerima
ventilasi mekanis merespon lebih baik terhadap administrasi awal memblokir
neuromuscular yaitu, cisatracurium dibandingkan dengan plasebo.
Dibandingkan dengan kelompok plasebo, kelompok cisatracurium menunjukkan
peningkatan dalam 90-hari kelangsungan hidup dan peningkatan cuti
ventilator. Tidak ada perbedaan yang signifikan dalam paresis ICU yang
didapat diamati</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien tidak harus tetap
berventilasi lebih lama dari yang diperlukan untuk orang lumpuh untuk
memiliki efek mereka. Durasi kelumpuhan akan tergantung pada kondisi
tersebut.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah studi oleh Jaber dkk
meneliti kelemahan diafragma selama ventilasi mekanik bersama dengan
hubungan antara durasi ventilasi mekanis dan cedera diafragma atau atrofi.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l8 level1 lfo12; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penelitian menetapkan bahwa
jangka waktu yang lebih ventilasi mekanis dikaitkan dengan cedera serat
ultra signifikan lebih besar, peningkatan protein ubiquitinated , lebih
tinggi ekspresi p65 nuklir faktor-kB, tingkat kalsium yang lebih
besar-diaktifkan protease, dan penurunan luas penampang serat otot dalam
diafragma. Kesimpulannya adalah bahwa kelemahan, cedera, dan atrofi dapat
terjadi dengan cepat di diafragma pasien pada ventilasi mekanik dan
signifikan berkorelasi dengan durasi dukungan ventilator.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Positif
akhir ekspirasi tekanan dan continuous positive airway pressure </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Positive end-expiratory
pressure continuous positive airway pressure</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> Penggunaan PEEP dan CPAP pada
ARDS ditandai dengan hipoksemia berat. Ketika oksigenasi tidak dapat
dipertahankan meskipun tinggi konsentrasi oksigen inspirasi, penggunaan
CPAP atau PEEP biasanya mempromosikan oksigenasi lebih baik, memungkinkan
FiO2 yang akan meruncing.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dengan PEEP, tekanan positif
dijaga selama kadaluarsa, tetapi ketika pasien menghirup spontan, tekanan
saluran udara menurun hingga di bawah nol untuk memicu aliran udara.
Dengan CPAP, katup permintaan rendah resistensi digunakan untuk
memungkinkan tekanan positif untuk dipertahankan terus menerus. Ventilasi
tekanan positif meningkatkan tekanan intratoraks dan dengan demikian dapat
menurunkan curah jantung dan tekanan darah. Karena tekanan udara rata-rata
lebih besar dengan CPAP dari PEEP, CPAP mungkin memiliki efek lebih besar
pada tekanan darah.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara umum, pasien mentolerir
CPAP baik, dan CPAP biasanya digunakan daripada PEEP. Penggunaan tingkat
yang tepat dari CPAP diperkirakan meningkatkan hasil di ARDS. Dengan
mempertahankan alveolus dalam keadaan diperluas sepanjang siklus
pernafasan, CPAP dapat menurunkan gaya geser yang mempromosikan ventilator
terkait cedera paru-paru.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Metode terbaik untuk menemukan
tingkat optimal CPAP pada pasien dengan ARDS adalah kontroversial.
