tag:blogger.com,1999:blog-63307420782797695112024-02-19T23:14:05.002-08:00Brilian Samuel LegacyAnonymoushttp://www.blogger.com/profile/03310852569455236748noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6330742078279769511.post-77783414357353587692013-04-04T19:20:00.000-07:002013-04-04T19:20:05.383-07:00Makalah Gout<!--[if gte mso 9]><xml>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">BAB I</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">PENDAHULUAN</span></b></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><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="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Latar Belakang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Gout adalah sekelompok penyakit yang
terjadi akibat deposit kristal monosodium urat di jaringan. Deposit ini
beraasal dari cairan ekstra seluler yang sudah mengalami supersarurasi dari
hasil akhir metabolisme purin yaitu asam urat. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Prevelensi gout di eropa dan amerika
utara hampir sama yaitu 0,30 % dan 0,27 % sedang pada populasi asia tenggara
dan new zaeland prevelensinya lebih tinggi. Lebih dari 90 % serangan gout
primer terjadi pada laki-laki sedangkan pada wanita jarang terjadi sebelum
menupause. Manifestasi klinik gout meliputi artristis gout, tofus batu asam
urat saluran kemih dan nefropati gout. Tiga stadium klasik perjalanan alamiah
artritis gout adalah artritis gout akut, gout interkritikal dan gout kronik
bertofus. </span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Artritis gout atau lebih umum di
masyarakat disebut dengan istilah asam urat, selama ini banyak terjadi
mispersepsi yaitu hampir semua kelihan reumatik yang berupa nyeri, kaku dan
bengkak sendi dianggap sebagai akibat asam urat atau artritis gout. Bahkan
sejumlah kalangan medis ada yang masih memiliki persepsi yang sama dengan
sebagian besar masyarakat tersebut. Selain itu, pemberian obat penurun asam
urat juga masih perlu mendapat perhatian lebih, agar pemberian obat tersebut
dapat lebih tepat sehingga akan memberikan manfaat yang lebih besar bagi
pasien.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Sumber : Buku Ajar Ilmu Penyakit Dalam, Jilid III, Edisis V,
halaman 2354.</span></div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Gout merupakan gangguan metabolik yang
sudah dikenal oleh Hipokrates pada zaman Yunani Kuno. Pada waktu itu gout
dianggap sebagai penyakit kalangan sosial elite yang disebabkan karena terlalu
banyak makan, minum anggur, dan seks. Sejak saat itu banyak teori etiologis dan
terapeutik yang telah dikemukakan, namun kini banyak yang telah diketahui
mengenai penyakit gout, dan tingkat keberhasilan pengobatannya juga tinggi.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Gout merupakan istilah yang dipakai
untuk sekelompok gangguan metabolik, sekurang-kurangya ada sembilan gangguan,
yang ditandai oleh meningkatnya konsentrasi asam urat ( hiperurisemia ). Gout
dapat bersifat primer maupun sekunder. Gout primer merupakan akibat langsung
pembentukan asam urat tubuh yang berlebihan atau akibat penurunan ekksresi asam
urat. Gout sekunder disebabkan karena pembentukan asam urat yang berlebihan
atau ekskresi asam urat yang berkurang akibat proses penyakit lain atau pemakaian
obat-obat tertentu.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Masalah akan timbul jika terbentuk
kristal-kristal monosodium urat monohidrat pada sendi-sendi dan jaringan
sekitarnya. Kristal-kristal terbentuk seperti jarum ini mengakibatkan
peradangan yang jika berlanjut akan mnimbulkan nyeri hebat yaang sering
menyertai serangan gout. Jika tidak diobati, endapan kristal akan menyebabkan
kerusakan yang hebat pada sendi dan jaringan lunak.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Sumber : Patofisiologi Konsep Klinis Proses-Proses Penyakit,
Sylvia A.Price and Lorraine M. Wilson, Edisi 6, Volume 2, halaman : 1402.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><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-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Tujuan Umum dan Khusus</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";"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Tujuan Umum </span></div>
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<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; 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="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui
tentang penyakit asam urat</span><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"></span></div>
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<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; 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="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui
bagaimana gejala dari penyakit asam urat</span><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"></span></div>
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<span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; 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="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui
bagaimana cara pencegahan/penanggulangan penyakit asam urat.</span><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"></span></div>
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<span style="font-family: "Times New Roman","serif"; 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-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Tujuan Khusus</span></div>
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<span style="mso-bidi-font-family: Calibri; 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="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Menerapkan dan meaplikasikan pencegahan dan
penanggulangan penyakit asam urat dalam kehidupan sehari-hari.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB II</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PEMBAHASAN</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; 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></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsep Dasar</span></b></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gout adalah peradangan
akibat adanya endapan kristal asam urat pada sendi dan jari (depkes, 1992). Penyakit
metabolik ini sudah dibahas oleh Hippocrates pada zaman Yunani kuno. Pada
waktu itu gout dianggap sebagai penyakit kalangan sosial elite yang disebabkan
karena terlalu banyak makan, anggur dan seks. sejak saat itu banyak teori
etiologis dan terapeutik yang telah diusulkan. Sekarang ini, gout mungkin
merupakan salah satu jenis penyakit reumatik yang paling banyak dimengerti dan
usaha-usaha terapinya paling besar kemungkinan berhasil.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Penyakit
asam urat memang sangat erat kaitannya dengan pola makan seseorang. Pola makan
yang tidak seimbang dengan jumlah protein yang sangat tinggi merupakan penyebab
penyakit ini. Meskipun demikian, bukan berarti penderita asam urat tidak boleh
mengkonsumsi makanan yang mengandung protein. Asalkan jumlahnya dibatasi, ya
tidak masalah. Selain itu, pengaturan diet yang tepat bagi penderita asam urat
mampu mengontrol kadar asam dan urat dalam darah. Penderita asam urat tinggi,
memang harus hati-hati terhadap makanan.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri;">Gambaran
klasik artritis gout yang berat dan akut ada kaitan langsung dengan
hiperurisemia (asam urat serum tinggi). <span style="mso-bidi-font-weight: bold;">Gout</span>
mungkin primer atau sekunder. <span style="mso-bidi-font-weight: bold;">Gout
primer</span> merupakan akibat langsung pernbentukan asam urat tubuh yang
berlebihan atau akibat penurunan ekskresi asam urat. <span style="mso-bidi-font-weight: bold;">Gout sekunder</span> disebabkan an karena pembentukan asam urat yang
berlebihan atau ekskresi asam urat yang berkurang akibat proses penyakit lain
atau pemakaian obat tertentu.</span></div>
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<span lang="EN-GB" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-ascii-theme-font: minor-latin; mso-bidi-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">Endapan urat dalam sendi atau traktus urinarius dialkibatkan:
karena, asam urat yang rendah daya larutnya dan akibat garam-garainnya. Asam.
urat yang berlebihan dan garam-garam tersebut keluar dari serum dan urin
masing-masing mengendap dalam sendi dan traktus urinarius</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri;">Gout akut
biasanya terjadi pada pria sesudah lewat masa pubertas dan sesudah menopause
pada wanita, sedangkan kasus yang paling banyak diternui pada usia 50-60. Gout
lebih banyak dijumpai pada pria, sekitar 95 persen penderita gout adalah pria.
Urat serum wanita normal jumahnya sekitar 1 mg per 100 mI, lebih sedikit jika
dibandingkn dengan pria. Tetapi sesudah menopause perubahan tersebut kurang
nyata. Pada pria hiperurisemia biasanya tidak timbul sebelurn mereka mencapai
usia remaja.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri;">Gout Akut
biasanya monoartikular dan timbulnya tiba-tiba. Tanda-tanda awitan serangan
gout <span style="mso-bidi-font-weight: bold;">adalah rasa sakit yang hebat</span>
dan peradangan lokal. Pasien mungkin juga menderita <span style="mso-bidi-font-weight: bold;">demam</span> dan <span style="mso-bidi-font-weight: bold;">jumlah sel darah
putih</span> meningkat. Serangan akut mungkin didahului oleh tindakan
pembedahan, trauma lokal, obat, alkohol dan stres emosional. Meskipun yang
paling sering terserang mula-mula adalah ibu jari kaki, tetapi sendi lainnya
dapat juga terserang. Dengan semakin lanjutnya penyakit maka sendi jari, lutut,
pergelangan tangan, pergelangan kaki dan siku dapat terserang gout. Serangan
gout akut biasanya dapat sembuh sendiri. Kebanyakan gejala-gejala serangan Akut
akan berkurang setelah 10-14 hari walaupun tanpa pengobatan.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri;">Perkembangan
serangan Akut gout biasanya merupakan kelanjutan dari suatu rangkaian kejadian.
Pertama-tama biasanya terdapat supersaturasi urat dalam plasma dan cairan
tubuh. Ini diikuti dengan pengendapan kristal-kristal urat di luar cairan tubuh
dan endapan dalarn dan seldtar sendi. Tetapi serangan gout sering merupakan
kelanjutan trauma lokal atau ruptura tofi (endapan natrium urat) yang merupakan
penyebab peningkatan konsentrasi asam urat yang cepat. Tubuh mungkin tidak
dapat menanggulangi peningkatan ini dengan memadai, sehingga mempercepat proses
pengeluaran asam urat dari serum. Kristalisasi dan endapan asam urat merangsang
serangan gout. Kristal-kristal asam urat ini merangsang respon fagositosis oleh
leukosit dan waktu leukosit memakan kristal-kristal urat tersebut maka respon
mekanisme peradangan lain terangsang. Respon peradangan mungkin dipengaruhi
oleh letak dan besar endapan kristal asam urat. Reaksi peradangan mungkin merupakan
proses yang berkembang dan memperbesar diri sendiri akibat endapan tambahan
kristal-kristal dari serum.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri;">Periode
antara serangan gout akut dikenal dengan nama gout inter kritikal. Pada masa
ini pasien bebas dari gejala-gejala klinik.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"> </span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri;">Gout
kronik timbul dalarn jangka waktu beberapa tahun dan ditandai dengan rasa
nyeri, kaku dan pegal. Akibat adanya kristal-kristal urat maka terjadi
peradangan kronik, <span style="mso-bidi-font-weight: bold;">sendi yang bengkak</span>
akibat gout kronik sering besar dan berbentuk <span style="mso-bidi-font-weight: bold;">nodular</span>. Serangan gout Aut dapat terjadi secara simultan diserta
gejala-gejala gout kronik. Tofi timbul pada gout kronik karena urat tersebut
relatif tidak larut. Awitan dan ukuran tofi sebanding dengan kadar urat serum.