Mendukung beberapa penggunaan CPAP hanya cukup untuk memungkinkan
pengurangan FiO2 bawah 65%.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pendekatan lain, disukai oleh
Amato dkk adalah apa yang disebut pendekatan terbukaparu-paru , di
mana tingkat yang sesuai ditentukan oleh pembangunan kurva Volume tekanan
statis. Hal ini adalah sebuah kurva berbentuk S, dan tingkat
yang optimal dari PEEP adalah tepat di atas titik perubahan yang lebih
rendah. Dengan menggunakan pendekatan ini, tingkat rata-rata PEEP yang
dibutuhkan.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Namun, seperti disebutkan di
atas, Jaringan ARDS studi tingkat PEEP yang lebih tinggi dibandingkan
lebih rendah pada pasien ARDS tidak menemukan kadar PEEP yang lebih tinggi
menguntungkan. Dalam penelitian ini, tingkat PEEP ditentukan oleh berapa
banyak oksigen inspirasi yang dibutuhkan untuk mencapai tujuan oksigen
saturasi 88-95% atau target tekanan parsial oksigen (PO2) dari 55-80 mm
Hg. Tingkat rata-rata 8 PEEP dalam kelompok PEEP yang lebih rendah dan 13
pada kelompok PEEP yang lebih tinggi. Tidak ada perbedaan yang ditampilkan
dalam durasi ventilasi mekanis atau kelangsungan hidup untuk dikeluarkan
dari rumah sakit.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Briel et al menemukan bahwa
pengobatan dengan PEEP yang lebih tinggi menunjukkan tidak ada keuntungan
lebih dari pengobatan dengan tingkat yang lebih rendah pada pasien dengan
ALI atau ARDS;. Namun, di antara pasien dengan ARDS, tingkat yang lebih
tinggi dikaitkan dengan peningkatan ketahanan hidup</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah studi oleh Bellani et al
menemukan bahwa pada pasien dengan ALI dikelola dengan PEEP relatif
tinggi, aktivitas metabolisme daerah soda dikaitkan dengan tekanan dataran
tinggi dan volume tidal daerah yang dinormalisasi dengan akhir ekspirasi
volume gas paru-paru; tidak ada hubungan ditemukan antara perekrutan
siklik / derecruitment dan aktivitas metabolisme meningkat</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tekanan yang dikendalikan
ventilasi dan frekuensi tinggi ventilasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Jika tinggi tekanan saluran udara inspirasi diminta untuk memberikan
volume tidal bahkan rendah, tekanan dikontrol ventilasi (PCV) dapat
dimulai. Dalam modus ventilasi mekanik, dokter menentukan tingkat tekanan
atas CPAP (delta P) dan waktu inspirasi (I-waktu) atau inspirasi /
ekspirasi (I: E) rasio. Volume tidal yang dihasilkan tergantung pada
kepatuhan paru-paru dan meningkatkan sebagai ARDS membaik. PCV juga dapat
mengakibatkan oksigenasi lebih baik di beberapa pasien tidak melakukan
dengan baik pada volume yang dikendalikan ventilasi (VCV).<br />
Jika oksigenasi adalah masalah, lagi aku kali, seperti inspirasi yang
lebih panjang dari berakhirnya (saya terbalik: E rasio ventilasi) mungkin
bermanfaat; rasio setinggi 07:01 telah digunakan. PCV, menggunakan tekanan
puncak lebih rendah, mungkin juga bermanfaat pada pasien dengan fistula
bronkopleural, memfasilitasi penutupan fistula.<br />
Bukti menunjukkan bahwa PCV mungkin bermanfaat dalam ARDS, bahkan tanpa
kondisi khusus dicatat. Dalam percobaan multicenter terkontrol
membandingkan VCV dengan PCV di ARDS pasien, Esteban menemukan bahwa PCV
mengakibatkan kegagalan organ lebih sedikit sistem dan tingkat kematian
lebih rendah dari VCV, meskipun penggunaan volume pasang surut yang sama
dan tekanan inspirasi puncak</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebuah percobaan yang lebih
besar. Diperlukan sebelum rekomendasi yang pasti dibuat. Ventilasi
frekuensi tinggi (jet atau berosilasi) adalah mode ventilator yang
menggunakan volume tidal rendah dan tingkat pernapasan yang tinggi.
Mengingat bahwa distensi alveoli diketahui salah satu mekanisme
mempromosikan ventilator terkait cedera paru-paru, frekuensi tinggi
ventilasi yang diharapkan bermanfaat dalam ARDS. Hasil uji klinis
membandingkan pendekatan ini dengan ventilasi konvensional pada orang
dewasa umumnya menunjukkan perbaikan di awal oksigenasi tetapi tidak ada
perbaikan dalam kelangsungan hidup.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penelitian terbesar terkontrol
secara acak, di mana 148 orang dewasa dengan ARDS secara acak ventilasi
konvensional atau frekuensi tinggi ventilasi berosilasi (HFOV), menemukan
bahwa kelompok HFOV mengalami perbaikan awal oksigenasi yang tidak
bertahan melampaui 24 jam. 30 hari kematian pada kelompok HFOV adalah 37%,
dibandingkan dengan 52% pada kelompok ventilasi konvensional, namun
perbedaan ini secara statistik tidak signifikan. HFOV mungkin yang paling
berguna untuk pasien dengan fistula bronkopleural.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l15 level1 lfo13; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ventilasi cair parsial juga
telah dicoba di ARDS. Sebuah uji coba terkontrol secara acak bahwa
dibandingkan dengan ventilasi mekanis konvensional menentukan bahwa
ventilasi cair parsial mengakibatkan peningkatan morbiditas
(pneumothoraces, hipotensi, dan episode hypoxemic), dan kecenderungan
menuju kematian yang lebih tinggi</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Posisi Prone</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l14 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Beberapa 60-75% pasien dengan
ARDS telah secara signifikan meningkatkan oksigenasi ketika dinyalakan
dari telentang ke posisi rawan. Peningkatan oksigenasi adalah cepat dan
sering substansial cukup untuk memungkinkan pengurangan FiO2 atau tingkat
CPAP. Posisi tengkurap aman, dengan tindakan pencegahan yang tepat untuk
mengamankan semua tabung dan garis, dan tidak memerlukan peralatan khusus.
Peningkatan oksigenasi dapat bertahan setelah pasien kembali ke posisi
telentang dan dapat terjadi pada uji coba ulangi pada pasien yang tidak
menanggapi awalnya.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l14 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Mekanisme yang mungkin untuk
perbaikan mencatat adalah perekrutan zona paru-paru tergantung,
meningkatkan kapasitas residu fungsional (FRC), ekskursi diafragma,
meningkatnya cardiac output, dan meningkatkan ventilasi-perfusi
pencocokan.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l14 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meskipun oksigenasi meningkat
dengan posisi tengkurap, percobaan terkontrol acak dari posisi tengkurap
di ARDS belum menunjukkan peningkatan ketahanan hidup. Dalam sebuah penelitian
di Italia, tingkat kelangsungan hidup untuk melepaskan dari ICU dan
tingkat kelangsungan hidup pada 6 bulan tidak berubah dibandingkan dengan
pasien yang menjalani perawatan dalam posisi terlentang, meskipun
peningkatan yang signifikan dalam oksigenasi</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l14 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penelitian ini dikritik karena
pasien. disimpan di posisi rawan untuk rata-rata hanya 7 jam per hari.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l14 level1 lfo14; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Namun, sebuah studi Prancis
berikutnya, di mana pasien berada dalam posisi tengkurap selama minimal 8
jam per hari, tidak mendokumentasikan manfaat dari posisi rentan dalam hal
kematian 28-hari atau 90-hari, lama ventilasi mekanis, atau pengembangan
ventilator-associated pneumonia (VAP).</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Trakeostomi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l17 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pasien yang memerlukan
ventilasi mekanis yang lama, trakeostomi memungkinkan pembentukan saluran
napas lebih stabil, yang dapat memungkinkan untuk mobilisasi pasien dan,
dalam beberapa kasus, dapat memfasilitasi menyapih dari ventilasi mekanis.
Trakeostomi, dapat dilakukan di ruang operasi atau percutanseously di
samping tempat tidur. Waktu prosedur harus individual, tapi umumnya
dilakukan setelah sekitar 2 minggu ventilasi mekanis.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l17 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Extracorporeal Membran
Oksigenasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Sebuah percobaan multicenter besar pada 1970-an menunjukkan bahwa membran
extracorporeal oksigenasi (ECMO) tidak meningkatkan angka kematian pada
pasien ARDS. Sebuah percobaan kemudian menggunakan penghapusan karbon
dioksida extracorporeal bersama dengan ventilasi rasio terbalik juga tidak
meningkatkan kelangsungan hidup pada ARDS . Namun, ECMO masih digunakan
sebagai terapi penyelamatan pada kasus dipilih. Selama epidemi H1N1 pada
tahun 2009, ECMO muncul untuk meningkatkan kelangsungan hidup pada pasien
dengan H1N1 terkait ARDS yang tidak dapat oksigen dengan ventilasi mekanik
konvensional.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l17 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Dukungan Nutrisi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Dukungan nutrisi setelah 48-72 jam ventilasi mekanis biasanya dianjurkan.