Yang sering terjadi tempat pembentukan tofi adalah: bursa olekranon, tendon
Achilles, permukaan ekstensor dari lengan bawah, bursa infrapatella dan helix
telinga </span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri;">Tofi-tofi
ini mungkin sulit dibedakan secara klinis dari rheumatoid nodul. Kadang-kadang
tofi dapat membentuk tukak dan kemudian mengering dan dapat membatasi pergerakan
sendi. Penyakit ginjal dapat terjadi akibat hiperurisemia kronik, tetapi dapat
dicegah apabila gout ditangani secara memadai.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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 style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pembahasan </span></b></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="color: black; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pengertian asam Urat</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit asam urat merupakan akibat dari konsumzi zat purin secara
berlebihan.<span style="color: black;"> </span>Purin diolah tubuh menjadi asam
urat, tapi jika kadar asam urat berlebih, ginjal tidak mampu mengeluarkan
sehingga kristal asam urat menumpuk di persendian. Akibatnya sendi terasa
nyeri, bengkak dan meradang. </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; text-indent: 18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jadi asam urat merupakan hasil metabolisme di dalam tubuh, yang kadarnya
tidak boleh berlebih. Setiap orang memiliki asam urat di dalam tubuh, karena
pada setiap metabolisme normal dihasilkan asam urat. Sedangkan pemicunya adalah
makanan dan senyawa lain yang banyak mengandung purin. </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; text-indent: 18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebetulnya, tubuh menyediakan 85% senyawa purin untuk kebutuhan setiap
hari. Ini berarti bahwa kebutuhan purin dari makanan hanya sekitar 15%.
Sayangnya, fakta ini masih belum diketahui secara luas oleh masyarakat.
Akibatnya banyak orang suka menyamaratakan semua makanan. Orang menyantap apa
saja yang dia inginkan, tanpa mempertimbangkan kandungan di dalamnya. Makanan
sumber dari produk hewani biasanya mengandung purin sangat tinggi.Produk
makanan mengandung purin tinggi kurang baik bagi orang-orang tertentu, yang
punya bakat mengalami gangguan asam urat. Jika mengonsumsi makanan ini tanpa
perhitungan, jumlah purin dalam tubuhnya dapat melewati ambang batas normal.</span></div>
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<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebab Asam Urat</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; text-indent: 18.0pt;">
<span style="background: white; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Secara umum, penyebab asam urat adalah terjadinya
pemecahan sel terus menerus sehingga menghasilkan asam urat yang berlebihan.
Hal ini tentu saja dipengaruhi oleh makanan yang dikonsumsi. Penyebab asam urat
yang lain adalah metabolism tubuh yang kurang sempurna. Penyebab asam
urat bisa juga dari kegagalan ginjal mengeluarkan asam urat tersebut melalui
air seni. Secara tidak langsung, kondisi umum tubuh yang kurang baik juga dapat
menjadi penyebab asam urat. Oleh karena itulah asam urat lebih banyak diderita
orang yang berusia lanjut. Namun demikian tentu saja asam urat bisa terjadi
pada usia yang lebih muda karena gaya hidup yang kurang sehat.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="background: white; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Meskipun penyebab asam urat dapat disimpulkan adalah
karena terjadinya pemecahan sel secara terus menerus, penyakit asam urat
termasuk penyakit yang penyebabnya tidak diketahui secara pasti secara klinis. Penyebab
asam urat diduga berkaitan dengan faktor genetik dan faktor hormonal. Hal
inilah yang menyebabkan ketidaknormalan metabolisme tubuh yang merupakan
penyebab asam urat meningkat secara drastis. Namun demikian, efek kebalikan
dari asam urat yang berlebihan juga bisa menjadi penyebab asam urat.
Pengeluaran asam urat secara berlebihan menyebabkan kadar sangat rendah dan
memicu tubuh mengeluarkan kembali yang kadarnya bisa berlebihan dan menyebabkan
asam urat tinggi.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="background: white; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Namun demikian, penyebab asam urat yang paling utama
adalah makanan. Asam urat dapat meningkat dengan cepat antara lain disebabkan
karena nutrisi. Konsumsi makanan dengan kadar purin tinggi adalah satunya.
Purin adalah salah satu senyawa basa organik yang menyusun asam inti sel yang
jika bereaksi dapat meningkatkan asam urat dengan cepat. Penyebab asam urat
sering diasumsikan berasal dari kondisi alami tubuh, padahal kondisi tubuh yang
buruk utamanya terjadi karena pola makan yang salah. Oleh karena itu, untuk
menghindari asam urat, anda harus mulai memperhatikan berbagai makanan penyebab
asam urat untuk anda hindari.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit darah dapat juga menjadi penyebab asam urat. Penyakit sumsum
tulang dan polisitemia, misalnya, bisa menjadi penyebab tingginya kadar asam
dalam darah yang menjadi penyakit asam urat. Selain itu, obat-obatan seperti
alkohol dalam obat, obat kanker, dan vitamin B12 pun juga bisa menjadi penyebab
asam urat.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Proses terjadinya
penyakit asam urat:</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo4; tab-stops: list 88.9pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; 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 style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsumsi zat yang mengandung purin
secara berlebihan</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo4; tab-stops: list 88.9pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Zat purin dalam jumlah banyak masuk
dalam tubuh, kemudian melalui metabolisme berubah menjadi asam urat</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo4; tab-stops: list 88.9pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar asam urat dalam tubuh
meningkat, sehingga ginjal tidak mampu membuang kelebihan asam urat</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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; mso-list: l7 level1 lfo4; tab-stops: list 88.9pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kristal asam urat yang berlebih
menumpuk di persendian. Akibatnya sendi kita terasa nyeri, membengkak,
meradang, panas dan kaku.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 31.65pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebagai akibat asam urat, ginjal juga
akan mengalami gangguan. Pada kasus yang parah, penderita sampai tidak bisa
jalan karena persendian terasa sangat sakit jika bergerak. Tulang di sekitar
sendi juga bisa keropos / mengalami pengapuran tulang.</span></div>
<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; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Gejala Asam Urat</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; text-indent: 36.0pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri sendi merupakan indikator utama
asam urat</span><span style="background: white; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">, Sendi merupakan bagian yang paling mudah dihinggapi
kristal-kristal asam urat selain juga pada bagian kulit dan ginjal yang
merupakan akibat dari penambahan kadar asam urat dalam darah. Kristal-kristal
tersebut akan menyebar ke dalam rongga-rongga sendi sehingga terjadilah
peradangan akut atau terjadi gout. Jika terjadi selama bertahun-tahun, deposit
kristal asam urat dalam sendi tersebut dapat mengakibatkan kerusakan sendi
secara permanen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="background: white; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tanda dan gejala asam urat antara
lain :</span></div>
<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; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; 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 style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Nyeri sendi akibat endapan asam urat dan inflamasi.</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: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Eritema dan bengkak pada sendi akibat endapan asam urat dan iritasi.</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: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tofus pada ibu jari kaki, pergelangan kaki, dan daun telinga akibat endapan
urat.</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: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kenaikan suhu kulit akibat inflamasi.</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: l5 level1 lfo5; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kadar asam urat normal pada pria berkisar 3,5 – 7 mg/dl dan pada perempuan
2,6 – 6 mg/dl. Kadar asam urat diatas normal disebut hiperurisemia.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perjalanan penyakit yang klasik biasanya dimulai dengan suatu serangan atau
seseorang memiliki riwayat pernah cek asam uratnya tinggi di atas 7 mg/dl, dan
makin lama makin tinggi.ika demikian, kemungkinannya untuk menjadi penyakit
gout itu makin besar. Biasanya 25% orang yang asam uratnya tinggi akan menjadi
penyakit gout. Bila kadar asam urat tinggi tapi tidak ada gejala serangan sendi
ini disebut stadium awal. Pada setiap orang berbeda-beda. Ada yang
bertahun-tahun sama sekali tidak muncul gejalanya, tetapi ada yang muncul
gejalanya di usia 20 tahun, 30 tahun, atau 40 tahun.<span style="background: white; color: black;">Sebagian besar penderita asam urat juga memiliki penyakit
lain seperti hipertensi (tekanan darah tinggi), diabetes atau penyakit ginjal.
Faktor kegemukan (obesitas) juga sering dijumpai pada penderita asam urat.</span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bahaya Asam Urat</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jika kadar asam urat terlalu tinggi dalam darah, maka organ-organ tubuh
akan terganggu dan bahkan rusak, terutama organ ginjal. Hal ini terjadi karena
saringan pada ginjal akan tersumbat. Tersumbatnya saringan tersebut akan
berdampak munculnya batu ginjal, dan bahkan pada akhirnya dapat terjadi gagal
ginjal. Selain itu kadar asam urat yang tinggi pun merupakan faktor risiko
untuk penyakit jantung koroner. Kristal asam urat dapat merusak lapisan bagian
dalam pembuluh darah koroner pada jantung. Rusaknya pembuluh darah itu akan
menimbulkan serangan jantung koroner.</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; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Oleh sebab itu, sebaiknya secara teratur kita harus mengecek kadar asam
urat, jika asam uratnya tinggi maka sedini mungkin harus berupaya
untukmenurunkannya supaya tidak terjadi kerusakan pada organ-organ penting
tubuh kita.<span style="background: white; color: black;"> Sebagai akibat asam
urat, ginjal juga akan mengalami gangguan. Pada kasus yang parah, penderita
sampai tidak bisa jalan karena persendian terasa sangat sakit jika bergerak.
Tulang di sekitar sendi juga bisa keropos / mengalami pengapuran tulang.</span></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; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyebaran / Penularan</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; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asam urat merupakan penyakit non infeksi akibat prilaku makanan. Penyakit
asam urat tidak menular, akan tetapi tidak menutup kemungkinan factor genetic
atau keturunan dapat menyebabkan menderita penyakit ini.<span style="background: white; color: black;"> Uniknya asam urat ini lebih sering menyerang pria
daripada wanita, dengan jumlah wanita yang sangat sedikit dan biasanya
menyerang wanita yang sudah memasuki masa monopouse. Hal ini dikarenakan
tingkat asam dalam tubuh pria berbanding lurus dengan bertambahnya usia,
sedangkan pada wanita tingkat asam ini baru akan naik drastis ketika mereka
sudah memasuki masa monopouse.</span></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; text-indent: 36.0pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Untuk mengetahui kita menderita asam
urat atau tidak biasanya dilakukan dengan tes enzimatik dan tes biasa. Biasanya
serangkaian tes ini dapat kita lakukan di laboratorium di rumah sakit atau yang
bisa kita temui di sekitar kita.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada awalnya</span><span style="color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> </span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">penyakit asam urat<span style="color: black;"> <span style="background: white;">ini hanya menyerang
satu sendi saja, namun lama kelamaan bisa menjalar ke sendi yang lain. Sendi
yang paling sering terkena dampak dari asam urat ini adalah sendi pada pangkal
kaki ibu jari dan sekitar kaki. Serangan asam urat pun tidak dapat
diperkirakan, tiba-tiba dapat terjadi pagi hari lalu sembuh dan sore hari nyeri
sendi kembali terulang. Hal ini sangat menyiksa penderita, jika mereka tidak
cepat mengkonsumsi obat-obatan maka nyeri itu tidak akan hilang.</span></span></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; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Faktor risiko yang menyebabkan orang terserang penyakit asam urat adalah
pola makan, kegemukan, dan suku bangsa.Di dunia, suku bangsa yang paling tinggi
prevalensinya pada orang Maori di Australia. Prevalensi orang Maori terserang
penyakit asam urat tinggi sekali, sedangkan di Indonesia prevalensi tertinggi
pada penduduk pantai dan yang paling tinggi di daerah Manado-Minahasa karena
kebiasaan atau pola makan ikan dan mengonsumsi alkohol. Alkohol menyebabkan
pembuangan asam urat lewat urine itu ikut berkurang sehingga asam uratnya tetap
bertahan di dalam darah. Konsumsi ikan laut yang tinggi juga mengakibatkan asam
urat.</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; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Asam urat pun merupakan faktor risiko untuk penyakit jantung koroner.