Nutrisi enteral melalui selang makanan adalah lebih baik untuk
hiperalimentasi IV kecuali kontraindikasi karena perut akut, ileus,
perdarahan GI, atau kondisi lain.<br />
Sebuah rendah karbohidrat tinggi lemak rumus enteral termasuk komponen
anti-inflamasi dan vasodilatasi (asam eicosapentaenoic dan asam linoleat)
bersama dengan antioksidan telah dibuktikan dalam beberapa penelitian
untuk meningkatkan hasil di ARDS. [48, 49] Dalam sebuah studi prospektif,
acak dari ARDS pasien di Brazil diberikan formula enteral yang mengandung
antioksidan, asam eicosapentaenoic, dan gamma-linoleat asam dibandingkan
dengan formula isokalori standar, Pontes-Arruda menunjukkan ketahanan
hidup meningkat dan oksigenasi dengan diet khusus. [49]<br />
ARDSNet telah menyelesaikan uji coba makan di ARDS (studi EDEN-OMEGA), di
mana pasien diacak untuk suplemen yang mengandung omega-3 asam lemak dan
antioksidan dibandingkan dengan plasebo. Penelitian ini dihentikan awal
untuk kesia-siaan, tetapi hasilnya penuh belum dipublikasikan.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l17 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penelitian Label terbuka,
multicenter percobaan (studi EDEN) secara acak 1000 pasien dewasa yang
memerlukan ventilasi mekanis dalam waktu 48 jam terkena cedera paru akut
untuk menerima baik trofik atau makanan enteral penuh selama 6 hari
pertama. Awal yang lebih rendah-volume trofik makanan enteral tidak
membaik bebas ventilator hari, 60-hari kematian, atau komplikasi infeksi
dibandingkan dengan makanan enteral awal penuh, tetapi dikaitkan dengan
intoleransi kurang pencernaan.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l17 level1 lfo15; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien dengan ARDS sedang
istirahat di tempat tidur. Perubahan posisi sering harus segera dimulai,
karena harus pasif-dan, jika mungkin, aktif-range-of-gerak kegiatan semua
kelompok otot. Elevasi kepala tempat tidur dengan sudut 45 ° dianjurkan
untuk mengurangi pengembangan VAP.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Rujukan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Setelah fase akut ARDS resolve,
pasien mungkin memerlukan waktu lama untuk disapih dari ventilasi mekanik
dan untuk mendapatkan kembali kekuatan otot hilang setelah tidak aktif
lama. Ini mungkin memerlukan transfer ke fasilitas rehabilitasi setelah
fase akut dari penyakit teratasi.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pemindahan pasien ARDS ke
fasilitas perawatan tersier dapat diindikasikan dalam beberapa situasi,
asalkan transportasi yang aman dapat diatur. Transfer dapat diindikasikan
jika FiO2 tidak dapat diturunkan menjadi kurang dari 0,65 dalam waktu 48
jam.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien lain yang berpotensi
dapat mengambil manfaat dari transfer termasuk mereka yang memiliki
pneumotoraks berpengalaman dan memiliki kebocoran udara persisten, pasien
yang tidak dapat disapih dari ventilasi mekanik, pasien yang memiliki
obstruksi jalan napas atas setelah intubasi berkepanjangan, atau mereka
dengan kursus progresif yang merupakan penyebab yang mendasari tidak dapat
diidentifikasi.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l0 level1 lfo16; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika ARDS berkembang pada
pasien yang sebelumnya telah mengalami transplantasi organ atau sumsum
tulang, transfer ke pusat transplantasi yang berpengalaman sangat penting
untuk pengelolaan yang tepat.</span></li>
</ul>
<div class="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto;">
<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pencegahan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l2 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meskipun faktor risiko untuk
ARDS diketahui, tidak ada tindakan pencegahan yang sukses telah
diidentifikasi. Cairan manajemen hati dalam pasien berisiko tinggi dapat
membantu. Karena pneumonitis aspirasi merupakan faktor risiko untuk ARDS,
mengambil tindakan yang tepat untuk mencegah aspirasi (misalnya,
mengangkat kepala tempat tidur dan mengevaluasi mekanik menelan sebelum
memberi makan pasien berisiko tinggi) juga dapat mencegah beberapa kasus
ARDS.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l2 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada pasien tanpa ARDS pada
ventilasi mekanik, penggunaan volume pasang surut yang tinggi tampaknya
menjadi faktor risiko untuk pengembangan ARDS, dan, karenanya, penggunaan
volume tidal rendah pada semua pasien pada ventilasi mekanik dapat
mencegah beberapa kasus pada ARDS.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l2 level1 lfo17; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsultasi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Pengobatan pasien dengan ARDS memerlukan keahlian khusus dengan ventilasi
mekanis dan pengelolaan penyakit kritis. Dengan demikian, adalah tepat
untuk berkonsultasi dengan dokter yang mengkhususkan diri dalam pengobatan
paru atau perawatan kritis atau ICU.</span></li>
</ul>
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<b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Medikasi
Obat</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
<ul type="disc">
<li class="MsoNormal" style="line-height: normal; mso-list: l16 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Belum ada obat yang terbukti
bermanfaat dalam pencegahan atau pengelolaan sindrom gangguan pernapasan
akut (ARDS). Administrasi awal kortikosteroid untuk pasien sepsis tidak
mencegah perkembangan ARDS. Banyak terapi farmakologis, termasuk
penggunaan surfaktan sintetis dihirup atau menanamkan, intravena (IV)
antibodi terhadap endotoksin, ketoconazole, dan ibuprofen, telah dicoba
dan tidak efektif. Statin, yang juga ternyata memiliki janji dalam
penelitian kecil, juga tidak menunjukkan manfaat dalam uji coba secara
acak baru ini diterbitkan dalam 60 pasien dengan cedera paru akut (ALI).</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l16 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Uji sepsis Kecil menunjukkan
peran potensial untuk antibodi terhadap tumor necrosis factor (TNF) dan
interleukin rekombinan (IL) -1 antagonis reseptor. Nitrat oksida inhalasi
(NO), vasodilator paru kuat, tampak menjanjikan dalam uji coba awal, tapi
dalam percobaan terkontrol yang lebih besar, hal itu tidak mengubah
tingkat kematian pada orang dewasa dengan ARDS. Peninjauan sistematis,
meta-analisis, dan analisis percobaan berurutan dari 14 percobaan
terkontrol acak, termasuk 1303 pasien, menemukan bahwa oksida nitrat
inhalasi tidak mengurangi angka kematian dan menghasilkan hanya perbaikan
sementara dalam oksigenasi prostasiklin hirupan. Juga belum terbukti
meningkatkan kelangsungan hidup.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l16 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Karena manfaat nyata dalam uji
kecil, ia berpikir bahwa mungkin ada peran untuk dosis tinggi terapi kortikosteroid
pada pasien dengan akhir (fase fibroproliferative) ARDS.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l16 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Namun, sebuah studi ARDS
Jaringan percobaan metilprednisolon untuk pasien dengan ARDS bertahan
setidaknya selama 7 hari menunjukkan tidak bermanfaat dalam hal 60-hari
kematian</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l16 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pasien yang diobati kemudian
dalam perjalanan ARDS., 14 hari setelah onset, telah memburuk kematian
dengan terapi kortikosteroid.<br />
Meskipun tidak ada manfaat kelangsungan hidup ditunjukkan pada pasien yang
diobati dengan metilprednisolon, keuntungan jangka pendek klinis termasuk
oksigenasi meningkat dan meningkat hari bebas ventilator dan shock-gratis.