Diduga kristal asam urat akan merusak endotel (lapisan bagian dalam pembuluh
darah) koroner. Karena itu, siapapun yang kadar asam uratnya tinggi harus
berupaya untuk menurunkannya agar kerusakan tidak merembet ke organ-organ tubuh
yang lain.</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Cara Penanggulangan</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; text-indent: 36.0pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit asam urat disebabkan oleh
menumpuknya kristal asam urat yang dihasilkan dari metabolisme zat purin. Oleh
karena itu, untuk mengurangi kadar asam urat, Anda harus</span><span style="color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-bidi-font-weight: bold;">mengurangi konsumsi makanan<b> </b>yang
banyak mengandung zat purin</span><span style="background: white;">. Berikut adalah
contoh makanan yang menjadi pantangan bagi penderita penyakit asam urat:</span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l10 level1 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; 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 style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jeroan: ginjal, limpa, babat, usus,
hati, paru dan otak.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Seafood: udang, cumi-cumi, sotong,
kerang, remis, tiram, kepiting, ikan teri, ikan sarden.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Ekstrak daging seperti abon dan
dendeng</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan yang sudah dikalengkan
(contoh: kornet sapi, sarden)</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Daging kambing, daging sapi, daging
kuda</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Bebek, angsa dan kalkun</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kacang-kacangan: kacang kedelai
(termasuk hasil olahan seperti tempe, tauco, oncom, susu kedelai), kacang
tanah, kacang hijau, tauge, melinjo, emping</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sayuran: kembang kol, bayam,
asparagus, buncis, jamur kuping, daun singkong, daun pepaya, kangkung</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Keju, telur, krim, es krim, kaldu
atau kuah daging yang kental</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Buah-buahan tertentu seperti durian,
nanas dan air kelapa</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan yang digoreng atau bersantan
atau dimasak dengan menggunakan margarin/mentega</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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 lfo6; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">l.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Makanan kaya protein dan lemak</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Selain pantangan makanan di atas,
penderita asam urat juga harus</span><span style="color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="mso-bidi-font-weight: bold;">banyak
minum air putih</span> <span style="background: white;">(terutama bagi
mereka yang mempunyai batu ginjal). Air putih akan membantu mengeluarkan kristal
asam urat dari dalam tubuh melalui urine.</span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="color: black; mso-bidi-font-family: Calibri; mso-bidi-font-weight: bold; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurangi konsumsi alkohol</span><span style="color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> <span style="background: white;">karena alkohol akan meningkatkan kadar asam laktat,
yang menyebabkan pembuangan asam urat lewat urine berkurang. Akibatnya, asam
urat tertahan dalam peredaran darah dan menumpuk di persendian. Hindari juga
minuman fermentasi seperti bir, wiski, anggur, tape dan tuak karena mengandung
senyawa alkohol.</span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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; text-indent: 36.0pt;">
<span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Tips tambahan bagi
penderita asam urat:</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; 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 style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsumsi makanan yang mengandung
potasium tinggi seperti kentang, yogurt, dan pisang.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Konsumsi buah yang banyak mengandung
vitamin C, seperti jeruk, pepaya dan strawberry. Contoh buah dan sayuran untuk
mengobati penyakit asam urat: buah naga, belimbing wuluh, jahe, labu kuning,
sawi hijau, sawi putih, serai dan tomat.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Perbanyak konsumsi karbohidrat
kompleks seperti nasi, singkong, roti dan ubi.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kurangi konsumsi karbohidrat
sederhana jenis fruktosa seperti gula, permen, arum manis, gulali dan sirup.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan minum aspirin.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Jangan bekerja terlalu keras /
kelelahan.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Pada orang yang kegemukan (obesitas),
biasanya kadar asam urat cepat naik tapi pengeluaran sedikit, maka sebaiknya
turunkan berat badan dengan olahraga yang cukup.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "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: l12 level1 lfo7; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="background: white; color: black; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sesuaikan asupan energi dengan
kebutuhan tubuh, berdasarkan tinggi dan berat badan.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"></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="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; mso-list: l8 level1 lfo9; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penanganan Keperawatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 17.45pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 2.0cm list 81.8pt; text-align: justify;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><span style="mso-tab-count: 1;"> </span>Tujuan penanganan
penyakit gout adalah mengakhiri serangan akut secepat mungkin, mencegah
serangan yang berulang, dan mencegah atau membalikkan komplikasi. Penanganan
penyakit gout yang akut terdiri atas :</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: l6 level1 lfo10; tab-stops: list 81.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="mso-bidi-font-family: Calibri; 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 style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Imobilisasi dan proteksi sendi yang nyeri dan mengalami inflamasi.</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: l6 level1 lfo10; tab-stops: list 81.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kompres dingin atau hangat pada bagian yang sakit.</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: l6 level1 lfo10; tab-stops: list 81.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Peningkatan asupan cairan ( hingga 3 L per hari ) jika terdapat
kontraindikasi penyakit lain; peningkatan asupan cairan ini bertujuan mencegah
pembentukan batu ginjal.</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: l6 level1 lfo10; tab-stops: list 81.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Terapi dengan kolsicin ( oral atau IV ) setiap jam sekali selama 8 jam
untuk menghambat fagositosis kristal asam urat oleh sel-sel neutrofil; terapi
ini dilakukan sampai rasa nyeri mereda atau sampai terjadi diare ( pada
inflamasi yang akut ).</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: l6 level1 lfo10; tab-stops: list 81.8pt; text-align: justify; text-indent: -21.25pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-language: IN;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Obat antiinflamasi nonsteroid ( NSAID ) untuk mengatasi nyeri dan
inflamasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; 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: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">BAB III</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">PENUTUP</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: list 81.8pt; 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; mso-list: l11 level1 lfo8; tab-stops: list 81.8pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; 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></b><b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kesimpulan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Penyakit asam urat merupakan akibat dari konsumzi zat
purin secara berlebihan.<span style="color: black;"> </span>Purin diolah tubuh
menjadi asam urat, tapi jika kadar asam urat berlebih, ginjal tidak mampu
mengeluarkan sehingga kristal asam urat menumpuk di persendian. Akibatnya sendi
terasa nyeri, bengkak dan meradang. Penyakit asam urat merupakan penyakit nini
infeksi yang tidak menular. Penyakit ini dapat di cegah dengan mengkonsumsi
makanan yang rendah purin, memperbanyak minum air putih dan rajin berolahraga.</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: l11 level1 lfo8; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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 style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Saran</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Sebaiknya penyakit
asam urat harus di cegah terlebih dulu, karena jika seseorang telah menderita
penyakit asam urat dapat menyebabkan resiko gagal ginjal.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Kowalak, Jennifer P. 2011. Buku Ajar Patofisiologi.
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Anonymoushttp://www.blogger.com/profile/03310852569455236748noreply@blogger.com33tag:blogger.com,1999:blog-6330742078279769511.post-48076789031590006312013-04-03T22:56:00.000-07:002013-04-03T22:56:50.185-07:00Makalah Plasenta Previa<!--[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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">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="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; mso-list: l10 level1 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Latar
Belakang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Perdarahan
pada kehamilan harus dianggap sebagai kelainan yang berbahaya . Perdarahan pada
kehamilan muda disebut sebagai abortus sedangkan perdarahan pada kehamilan tua
disebut perdarahan anterpartum. Batas teoritis antara kehamilan muda dengan
kehamilan tua adalah 22 minggu mengingat kemungkinan hidup janin diluar uterus
.</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Perdarahan
anterpartum biasanya berbatas pada perdarahan jalan lahir setelah kehamilan 22
minggu tapi tidak jarang terjadi pula pada usia kandungan kurang dari 22 minggu
dengan patologis yang sama. Perdarahan saat kehamilan setelah 22 minggu
biasanya lebih berbahaya dan lebih banyak daripada kehamilan sebelum 22 minggu
. Oleh karena itu perlu penanganan yang cukup berbeda . Perdarahan antepartum
yang berbahaya umumnya bersumber pada kelainan plasenta, sedangkan perdarahan
yang tidak bersumber pada kelainan plasenta umpamanya kelainan serviks biasanya
tidak seberapa berbahaya. Pada setiap perdarahan anterpartum pertama-tama harus
selalu dipikirkan bahwa hal itu bersumber pada kelainan plasenta .</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Perdarahan
anterpartum yang bersumber dari kelainan plasenta yang secara klinis biasanya
tidak terlampau sukar untuk menentukannya ialah plasenta previa dan solusio
plasenta serta perdarahan yang belum jelas sumbernya . Perdarahan anterpartum
terjadi kira-kira 3 % dari semua persalinan yang terbagi atas plasenta previa ,
solusio plasenta dan perdarahan yang belum jelas penyebabnya </span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Pada
umumnya penderita mengalami perdarahan pada triwulan tiga atau setelah usia
kehamilan , namun beberapa penderita mengalami perdarahan sedikit-sedikit
kemungkinan tidak akan tergesa-gesa datang untuk mendapatkan pertolongan karena
disangka sebagai tanda permulaan persalinan biasa. Baru setelah perdarahan yang
berlangsung banyak , mereka datang untuk mendapatkan pertolongan .</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Setiap
perdarahan pada kehamilan lebih dari 22 minggu yang lebih banyak pada permulaan
persalinan biasanya harus lebih dianggap sebagai perdarahan anterpartum apapun
penyebabnya , penderita harus segera dibawah ke rumah sakit yang memiliki
fasilitas untuk transfusi darah dan operasi . Perdarahan anterpartum diharapkan
penanganan yang adekuat dan cepat dari segi medisnya maupun dari aspek
keperawatannya yang sangat membantu dalam penyelamatan ibu dan janinnya.</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Angka kematian maternal masih menjadi tolok ukur
untuk menilai baik buruknya keadaan pelayanan kebidanan dan salah satu
indikator tingkat kesejahteraan ibu. Angka kematian maternal di Indonesia
tertinggi di Asia Tenggara. Menurut SKRT (Survei Kesehatan Rumah Tangga) tahun
1992 yaitu 421 per 100.000 kelahiran hidup, SKRT tahun 1995 yaitu 373 per
100.000 kelahiran hidup dan menurut SKRT tahun 1998 tercatat kematian maternal
yaitu 295 per 100.000 kelahiran hidup. Diharapkan PJP II (Pembangunan Jangka
Panjang ke II) (2019) menjadi 60 - 80 per 100.000 kelahiran hidup. Penyebab
terpenting kematian maternal di Indonesia adalah perdarahan (40- 60%), infeksi
(20-30%) dan keracunan kehamilan (20-30%), sisanya sekitar 5% disebabkan penyakit
lain yang memburuk saat kehamilan atau persalinan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif";">Perdarahan sebagai penyebab kematian ibu terdiri
atas perdarahan antepartum dan perdarahan postpartum.<span style="mso-spacerun: yes;"> </span>Perdarahan antepartum merupakan kasus gawat
darurat yang kejadiannya berkisar 3% dari semua persalinan, penyebabnya antara