Pasien yang diobati dengan kortikosteroid lebih mungkin mengalami
kelemahan neuromuskuler, tetapi tingkat komplikasi infeksi tidak
meningkat.</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l16 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kortikosteroid </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengembangan tahap akhir ARDS
dapat mewakili terus peradangan tidak terkendali, dan kortikosteroid dapat
dianggap sebagai bentuk terapi penyelamatan yang mungkin meningkatkan
oksigenasi dan hemodinamik tetapi tidak mengubah kematian (kecuali bahwa
angka kematian meningkat kortikosteroid pada pasien yang telah ARDS
selama> 14 hari ).</span></li>
<li class="MsoNormal" style="line-height: normal; mso-list: l16 level1 lfo18; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 36.0pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Methylprednisolone
(Solu-Medrol)</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br />
Metilprednisolon dosis tinggi telah digunakan dalam uji coba pada pasien
dengan ARDS yang memiliki infiltrat paru persisten, demam, dan kebutuhan
oksigen tinggi meskipun resolusi infeksi paru atau luar paru. Infeksi paru
dinilai dengan bronkoskopi dan bilateral bronchoalveolar lavage (BAL) dan
budaya kuantitatif</span></li>
</ul>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-60003823034583714392012-11-01T05:20:00.001-07:002012-11-01T05:20:05.248-07:00cara pemberian obat<!--[if gte mso 9]><xml>
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<div class="MsoListParagraphCxSpFirst">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">CARA PEMBERIAN OBAT<br />
<span class="fullpost"><b>1. Oral :</b></span><br />
<span class="fullpost">- Pemberiannya melalui mulut</span><br />
<span class="fullpost">- Mudah dan aman pemakaiannya, lazim dan praktis</span><br />
<span class="fullpost">- Tidak semua obat dapat diberikan per-oral, misalnya :
Obat yang bersifat merangsang (emetin, aminofilin) atau yang diuraikan oleh
getah lambung (benzilpenisilin, insulin dan oksitoksin)</span><br />
<span class="fullpost">- Dapat terjadi inaktivasi oleh hati sebelum diedarkan ke
tempat kerjanya</span><br />
<span class="fullpost">- Dapat juga untuk mencapai efek lokal misalnya : obat
cacing, obat diagnostik untuk pemotretan lambung - usus</span><br />
<span class="fullpost">- Baik sekali untuk mengobati infeksi usus</span><br />
<span class="fullpost">- Bentuk sediaan oral : Tablet, Kapsul, Obat hisap, Sirup
dan Tetesan</span><br />
<br />
<span class="fullpost"><b>2. Oromucosal :</b></span><br />
<span class="fullpost">Pemberiannya melalui mucosa di rongga mulut. Ada dua macam
cara, yaitu :</span><br />
<span class="fullpost"><b>a. Sub Lingual</b></span><br />
<span class="fullpost">- Obat ditaruh dibawah lidah</span><br />
<span class="fullpost">- Tidak melalui hati sehingga tidak diinaktif</span><br />
<span class="fullpost">- Dari selaput di bawah lidah langsung ke dalam aliran
darah, sehingga efek yang dicapai lebih cepat misalnya : Pada pasien serangan
Jantung dan Asma</span><br />
<span class="fullpost">- Keberatannya kurang praktis untuk digunakan terus
menerus dan dapat merangsang selaput lendir mulut</span><br />
<span class="fullpost">- Hanya untuk obat yang bersifat lipofil</span><br />
<span class="fullpost">- Bentuknya tablet kecil atau spray, contoh : Isosorbid
Tablet</span><br />
<span class="fullpost"><b>b. Bucal</b></span><br />
<span class="fullpost">- Obat diletakkan diantara pipi dan gusi</span><br />
<span class="fullpost">- Obat langsung masuk ke dalam aliran darah</span><br />
<span class="fullpost">- Misalnya obat untuk mempercepat kelahiran bila tidak ada
kontraksi uterus, contoh : Sandopart Tablet</span><br />
<br />
<span class="fullpost"><b>3. Injeksi :</b></span><br />
<span class="fullpost">- Pemberiannya dengan jalan suntikkan</span><br />
<span class="fullpost">- Efek yang diperoleh cepat, kuat dan lengkap</span><br />
<span class="fullpost">- Keberatannya lebih banyak dari pasien</span><br />
<span class="fullpost">- Alat suntik harus steril dan dapat merusak pembuluh
darah atau syaraf jika tempat penyuntikkannya tidak tepat</span><br />
<span class="fullpost">- Terutama untuk obat yang merangsang atau dirusak oleh
getah lambung atau tidak tidak diresorpsi oleh dinding usus</span><br />
<br />
<span class="fullpost"><b>Jenis Injeksi lebih kurang ada 10 :</b></span></span></div>
<div class="MsoListParagraphCxSpLast">
<span class="fullpost"><b><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">a.