lain plasenta previa, solusio plasenta, dan perdarahan yang belum jelas.<span style="mso-spacerun: yes;"> </span>Plasenta previa adalah plasenta yang
implantasinya tidak normal, sehingga menutupi seluruh atau sebagian ostium internum;
kasus ini masih menarik dipelajari terutama di negara berkembang termasuk
Indonesia, karena faktor predisposisi yang masih sulit dihindari, prevalensinya
masih tinggi serta punya andil besar dalam angka kematian maternal dan
perinatal yang merupakan parameter pelayanan kesehatan. Di RS Parkland
didapatkan prevalensi plasenta previa 0,5%. Clark<span style="mso-spacerun: yes;"> </span>(1985) melaporkan prevalensi plasenta previa
0,3%. Nielson (1989) dengan penelitian prospektif menemukan 0,33% plasenta.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l10 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; 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";">Tujuan
Penulisan</span></div>
<div class="MsoListParagraphCxSpMiddle" 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: l0 level1 lfo26; tab-stops: 21.3pt; 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-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%;">Tujuan
Umum</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; 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%;">Penulis mampu menyusun
serta melakukan manajemen asuhan keperawatan secara langsung pada ibu hamil
dengan plasenta previa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; tab-stops: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" 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: l0 level1 lfo26; tab-stops: 21.3pt; 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-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%;">Tujuan
Khusus</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l32 level1 lfo25; tab-stops: 21.3pt 35.45pt; text-align: justify; 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%;">Mampu
melakukan pengkajian keperawatan pada ibu hamil dengan plasenta previa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l32 level1 lfo25; tab-stops: 21.3pt 35.45pt; text-align: justify; 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%;">Mampu
menetapkan diagnosa keperawatan pada ibu hamil dengan plasenta previa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l32 level1 lfo25; tab-stops: 21.3pt 35.45pt; text-align: justify; 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%;">Mampu
membuat rencana asuhan keperawatan pada ibu hamil dengan plasenta previa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l32 level1 lfo25; tab-stops: 21.3pt 35.45pt; text-align: justify; 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%;">Mampu
melakukan pelaksanaan keperawatan pada ibu hamil dengan plasenta previa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l32 level1 lfo25; tab-stops: 21.3pt 35.45pt; text-align: justify; 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%;">Mampu
melaksanakan evaluasi keperawatan pada ibu hamil dengan plasenta previa.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l10 level1 lfo1; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; 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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Manfaat Penulisan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; 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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bagi Peningkatan Kualitas Asuhan Keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Laporan
studi asuhan keperawatan<span style="mso-spacerun: yes;"> </span>“Plasenta
Previa” ini diharapkan dapat digunakan sebagai acuan dalam<span style="mso-spacerun: yes;"> </span>peningkatan kualitas asuhan keperawatan serta
perkembangan ilmu praktek keperawatan di bidang plasenta previa.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l26 level1 lfo27; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Bagi Ilmu Pengetahuan dan Teknologi ( IPTEK )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Diharapkan
dengan adanya laporan studi kasus Plasenta Previa ini, diharapkan dapat turut
serta dalam meningkatkan perkembangan dan peningkatan ilmu pengetahuan serta
manajemen asuhan keperawatan dalam kasus ini.</span></div>
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</span></span></span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Bagi Institusi Layanan Pendidikan</span></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Sebagai
tolak ukur tingkat kemampuan mahasiswa – mahasiswa dalam penguasaan materi dan
kasus Plasenta Previa. Penguasaan proses keperawatan, perkembangan penyakit
serta manajemen dalam tatalaksana kasus ini sangat menjadi pertimbangan
kemampuan pencapaian kompetensi.</span></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">BAB II</span></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">PEMBAHASAN</span></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Laporan Pendahuluan</span></div>
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<span style="font-family: "Times New Roman","serif"; 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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Pengertian</span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Plasenta previa merupakan implantasi plasenta di bagian
bawah sehingga menutupi ostium uteri internum, serta menimbulkan perdarahan
saat pembentukan segmen bawah rahim. <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">(Cunningham</i></b></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">,</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"; mso-fareast-font-family: "Times New Roman";"> 2006).</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"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></i></b></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">Plasenta Previa
adalah plasenta berimplantasi, baik parsial atau total pada sekmen
bawah uteri dan terletak di bawah (previa)<span style="letter-spacing: -.75pt;"> bagian
presentasi bawah janin .(<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Lewellyn, 2001</i></b>)</span></span></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">Plasenta previa plasenta yang letaknya
apnormal</span><span style="font-family: "Times New Roman","serif"; letter-spacing: .75pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;">,</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"> pada
sekme uterus sehingga dapat menutupi sebagian atau seluruh pada jalanlahir (<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Mansjoer,
2001</i></b><span style="letter-spacing: -.75pt;">).</span></span></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif"; mso-fareast-font-family: "Times New Roman";">Plasenta previa adalah plasenta yang letaknya abnormal yaitu
pada segmen bawah uterus sehingga dapat menutupi sebagian atau seluruh
pembukaan jalan lahir <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">(FKUI, 2000). </i></b></span></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Etiologi</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";">Menurut
Manuaba (2003), penyebab terjadinya plasenta previa diantaranya adalah mencakup
:</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;">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";">Perdarahan (hemorrhaging).</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;">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";">Usia lebih dari 35 tahun.</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;">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";">Multiparitas.</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;">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";">Pengobatan infertilitas.</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;">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";">Multiple gestation.</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;">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";">Erythroblastosis.</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;">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";">Riwayat operasi/pembedahan uterus
sebelumnya.</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;">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";">Keguguran berulang.</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-fareast-font-family: "Times New Roman";">Status sosial ekonomi yang rendah.</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-fareast-font-family: "Times New Roman";">Jarak antar kehamilan yang pendek.</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;">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";">Merokok.</span></div>
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<span lang="EN-US">Penyebab plasenta previa secara pasti sulit ditentukan, tetapi ada
beberapafaktor yang meningkatkan risiko terjadinya plasenta previa, misalnya
bekasoperasi rahim (bekas sesar atau operasi mioma), sering mengalami
infeksirahim (radang panggul), kehamilan ganda, pernah plasenta previa, atau
kelainan bawaan rahim. </span></div>
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<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Sedangkan menurut </span><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%; mso-fareast-font-family: "Times New Roman";">Kloosterman</span></i></b><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><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-fareast-font-family: "Times New Roman";">1973</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";">),</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";">Plasenta bertumbuh pada segmen bawah
uterus tidak selalu jelas dapat diterangkan . bahwasanya vaskularisasi yang
berkurang atau perubahan atropi pada desidua akibat persalinan yang lampau
dapat menyebabkan plasenta previa , tidaklah selalu benar . Memang dapat
dimengerti bahwa apabila aliran darah ke plasenta tidak cukup seperti pada
kehamilan kembar maka plasenta yang letaknya normal sekalipun akan memperluaskan
permukaannya sehingga mendekati atau menutupi sama sekali pembukaan jalan lahir
.Frekuensi plasenta previa pada primigravida yang berumur lebih 35 tahun
kira-kira 10 kali lebih sering dibandingkan dengan primigravida yang berumur
kurang dari 25 tahun . Pada grandemultipara yang berumur lebih dari 30 tahun
kira-kira 4 kali lebih sering dari grandemultipara yang berumur kurang dari 25
tahun</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";">.</span></div>
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<span style="font-family: "Times New Roman","serif"; 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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Faktor Predisposisi dan Presipitasi</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";">Menurut
Mochtar (1998), faktor predisposisi dan presipitasi yang dapat mengakibatkan
terjadinya plasenta previa adalah :</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;">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";">Melebarnya pertumbuhan plasenta :</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";">Kehamilan kembar (gamelli).</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;">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";">Tumbuh kembang plasenta tipis.</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;">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";">Kurang suburnya endometrium :</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";">Malnutrisi ibu hamil.</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;">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";">Melebarnya plasenta karena gamelli.</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;">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";">Bekas seksio sesarea.</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; mso-list: l25 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-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";">Sering dijumpai pada
grandemultipara.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo8; tab-stops: list 54.0pt; text-align: justify; 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";">Terlambat implantasi :</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";">Endometrium fundus kurang subur.</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;">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";">Terlambatnya tumbuh kembang hasil
konsepsi dalam bentuk blastula yang siap untuk nidasi.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Patofisiologi</span></div>
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<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";">Seluruh
plasenta biasanya terletak pada segmen atau uterus. </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";">Kadang-kadang bagian atau seluruh
organ dapat melekat pada segmen bawah uterus, dimana hal ini dapat diketahui
sebagai plasenta previa. Karena segmen bawah agak merentang selama kehamilan
lanjut dan persalinan, dalam usaha mencapai dilatasi serviks dan kelahiran
anak, pemisahan plasenta dari dinding uterus sampai tingkat tertentu tidak
dapat dihindarkan sehingga terjadi pendarahan.</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";"></span></div>
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<span class="fullpost"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Plasenta
previa adalah implantasi plasenta bawah rahim sehingga menutupi
kanalisservikalis dan mengganggu proses persalinan<span style="mso-spacerun: yes;"> </span>dengan terjadinya perdarahan.Zigotyang
tertanam<span style="mso-spacerun: yes;"> </span>sangat rendah dalam kavum<span style="mso-spacerun: yes;"> </span>uteri, akan membentuk<span style="mso-spacerun: yes;"> </span>plasenta yang pada awal mulanya<span style="mso-spacerun: yes;"> </span>sangat berdekatan dengan ostimintenum.