Subcutan/Hipodermal (sc)</span></b></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">
: Penyuntikkan dibawah kulit, Obatnya tidak mernagsang dan larut dalam air atau
minyak, Efeknya agak lambat dan dapat digunakan sendiri misalnya : penyuntikan
insulin pada penderita diabetes.</span></span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;"><br />
<span class="fullpost"><b>b. Intramuskular (im)</b> : Penyuntikan dilakukan dalam
otot misalnya, penyuntikan antibiotika atau dimana tidak banyak terdapat
pembuluh darah dan syaraf, misalnya otot pantat atau lengan atas</span><br />
<span class="fullpost"><b>c. Intravena (iv)</b> : Penyuntikan dilakukan ke dalam
pembuluh darah, Reaksinya sangat cepat yaitu waktu satu peredaran darah, obat sudah
beredar ke seluruh tubuh atau jaringan, Dapat menimbulkan reaksi-reaksi hebat
seperti turunnya tekanan darah secara mendadak, shock, dsb. Infus intravena
dengan obat sering dilakukan di rumah sakit dalam keadaan darurat atau dengan
obat yang cepat metabolismenya dan eksresinya guna mencapai kadar plasma yang
tetap tinggi</span><br />
<span class="fullpost"><b>d. Intra arteri (ia)</b> : Penyuntikan dilakukan pada
pembuluh nadi, Dilakukan untuk membanjiri suatu organ misalnya pada Kanker Hati</span><br />
<span class="fullpost"><b>e. Intra cutan (ic)</b> : Penyuntikkan dilakukan dalam
kulit, Absorpsi sangat perlahan misalnya pada tuberculin test dati Mantoux</span><br />
<span class="fullpost"><b>f. Intra lumbal</b> : Penyuntikan dilakukan ke dalam
ruas pinggang (sumsum tulang belakang) misalnya untuk anestesi umum</span><br />
<span class="fullpost"><b>g. Intra peritonial</b> : Penyuntikan ke dalam selaput
perut</span><br />
<span class="fullpost"><b>h. Intra cardial</b> : Penyuntikan ke dalam jantung</span><br />
<span class="fullpost"><b>i. Intra pleural</b> :Penyuntikan ke dalam rongga
pleura (paru-paru)</span><br />
<span class="fullpost"><b>k. Intra articulair</b> : Penyuntikan ke dalam
celah-celah sendi</span><br />
<br />
<br />
<span class="fullpost"><b>4. Implantasi :</b></span><br />
<span class="fullpost">- Bentuk oral pellet steril, obat dicangkokkan dibawah
kulit, terutama digunakan untuk efek sistemik lama, misalnya obat-obat hormon
kelamin (estradiol dan testoteron)</span><br />
<span class="fullpost">- Resorpsinya lambat, satu pellet dapat melepaskan zat
aktifnya secara perlahan-lahan selama 3-5 bulan lamanya</span><br />
<br />
<span class="fullpost"><b>5. Rectal :</b></span><br />
<span class="fullpost">- Pemberian obat melalui rectal (dubur)</span><br />
<span class="fullpost">- Bentuknya suppositoria dan clysma (obat pompa)</span><br />
<span class="fullpost">- Baik sekali untuk obat yang dirusak oleh asam lambung</span><br />
<span class="fullpost">- Diberikan untuk mencapai takaran yang cepat dan tepat</span><br />
<span class="fullpost">- Efek sistemiknya lebih cepat dan lebih besar bila
dibandingkan dengan peroral, berhubung pembuluh-pembuluh darah pertama. Contoh
: pada pengobatan asma (amecain suppositoria) ; pada bayi (stesolid rectal,
dalam pengobatan kejang akut)</span><br />
<span class="fullpost">- Tetapi bentuk suppositoria dan clysma sering digunakan
untuk efek lokal misalnya untuk wasir dan laxativ</span><br />
<span class="fullpost">- Pemberian obat melalui rektal dapat dioleskan pada
permukaan rektal berupa salep dan hanya mempunyai efek lokal</span><br />
<br />
<span class="fullpost"><b>6. Transdermal :</b></span><br />
<span class="fullpost">- Cara pemakaian melalui permukaan kulit, berupa plester.
Obat menyerap secara perlahan dan kontinyu, masuk ke sistem peredaran darah,
langsung ke jantung</span><br />
<span class="fullpost">- Umumnya untuk gangguan jantung misalnya angina pectoris,
tiap dosis dapat bertahan 24 jam. Cth : Nitrodisk dan Nitroderm T.T.S.
(therapeutic transdermal system</span></span></div>
Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0tag:blogger.com,1999:blog-6820832229696207889.post-52050693356450595932012-10-29T01:20:00.002-07:002012-10-29T01:20:53.377-07:00obat herbalobat herbal sangat menguntungkan karena sedikit pengaruhnya terhadap tubuh.<br />
<br />Anonymoushttp://www.blogger.com/profile/18444120091578935921noreply@blogger.com0