Plaseta yang letak nya demikian<span style="mso-spacerun: yes;"> </span>akan
diam di tempatnya sehingga terjadi<span style="mso-spacerun: yes;">
</span>plasenta previa</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 36.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span class="fullpost"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan
kepala janin yang mengakibatkan tertekan nya plaseta(apabila plaseta tumbuh di
segmen bawah rahim ).Pelebaran pada segmen bawah uterus dan pembukaan<span style="mso-spacerun: yes;"> </span>servikakan menyebabkan bagian plaseta yang
diatas atau dekat ostium<span style="mso-spacerun: yes;"> </span>akan terlepas
dari dinding uterus.Segmen<span style="mso-spacerun: yes;"> </span>bawah uterus
lebih banyak mengalami perubahan pada trisemester III. Perdarahan tidak dapat
dihindari karena ketidak mampuan serabut otot segmen bawah uterus berkontraksi
seperti pada plasenta letak normal.</span></span><span class="fullpost"><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> ( Doengoes, 2000 ).</span></span></div>
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<div class="MsoListParagraph" 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: l3 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; line-height: 150%; mso-bidi-font-size: 14.0pt; 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"; mso-ansi-language: IN;">Pathway<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: 14.0pt; line-height: 150%;"></span></b></div>
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<span lang="EN-US" style="font-family: "Times New Roman","serif";"> </span>
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<span lang="EN-US" style="font-family: "Times New Roman","serif";"><span style="mso-tab-count: 1;"> </span></span></div>
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify;">
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<div align="right" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: right;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Smeltzere and Bare, 2001.</span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Tanda dan Gejala</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: l3 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-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";">Perdarahan tanpa nyeri.</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: l3 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-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";">Perdarahan berulang.</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: l3 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-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";">Warna perdarahan merah segar.</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: l3 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-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";">Adanya anemia dan renjatan yang sesuai dengan keluarnya
darah.</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: l3 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-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";">Timbulnya perlahan-lahan.</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;">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";">Waktu terjadinya saat hamil.</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;">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";">His biasanya tidak ada.</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: l3 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-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";">Rasa tidak tegang (biasa) saat palpasi.</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: l3 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-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";">Denyut jantung janin ada.</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: l3 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-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";">Teraba jaringan plasenta pada periksa dalam vagina.</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: l3 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-fareast-font-family: "Times New Roman";"><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";">Penurunan kepala tidak masuk pintu atas panggul.</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: l3 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-fareast-font-family: "Times New Roman";"><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";">Presentasi mungkin abnormal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<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";">Jadi
Kejadian yang paling khas pada plasenta previa adalah pendarahan tanpa nyeri
biasanya baru terlihat setelah trimester kedua atau sesudahnya. Namun demikian,
banyak peristiwa abortus mungkin terjadi akaibat lokasi abnormal plasenta yang
sedngan tumbuh. Penyebab pendarahan perlu ditegaskan kembali. Kalau plasenta
terletak pada ostium internum, pembentukan segmen bawah uterus dan dilatasi
ostium internum tanpa bias dielakkan akan mengakibatkan robekan pada tempat
pelekantan plasenta yang diikuti oleh pendarahan dari pembuluh- pembuluh darah uterus.
Pendarahan tersebut diperberat lagi dengan ketidakmampuan serabut- serabut otot
miometrium segmen bawah uterus untuk mengadakan kontaksi dan retraksi agar bias
menekan bembuluh darah yang rupture sebagaimana terjadi secara normal ketika
terjadi<span style="mso-spacerun: yes;"> </span>pelepasan plasenta dari dalam
uterus yang kosong pada kala tiga persalinan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<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";">Akibat
pelekatan yang abnormal seperti terlihat pada plasenta akreta, atau akibat
daerah pelekatan yang sangat luas, maka proses perlekatan plasenta kadangkala
terhalang dan kemudian dapat terjadi pendarahan yang banyak setelah bayi
dilahirkan. Pendarahan dari tempat implantasi plasenta dalam segmen bahwa
uterus dapat berlanjut setelah plasentah dilahirkan, mengingat segmen bahwa
uterus lebih cendrung memiliki kemampuan kontraksi yang jelek dibandingkan
korpus uteri. Sebagai akibatnya, pembuluh darah memintas segmen bahwa kurang
mendapat kompresi. Pendarahan dapat terjadi pula akibat laserasi pada bagian
bahwa uterus dan serviks yang rapuh, khususnya pada usaha untuk mengeluarkan
plasenta yang melekat itu secara manual. </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";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-indent: 36.0pt;">
<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";">Menururt FKUI (2000), tanda dan
gejala plasenta previa diantaranya adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l22 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; 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="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";">Pendarahan tanpa sebab tanpa rasa nyeri
dari biasanya dan berulang.</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-left: 54.0pt; mso-list: l22 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; 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="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";">Darah biasanya berwarna merah segar.</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-left: 54.0pt; mso-list: l22 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; 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="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";">Terjadi pada saat tidur atau saat melakukan
aktivitas.</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-left: 54.0pt; mso-list: l22 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; 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";">Bagian terdepan janin tinggi (floating), sering dijumpai
kelainan letak janin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l22 level1 lfo5; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; 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";">Pendarahan pertama (first bleeding) biasanya tidak banyak
dan tidak fatal, kecuali bila dilakukan periksa dalam sebelumnya. Tetapi
perdarahan berikutnya (reccurent bleeding) biasanya lebih banyak.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Klasifikasi</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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Klasifikasi plasenta previa berdasarkan
terabanya jaringan plasenta melalui pembukaan jalan lahir pada waktu<span style="mso-spacerun: yes;"> </span>atau derajat abnormalitas tertentu : </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="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo6; tab-stops: list 54.0pt; text-align: justify; 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%;">Plasenta
previa totalis : bila<span style="mso-spacerun: yes;"> </span>ostium internum
servisis seluruh pembukaan jalan lahir tertutup oleh plasenta.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo6; tab-stops: list 54.0pt; text-align: justify; 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%;">Plasenta
previa lateralis : ostium internum servisis bila hanya sebagian pembukaan jalan
lahir tertutup oleh plasenta.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo6; tab-stops: list 54.0pt; text-align: justify; 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%;">Plasenta
previa marginalis : bila pinggir plasenta berada tepat pada pinggir pembukaan
jalan lahir.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo6; tab-stops: list 54.0pt; text-align: justify; 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%;">Plasenta
previa letak rendah : bila plasenta berada 3-4 cm diatas pinggir pembukaan
jalan lahir.</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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Derajat plasenta previa akan tergantung
kepada luasnya ukuran dilatasi serviks saat dilakukan pemeriksaan. Perlu
ditegaskan bahwa palpasi digital untuk mencoba memastikan hubungan yang selalu
berubah antara tepi plasenta dan ostium internum ketika serviks berdilatasi,
dapat memicu terjadinya perdarahan hebat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Pemeriksaan Penunjang dan Laboratorium</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: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; 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="VI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: VI; mso-fareast-font-family: "Times New Roman";">USG : biometri janin, indeks cairan
amnion, kelainan congenital, letak dan derajat maturasi plasenta. Lokasi
plasenta sangat penting karena hal ini berkaitan dengan teknik operasi yang
akan dilakukan.</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: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; 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="VI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: VI; mso-fareast-font-family: "Times New Roman";">Kardiotokografi (KTG) : dilakukan pada
kehamilan > 28 minggu.</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: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; 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="VI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: VI; mso-fareast-font-family: "Times New Roman";">Laboratorium : darah perifer lengkap.
Bila akan dilakukan PDMO atau operasi, perlu diperiksa faktor waktu pembekuan
darah, waktu perdarahan dan gula darah sewaktu.</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: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; 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";">Sinar X</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";"> : </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";">Menampakkan kepadatan jaringan lembut untuk menampakkan
bagian-bagian tubuh janin.</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: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; 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";">Pengkajian vaginal</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";"> : </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";">Pengkajian ini akan mendiagnosa
placenta previa tapi seharusnya ditunda jika memungkinkan hingga kelangsungan
hidup tercapai (lebih baik sesuadah 34 minggu). Pemeriksaan ini disebut pula
prosedur susunan ganda (double setup procedure). Double setup adalah
pemeriksaan steril pada vagina yang dilakukan di ruang operasi dengan kesiapan
staf dan alat untuk efek kelahiran secara cesar.</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: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; 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";">Isotop Scanning</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";"> : </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";">Atau lokasi penempatan placenta.</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: l4 level1 lfo7; tab-stops: list 36.0pt; text-align: justify; 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;">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";">Amniocentesis</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";"> : </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";">Jika 35 – 36 minggu kehamilan
tercapai, panduan ultrasound pada amniocentesis untuk menaksir kematangan
paru-paru (rasio lecithin / spingomyelin [LS] atau kehadiran
phosphatidygliserol) yang dijamin. Kelahiran segera dengan operasi
direkomendasikan jika paru-paru fetal sudah mature.</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: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Komplikasi</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; text-indent: 36.0pt;">
<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";">Menurut
Roeshadi (2004), kemungkinan komplikasi yang dapat ditimbulkan dari adanya
plasenta previa adalah sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 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-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";">Pada ibu dapat terjadi :</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: l2 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-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";">Perdarahan hingga syok akibat
perdarahan</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;">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";">Anemia karena perdarahan</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;">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";">Plasentitis</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: l2 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-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";">Endometritis pasca persalinan</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;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l29 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-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";">Pada janin dapat terjadi :</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: l24 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-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";">Persalinan premature</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; mso-list: l24 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-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";">Asfiksia berat </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%; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Penatalaksanaan Medis</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="VI" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: VI; mso-fareast-font-family: "Times New Roman";">Menurut Wiknjosastro (2005), penatalaksanaan yang
diberikan untuk penanganan plasenta previa tergantung dari jenis plasenta
previanya yaitu :</span><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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";">Kaji kondisi fisik klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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";">Menganjurkan klien untuk tidak
coitus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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";">Menganjurkan klien istirahat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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";">Mengobservasi perdarahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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";">Memeriksa tanda vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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";">Memeriksa kadar Hb</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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;">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";">Berikan cairan pengganti intravena
RL</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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;">h.<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";">Berikan
betametason untuk pematangan paru bila perlu dan bila fetus masih premature</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-left: 54.0pt; mso-list: l13 level1 lfo23; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; tab-stops: list 54.0pt; text-align: justify; 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;">i.<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";">Lanjutkan terapi ekspektatif bila KU
baik, janin hidup dan umur kehamilan </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; margin-left: 36.0pt; 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%;">Konservatif
bila :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo20; tab-stops: list 54.0pt; text-align: justify; 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%;">Kehamilan
kurang 37 minggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo20; tab-stops: list 54.0pt; text-align: justify; 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%;">Perdarahan
tidak ada atau tidak banyak (Hb masih dalam batas normal).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo20; tab-stops: list 54.0pt; text-align: justify; 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%;">Tempat
tinggal pasien dekat dengan rumah sakit (dapat menempuhperjalanan selama 15
menit).</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; text-indent: 18.0pt;">
<i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perawatan konservatif berupa :</span></i><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></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 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-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%;">Istirahat.</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; mso-list: l5 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-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%;">Memberikan
hematinik dan spasmolitik unntuk mengatasi anemia.</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; mso-list: l5 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-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%;">Memberikan
antibiotik bila ada indikasii.</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; mso-list: l5 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-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%;">Pemeriksaan
USG, Hb, dan hematokrit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila selama 3 hari tidak terjadi
perdarahan setelah melakukan perawatan konservatif maka lakukan mobilisasi
bertahap. Pasien dipulangkan bila tetap tidak ada perdarahan. Bila timbul
perdarahan segera bawa ke rumah sakit dan tidak boleh melakukan senggama.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 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-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%;">Penanganan
aktif bila :</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; mso-list: l30 level2 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-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%;">Perdarahan
banyak tanpa memandang usia kehamilan.</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; mso-list: l30 level2 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-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%;">Umur
kehamilan 37 minggu atau lebih.</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; mso-list: l30 level2 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-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%;">Anak
mati</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; text-indent: 36.0pt;">
<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%;">Penanganan
aktif berupa :</span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 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-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%;">Persalinan
per vaginam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 90.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l33 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-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%;">Persalinan
per abdominal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt;">
<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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penderita disiapkan untuk pemeriksaan
dalam di atas meja operasi (double set up) yakni dalam keadaan siap operasi.
Bila pada pemeriksaan dalam didapatkan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 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-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%;">Plasenta
previa marginalis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 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-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%;">Plasenta
previa letak rendah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 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-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%;">Plasenta
lateralis atau marginalis dimana janin mati dan serviks sudah matang, kepala
sudah masuk pintu atas panggul dan tidak ada perdarahan atau hanya sedikit
perdarahan maka lakukan amniotomi yang diikuti dengan drips oksitosin pada
partus per vaginam bila gagal drips (sesuai dengan protap terminasi kehamilan).
Bila terjadi perdarahan banyak, lakukan seksio sesar.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l31 level1 lfo19; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><strong><span lang="EN-US" style="font-weight: normal; mso-bidi-font-weight: bold;">Penanganan (pasif)</span></strong><b style="mso-bidi-font-weight: normal;"><span lang="EN-US"></span></b></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tiap perdarahan triwulan
III yang lebih dari show harus segera dikirim ke Rumah sakit tanpa
dilakukan suatu manipulasi/UT.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Apabila perdarahan
sedikit, janin masih hidup, belum inpartus,
kehamilan belum cukup 37 minggu/berat badan
janin kurang dari 2.500 gram persalinan
dapat ditunda dengan istirahat, obat-obatan;
spasmolitik, progestin/progesterone, observasi teliti.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Siapkan darah untuk
transfusi darah, kehamilan dipertahankan setua
mungkin supaya tidak prematur</span><span style="mso-ansi-language: IN;">.</span></div>
<div style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 72.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level2 lfo22; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bila ada anemia; transfusi dan
obat-obatan penambah darah.</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; text-indent: 36.0pt;">
<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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penatalaksanaan kehamilan yang disertai
komplikasi plasenta previa dan janin prematur tetapi tanpa perdarahan aktif,
terdiri atas penundaan persalinan dengan menciptakan suasana yang memberikan keamanan
sebesar-besarnyabagi ibu maupun janin. Perawatan di rumah sakit yang
memungkinkan pengawasan ketat, pengurangan aktivitas fisik, penghindaran setiap
manipulasi intravaginal dan tersedianya segera terapi yang tepat, merupakan
tindakan yang ideal. Terapi yang diberikan mencangkup infus larutan elektrilit,
tranfusi darah, persalinan sesarea dan perawatan neonatus oleh ahlinya sejak
saat dilahirkan.</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; text-indent: 36.0pt;">
<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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada penundaan persalinan, salah satu
keuntungan yang kadang kala dapat diperoleh meskipun relatif terjadi kemudian
dalam kehamilan, adalah migrasi plasenta yang cukup jauh dari serviks, sehingga
plasenta previa tidak lagi menjadi permasalahn utama. Arias (1988) melaporkan
hasil-hasil yang luar biasa pada <i style="mso-bidi-font-style: normal;">cerclage
</i>serviks yang dilakukan antara usia kehamilan 24 dan 30 minggu pada pasien
perdarahan yang disebabkan oleh plasenta previa.</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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Prosedur yang dapat dilakukan untuk
melahirkan janin bisa digolongkan ke dalam dua kategori, yaitu persalinan
sesarea atau per vaginam. Logika untuk melahirkan lewat bedah sesarea ada dua :</span></div>
<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; mso-list: l28 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-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%;">Persalinan
segera janin serta plasenta yang memungkinakan uterus untuk berkontraksi
sehingga perdarahan berhenti</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: l28 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-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%;">Persalinan
searea akan meniadakan kemungkinan terjadinya laserasi serviks yang merupakan
komplikasi serius persalinan per vaginam pada plasenta previa totalis serta
parsial.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l9 level1 lfo2; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; 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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Asuhan Keperawatan</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -18.0pt;">
<span style="font-family: "Times New Roman","serif"; 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 style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;">Pengkajian</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l17 level1 lfo28; 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-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%;">Sirkulasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l21 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" 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;">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%;">Anamnesa</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Terjadi perdarahan jalan lahir pada
kehamilan setelah 22 minggu berlangsung tanpa nyeri terjadi secara tiba-tiba,
tanpa sebab yang jelas dan perdarahan dapat berlangsung berulang.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l21 level2 lfo8; tab-stops: 351.75pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" 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;">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%;">Inspeksi </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; tab-stops: 351.75pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada inspeksi dapat
dijumpai perdarahan pervagina darah berwarna merah terang, encer sampai
meggumpal, pada perdarahan yang banyak ibu tampak pucat dan anemis.</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: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; tab-stops: 351.75pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 2.0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l17 level1 lfo28; tab-stops: 351.75pt; 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-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%;">Seksualitas<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l8 level2 lfo20; tab-stops: 351.75pt; 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-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%;">Palpasi
abdomen </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; tab-stops: 351.75pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bagian terbawah janin biasanya
belum masuk pintu atas panggul. Apabila presentasi kepala, biasanya kepala
masih terapung di pintu atas panggul. Tidak jarang terjadi kelainan letak
janin, seperti letak lintang atau letak sungsang.</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: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l8 level2 lfo20; tab-stops: 351.75pt; 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-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%;">Ultrasonogram</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; tab-stops: 351.75pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penentuan letak
plasenta dengan cara ini ternyata sangat tepat tidak dapat menimbulkan bahaya
radiasi bagi ibu dan janin dan tidak menimbulkan rasa nyeri.</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: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; tab-stops: 351.75pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l17 level1 lfo28; tab-stops: 351.75pt; text-align: justify; 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%;">Pemeriksaan
in spekulo</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; tab-stops: 351.75pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pemeriksaan bertujuan
untuk mengetahui apakah perdarahan berasal dari osteum uteri eksternum dari
kelainan serviks dan vagina.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 35.45pt; mso-add-space: auto; mso-list: l27 level1 lfo24; text-align: justify; text-indent: -17.45pt;">
<span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN; 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"; mso-ansi-language: IN;">Diagnosa Keperawatan</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: l27 level2 lfo24; text-autospace: none; text-indent: -14.2pt;">
<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%; 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></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%;">Kekurangan volume
cairan berhubungan dengan kehilangan vascular berlebihan.</span></i></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: l27 level3 lfo24; text-autospace: none; text-indent: -14.15pt;">
<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";"><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%;">Tujuan:</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-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah dilakuka
tindakan keperawatan,inakecaran meningkat dan volume cairan kembali adekuat.</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: l27 level3 lfo24; 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-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%;">Kriteria
Hasil :</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 lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendemonstrasikan kestabilan/perbaikan
keseimbangan cairan yang dibuktikan oleh tanda-tanda vital stabil, pengisian
kapiler cepat, sensorium tepat, dan haluaran serta berat jenis urinadekuat
secara individual.</span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="background: #B3B3B3; border-collapse: collapse; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480; width: 597px;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 178.3pt;" valign="top" width="238"><br /></td>
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 269.45pt;" valign="top" width="359"><br /></td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 178.3pt;" valign="top" width="238"><br /></td>
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 269.45pt;" valign="top" width="359"><br /></td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 178.3pt;" valign="top" width="238"><br /></td>
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 269.45pt;" valign="top" width="359"><br /></td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify; text-autospace: none;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 10.9pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.4pt;" valign="top" width="271">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINDAKAN/INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 243.65pt;" valign="top" width="325">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RASIONAL </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></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.4pt;" valign="top" width="271">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandiri </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></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Evaluasi,
laporkan, dan catat jumlah serta sifat kehilangan darah. Lakukan penghitungan
pembalut; timbang pembalut/pengalas.</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: 243.65pt;" valign="top" width="325">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perkiraan
kehilangan darah membantu membedakan diagnosa. Setiap gram peningkatan berat
pembalut sama dengan kehilangan kira-kira 1 ml darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.4pt;" valign="top" width="271">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan
tirah baring. Instruksikan klien untuk menghindari Valsava manuver dan
koitus.</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; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 243.65pt;" valign="top" width="325">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perdarahan
dapat berhenti dengan reduksi aktivitas. Peningkatan tekanan abdomen atau
orgasme (yang meningkatkan aktivitas uterus) dapat merangsang perdarahan.</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; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.4pt;" valign="top" width="271">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Posisikan
klien dengan tepat, telentang dengan . panggul ditinggikan atau posisi
semi-Fowler pada plasenta previa. Hindari posisi Trendelenburg.</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; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 243.65pt;" valign="top" width="325">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menjamin
keadekuatan darah yang tersedia untuk otak; peninggian panggul menghindari
kompresi vena kava. Posisi semi-Fowler’s memungkinkan janin bertindak sebagai
tampon. Posisi Trendelenburg dapat menurunkan keadaan pernapasan ibu.</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; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.4pt;" valign="top" width="271">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catat
tanda-tanda vital, pengisian kapiler pada dasar kuku, warna membran
mukosa/kulit, dan suhu. Ukur tekanan vena sentral, bila ada. </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; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 243.65pt;" valign="top" width="325">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membantu
menentukan beratnya kehilangan darah, meskipun sianosis dan perubahan pada
tekanan darah (TD) dan nadi adalah tanda-tanda lanjut dari kehilangan
sirkulasi dan/atau terjadinya syok. Juga pantaukeadekuatan penggantian
cairan.</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; text-align: justify; text-autospace: none;">
<br /></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 .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 203.4pt;" valign="top" width="271">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantau
aktivitas uterus, status janin, dan adanya nyeri tekan abdomen.</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; text-align: justify; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 243.65pt;" valign="top" width="325">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Membantu
menentukan hemoragi dan kemungkinan hasil dari peristiwa hemoragi. Nyeri
tekan biasanya ada pada kehamilan<span style="mso-spacerun: yes;">
</span>topik yang ruptur atau abrupsi plasenta. Catat pilihan religius; dapat
menolak penggunaan produk darah dan menetapkan kebutuhan terapi alternatif.
Klien mungkin menginginkan pembaptisan hasil konsepsi pada kejadian aborsi.</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>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi</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></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapatkan/tinjau
ulang pemeriksaan darah ayat: HDL, jenis dan pencocokan silang, titer Rh, kadar
fibrinogen, hitung trombosit, APTT, P’I’, dan kadar HCG.</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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menentukan
jumlah darah yang hilang dan dapat memberikan informasi mengenai penyebab.
Ht harus dipertahankan di atas 30% untuk mendukung transpor oksigen dan
nutrien. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pasang
kateter indwelling.</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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Haluaran
kurang dari 30 ml/jam mcnandakan penurunan perfusiginja dan kemungkinan terjadinya
nekrosistubuler. Haluaran yang tepat ditentukan oleh derajat defisit
individual dan kecepatan penggantian.</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>
</td>
</tr>
<tr style="mso-yfti-irow: 2; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan
larutan intravena, ekspander plasma, darah lengkap,</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>
</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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatkan
volume darah sirkulasi dan mengatasi gejala-gejala syok.</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>
</td>
</tr>
</tbody></table>
<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="MsoListParagraph" 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: l27 level2 lfo24; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<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%; 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></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%;">Perubahan perfusi
jaringan,Uteroplasenta berhubungan dengan Hipovolemia</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%; mso-fareast-font-family: "Times New Roman";"></span></i></b></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 174.8pt;" valign="top" width="233"><br /></td>
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 275.4pt;" valign="top" width="367"><br /></td>
</tr>
<tr style="mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 174.8pt;" valign="top" width="233"><br /></td>
<td style="background: white; mso-background-themecolor: background1; padding: 0cm 5.4pt 0cm 5.4pt; width: 275.4pt;" valign="top" width="367"><br /></td>
</tr>
</tbody></table>
<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: l13 level2 lfo23; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<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";"><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%;">Tujuan<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindakan keperawatan ,perfusi jaringan adekuat</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: l13 level2 lfo23; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<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";"><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%;">Kriteria hasil<span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.8pt; mso-add-space: auto; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mendemonstrasikan
perfusiadekuat, dibuktikan oleh Denyut Jantung Janin dan tes nonstres reaktif
(NST)</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-autospace: none;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINDAKAN/INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RASIONAL </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></b></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandiri
</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></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perhatikan status
fisiologis ibu, status sirkulasi, dan volume darah.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kejadian pendarahan
potensial merusak hasil kehamilan, kemungkinan menyebabkan hipovolemia atau
hipoksiauteroplasenta. </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>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Auskultasi dan
laporkan DJJ, catat bradikardia atau takikardia. Catat perubahan pada
aktivitas janin (hipoaktivitas atau hiperaktivitas).</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengkaji berlanjutnya
hipoksia janin. Pada awalnya, janin berespons pada penurunan kadar oksigen
dengan takikardia dan peningkatan gerakan. Bila tetap defisit, bradikardia
dan penurunan aktivitas terjadi.</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>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catat kehilangan
darah ibu mungkin dan adanya kontraksi uterus.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Bila kontraksi uterus
disertai dilatasi serviks, tirah baring dan medikasi mungkin tidak efektif
dalam mempertahankan kehamilan. Kehilangan darah ibu secara berlebihan menurunkan
perfusi plasenta.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catat perkiraan
tanggal kehilangan (PTK) dan tinggi fundus.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">PTK memberikan
perkiraan untuk menentukan viabilitas janin.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Anjurkan tirah baring
pada posisi miring kiri.</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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menghilangkan tekanan
pada vena kava inferior dan meningkatkan sirkulasi plasenta/janin dan
pertukaran oksigen.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi</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></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan suplemen
oksigen pada 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 class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatkan
ketersediaan oksigen untuk ambilan janin. Janin mempunyai beberapa kapasitas
perlekatan untuk mengatasi hipoksia dimana (1) disosiasiHb janin (melepaskan
oksigen pada tingkat selular) lebih cepat dari pada Hbdcwasa, (Ian (2) jumlah
sel darah merah janin lebih besar dari dewasa, sehingga kapasitas oksigen
yang dibawa janin meningkat. </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>
</td>
</tr>
<tr style="mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Lakukan/ulang NST
sesuai indikasi.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mengevaluasi secara
elektronik respons DJJ terhadap gerakan janin, bermanfaat dalam menentukan
kesejahteraan janin (tes reaktif) versus hipoksia (nonreaktif).</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoNormal" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-background-themecolor: background1;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "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></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%;">Ketakutan
berhubungan<span style="mso-spacerun: yes;"> </span>dengan ancaman kematian
(dirasakan atau actual) pada diri sendiri dan janin </span></i></b></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-background-themecolor: background1; mso-list: l27 level3 lfo24; 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-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%;">Tujuan<span style="mso-tab-count: 1;"> </span>:</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-background-themecolor: background1; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah dilakukan tindakan
keperawatan,klien dapat mengatasi rasa ketakutan</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-background-themecolor: background1; mso-list: l27 level3 lfo24; 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-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%;">Kriteria
Hasil : <span style="mso-tab-count: 1;"> </span></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-background-themecolor: background1; text-align: justify;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">M</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">endiskusikan ketakutan
mengenai diri, janin, dan masa depan kehamilan mengenai yang sehat dan tidak
sehat dan tidak sehat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l18 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-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%;">Mengungkapkan
pengetahuan situasi yang akurat.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l18 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-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%;">Mendemonstrasikan
pemecahan masalah dan</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%;">enggunaan
sumber-sumber secara efektif.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="background: white; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-background-themecolor: background1; mso-list: l18 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-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%;">Melaporkan/menunjukan
berkurangnya ketakutan<span style="mso-spacerun: yes;"> </span>dan/atau perilaku
yang<span style="mso-spacerun: yes;"> </span>menunjukan ketakutan.</span></div>
<div class="MsoListParagraphCxSpLast" style="background: white; line-height: 150%; mso-background-themecolor: background1; tab-stops: 63.8pt; text-align: justify; text-autospace: none;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274"><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;"><br clear="all" style="page-break-before: always;" />
<br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINDAKAN/INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RASIONAL </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></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandiri</span></b><span lang="EN-US" 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-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diskusikan situasi
dan pemahaman tentang situasi dengan klien dan pasangan.</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>
</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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan informasi
tentang reaksi individu terhadap apa yang terjadi.</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>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pantau respons verbal
dan nonverbal klien/pasangan.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menandakan tingkat
rasa takut yang sedang dialami klien/pasangan.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dengarkan masalah
klien dan dengarkan secara aktif.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meningkatkan rasa kontrol
terhadap situasi dan memberikan kesempatan pada klien untuk mengembangkan
solusi sendiri.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan informasi
dalam bentuk verbal dan tertulis, dan beri kesempatan klien untuk mengajukan
pertanyaan. Jawab pertanyaan dengan jujur.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pengetahuan akan membantu
klien mengatasi apa yang sedang terjadi dengan lebih efektif. Informasi
tertulis nantinya memungkinkan klien untuk meninjau ulang informasi karena
akibat tingkat stres, klien tidak dapat mengasimilasi informasi. Jawaban yang
jujur dapat meningkatkan pemahaman dengan lebih baik serta menurunkan rasa
takut.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<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: l27 level2 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "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></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%;">Risiko tinggi cedera
terhadap ibu berhubungan dengan<span style="mso-spacerun: yes;"> </span>Hipoksia
jaringan/organ, profil darah abnormal, kerusakan sistem imun</span></i></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: l27 level3 lfo24; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span 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%;">Tujuan <span style="mso-tab-count: 1;"> </span>:</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 2.0cm; mso-add-space: auto; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindaka keperawatan ,resiko cedera pada ibu dapat teratasi</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: l27 level3 lfo24; text-align: justify; text-autospace: none; text-indent: -14.2pt;">
<span 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%;">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: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo31; text-align: justify; text-autospace: none; 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%;">Tetap afebris</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: l14 level1 lfo31; text-align: justify; text-autospace: none; 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%;">Menunjukkan profil
darah dengan hidung SDP, Hb, dan pemeriksaan koagulasiDBN 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: 88.9pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l14 level1 lfo31; text-align: justify; text-autospace: none; 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%;">Mempertahankan
haluaranurin yang tepat untuk situasi individu</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%; text-align: justify; text-autospace: none;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274"><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;"><br clear="all" style="page-break-before: always;" />
<br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINDAKAN/INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RASIONAL </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></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandiri
</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></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kaji jumlah darah
yang hilang. Pantau tanda/gejala syok. (Rujuk pada DK : Kekurangan Volume
Cairan (kehilangan aktif) </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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hemoragi berlebihan
dan menetap dapat mengancam hidup klien atau mengakibatkan infeksi
pascapartum, anemia pascapartum, KID, gagal ginjal, atau nekrosishipofisis
yang disebabkan oleh hipoksia jaringan dan malnutrisi</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catat suhu, hitung
SDP, dan bau serta warna rabas vagina, dapatkan kultur bila dibutuhkan. </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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kehilangan darah
berlebihan dengan penurunan Hb meningkatkan risiko klien untuk terkena
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="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Catat
masukan/haluaranurin. Catat berat jenis urin.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penurunan perfusi
ginjal mengakibatkan penurunan haluaranurin. Lobus anterior hipofisis, yang
membesar selama kehamilan, bila terjadi hemoragiberisiko terhadap sindrom:
Sheehan. (Rujuk pada Bab 6, MK: Hemoragi Postpartum, DK: Perfusi Jaringan,
perubahan.) </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; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Periksa petekie atau
perdarahan dari gusi atau sisi intravena pada 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>
</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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Menandakan perbedaan
atau perubahan pada koagulasi.</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>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan informasi
tentang risiko penerimaan produk darah.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Komplikasi seperti
hepatitis dan <i style="mso-bidi-font-style: normal;">human immunodeficiency
virus</i> (HIV)/AIDS dapat tidak bermanifetasi selama perawatan di rumah
sakit, tetapi mungkin memerlukan tindakan pada hari-hari berikutnya.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi</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></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Dapatkan golongan
darah dan pencocokan silang.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Meyakinkan bahwa
produk yang tepat akan tersedia bila diperlukan penggantian darah. </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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan penggantian
cairan.</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>
</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: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mempertahankan volume
sirkulasi untuk mengatasi kehilangan carian atau syok.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 49.65pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l27 level2 lfo24; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "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></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%;">Resiko
tinggi terhadap kelebihan caitan berhubungan dengan penggantian kehilangan
cairan berlebih/cepat.</span></i></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l27 level3 lfo24; 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-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%;">Tu</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">j</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">uan :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah dilakukan tindakan keperwata
selama 2x24 jam<span style="mso-spacerun: yes;"> </span>diharapka cairan dalam
tubuh pasien normal dan tidak menunjukan gejala-gejala kelebihan cairan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 63.8pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l27 level3 lfo24; 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-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%;">Kriteria
hasil :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 81.8pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l6 level1 lfo32; tab-stops: 63.8pt; 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-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%;">Tenda-tanda
vital klien normal</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 81.8pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l6 level1 lfo32; tab-stops: 63.8pt; 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-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%;">Cairan
dalam tubuh normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; tab-stops: 63.8pt; text-align: justify;">
<br /></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: 614px;">
<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: 8.0cm;" width="302">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: -5.4pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: center; text-indent: 5.4pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINDAKAN / INTERVENSI</span></b></div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: -5.4pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: center; text-indent: 5.4pt;">
<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: 233.9pt;" valign="top" width="312">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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: 8.0cm;" valign="top" width="302">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mandiri
</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">pantau adanya
peningkatan tekanan darah, nadi; catat tanda-tanda pernapasan seperti
dispnea, krekels, atau ronki.</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>
</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: 233.9pt;" valign="top" width="312">
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Bila penggantian cairan berlebih,
gejala beban kerja sirkulasi berlebihan dan kesulitan pernafasan dapat
terjadi.</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: 8.0cm;" valign="top" width="302">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 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%;">Pantau dengan cermat kecepatan infuse
secara manual atau secara elektronik. Catat masukan / haluaran. Ukur berat
jenis urin.</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: 233.9pt;" valign="top" width="312">
<div class="MsoListParagraphCxSpLast" 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;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Masukan dan haluaran harus kira-kira
sama denga volume sirkulasi stabil. Haluaran urin meningkat dan berat jenis
menurun bila perfusi ginjal dan volume sirkulasi kembali normal.</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: 8.0cm;" valign="top" width="302">
<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%;">Kaji
status neurologi, perhatikan perubahan prilaku atau peningkatan kepekaan.</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: 233.9pt;" valign="top" width="312">
<div class="MsoListParagraphCxSpLast" 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;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Perubaha prilaku menandakan jumlah
tanda awal dari edema serebral karena retensi cairan.</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: 8.0cm;" valign="top" width="302">
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; 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%;">Kolaborasi</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 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%;">Kaji kadar Ht.</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: 233.9pt;" valign="top" width="312">
<div class="MsoListParagraphCxSpMiddle" 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;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 115%;">Kadar Ht dapat menandakan jumlah
kehilangan darah dan dapat digunakan untuk menentukan kebutuhan da
keadekuatan pengganti.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 70.9pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-autospace: none;">
<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; mso-list: l27 level2 lfo24; text-align: justify; text-autospace: none; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "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></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%;">Kurang pengetahuan
(kebutuhan belajar, mengenai rasional hemoragi, prognosis, dan kebutuhan
tindakan berhubungan dengan kurang pemajanan dan tidak mengenal sumber-sumber
informasi.</span></i></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: l27 level3 lfo24; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<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%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Tujuan<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; text-align: justify; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Setelah
dilakukan tindakan keperawatan ,pengetahuan klien bertambah.</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: l27 level3 lfo24; text-align: justify; text-autospace: none; text-indent: -14.15pt;">
<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%; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">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: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo33; text-autospace: none; 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%;">Berpartisipasi dalam
proses belajar</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-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: 81.8pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l7 level1 lfo33; text-autospace: none; 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%;">Mengungkapkan, dalam istilah
sederhana, patofisiologi dan implikasi situasi klinis.</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-left: 92.15pt; mso-add-space: auto; text-align: justify; text-autospace: none;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274"><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US;"><br clear="all" style="page-break-before: always;" />
<br clear="all" style="page-break-before: always;" />
</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">TINDAKAN/INTERVENSI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">RASIONAL</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></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Kolaborasi</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></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jelaskan tindakan dan
rasional yang ditentukan untuk kondisi hemoragi. Beri penguatan informasi
yang diberikan oleh pemberi. perawatan kesehatan 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="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
</td>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan informasi,
memperjelas kesalahan konsep„dan dapat membantu menurunkan stres yang
berhubungan.</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; text-autospace: none;">
<br /></div>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Berikan kesempatan
bagi klien untuk mengajukan pertanyaan dan mengungkapkan<span style="mso-spacerun: yes;"> </span>kesalahan konsep.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan
klarifikasi dari konsep yang salah, identifikasi masalah-masalah, dan kesempatan
untuk mulai mengembangkan keterampilan koping.</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; text-autospace: none;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.6pt;" valign="top" width="274">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Diskusikan
kemungkinan implikasi jangka ”pendek pada ibu/janin dari keadaan perdarahan.</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; text-autospace: none;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 244.6pt;" valign="top" width="326">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-autospace: none;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Memberikan informasi
tentang kemungkinan komplikasi dan meningkatkan harapan realistis dan kerja
sama dengan aturan tindakan. </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; text-autospace: none;">
<br /></div>
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<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-autospace: none;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; 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 III</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; 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%;">PENUTUP</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: center;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l20 level1 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-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%;">Kesimpulan
</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Pada
masa kehamilan , hampir seluruh tubuh wanita hamil mengalami perubahan. Untuk
itu, perwatan prenatal yang baik sangat penting untuk mencegah timbulnya komplikasi
yang menyertai kehamilan. Status kesehatan ibu hamil merupakan modal dasar
kesehatan dan pertumbuhan generasi penerus, sehingga perlu perhatian serius
untuk menurunkan tingkat kematian ibu dan bayi. Angka kematian ibu (AKI)
merupakan indikator pelayanan kesehatan di suatu daerah.</span></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Plasenta previa merupakan plasenta
yang letaknya abnormal yaitu pada segmen bawah rahim sehingga menutupi sebagian
atau seluruh pembukaan jalan lahir (ostium uteri internum). </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"></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; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Penyebab plasenta previa secara pasti
sulit ditentukan, tetapi ada beberapafaktor yang meningkatkan risiko terjadinya
plasenta previa, misalnya bekasoperasi rahim (bekas sesar atau operasi mioma),
sering mengalami infeksirahim (radang panggul), kehamilan ganda, pernah
plasenta previa, atau kelainan bawaan rahim. Gejala yang paling sering terjadi
pada plasenta previa berupa pendarahan jadi kejadian yang paling khas pada
plasenta previa adalah pendarahan tanpa nyeri biasanya baru terlihat setelah
trimester kedua atau sesudahnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; mso-add-space: auto; mso-list: l15 level1 lfo34; 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-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></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: IN;">Saran</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 6.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;">Diharapkan dengan adanya makalah ini pengetahuan tentang
masalah keperawatan di bidang Plasenta Previa dapat diatasi dan semakin
menunjukkan peningkatan manajemen keperawatan. Selain itu Plasenta Previa
merupakan sebuah keadaan abnormal dimana penyebabnya masih belum diketahui
secara pasti, namun masih banyak keadaan pada Plasenta Previa yang masih belum
mendapatkan pelayanan kesehatan secara maksimal. Hal inilah yang diharapkan
dapat berubah ke arah kemajuan dan dapat mengurangi terjadinya keadaan abnormal
pada massa kelahiran dengan diadakannya penyuluhan kesehatan di bidang plasenta
previa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; 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%;">DAFTAR PUSTAKA</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">CarpeitoL.J,
2000, <i style="mso-bidi-font-style: normal;">Diagnose Keperawatan, </i>edisi 8,
Jakarta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EGC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Novita.Fithya,2008,
<i style="mso-bidi-font-style: normal;">Asuhan Keperawatan Ny.W Hamil Trimester
III Dengan Plasenta Previa di Ruang C RSUD Dr.DorisSylvanus Palangka Raya</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="MsoNormal" style="line-height: normal; mso-margin-bottom-alt: auto; mso-margin-top-alt: auto; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Marilynn
E. Doenges </span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";">and</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";"> Mary Frances Moorhouse, 2001<i>,
Rencana Perawatan</i></span><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"> </span></i><i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">Maternal/Bayi,
edisi kedua</span></i><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-fareast-font-family: "Times New Roman";">. EGC.
Jakarta.</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; mso-ansi-language: IN; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Hamilton,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Persis</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Mary,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">1995, <i style="mso-bidi-font-style: normal;">Dasar-Dasar Keperawatan Maternitas</i>,</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Jakarta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> : </span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">EGC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; margin-left: 0cm; margin-right: 0cm; margin-top: 6.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;">Manuaba,
Fajar, 2007, <i style="mso-bidi-font-style: normal;">pengantar kuliah obsteri, </i>Jakarta</span><span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN;"> :</span><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%;"> EGC</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<a href="http://www.blogger.com/blogger.g?blogID=6330742078279769511" name="_GoBack"></a><span style="font-family: "Times New Roman","serif"; mso-ansi-language: IN;"> </span></div>
Anonymoushttp://www.blogger.com/profile/03310852569455236748noreply@blogger.com0tag:blogger.com,1999:blog-6330742078279769511.post-3734765550480144992013-04-03T22:22:00.000-07:002013-04-03T22:22:21.492-07:00Asuhan Keperawatan Jiwa dengan Gangguan Citra Tubuh<!--[if !mso]>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">KEPERAWATAN JIWA
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 style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">RESPONS KONSEP
DIRI dan KELAINAN DISOSIASI :</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">GANGGUAN CITRA
TUBUH</span></b></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;"> </span></b>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<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-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">OLEH :</span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 166.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo6; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-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 style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">BRILIAN SAMUEL DEHES</span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 166.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo6; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-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 style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">JULIANA DEWI ANJANI</span></b></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 166.5pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo6; text-align: justify; text-indent: 0cm; text-justify: inter-ideograph;">
<span style="font-family: Symbol; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-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 style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">MONIKA SELPIYA</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-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">KEPERAWATAN
REGULER XIV A</span></b></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;">
<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-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">KEMENTRIAN
KESEHATAN REPUBLIK INDONESIA</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">POLITEKNIK
KESEHATAN PALANGKA RAYA</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">JURUSAN
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 style="font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">TAHUN AJARAN 2012
- 2013</span></b><b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Kasus</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Tn/Ny
35 tahun wiraswasta sukses, 6 bulan yang lalu kerugian besar dan bangkrut.
Sejak saat itudia sering mengurung diri, nafsu makan tidak ada, sulit tidur,
suka mengeluh nyeri dada dan mengeluh sesak nafas. Dari hasil pemeriksaan
dokter Tn/Ny tersebut mengalami goncangan emosi. </span><span style="mso-ansi-language: IN;"></span></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 150%; 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: "Malgun Gothic"; mso-fareast-language: KO; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
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<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">RESPONS KONSEP DIRI dan KELAINAN DISOSIASI</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US">Gangguan citra tubuh</span></i></b><span lang="EN-US">, ideal diri,
harga diri, penampilan peran, dan identitas personal, termasuk ke dalam pokok
bahasan masalah <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">respons konsep diri dan kelainan disosiasi</i></b>.</span></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US">Konsep diri</span></i></b><span lang="EN-US"> didefinisikan sebagai
semua pikiran, keyakinan dan kepercayaan yang membuat seseorang mengetahui
tentang dirinya dan mempengaruhi hubungannya dengan orang lain. Konsep – diri
seseorang tidak terbentuk waktu lahir, tetapi dipelajari sebagai hasil dari
pengalaman unik seseorang dalam dirinya sendiri, dengan orang terdekat, dan
dengan relaitas dunia. Salah satu komponen konsep diri yang akan dibahas dalam
kasus ini adalah <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">Gangguan Citra tubuh</i></b>.</span></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US">Citra tubuh adalah</span></i></b><span lang="EN-US"> kumpulan dari
sikap individu yang disadari dan tidak disadari terhadap tubuhnya. Termasuk
persepsi masa lalu dan sekarang, serta perasaan tentang ukuran, fungsi,
penampilan, dan potensi. Yang secara berkesinambungan dimodifikasi dengan persepsi
dan pengalaman yang baru.</span></div>
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<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US">Citra tubuh</span></i></b><span lang="EN-US"> merupakan komponen dari
konsep diri yang dipengaruhi oleh pertumbuhan kognitif dan perkembangan fisik.</span><span style="mso-ansi-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">Kepribadian yang sehat</span></b></div>
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<span lang="EN-US">Individu
dengan kepribadian yang sehat akan mengalami hal – hal berikut:</span></div>
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<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Citra tubuh yang positif dan
sesuai.</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ideal diri yang realistik.</span><span style="mso-ansi-language: IN;"></span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Konsep diri yang positif.</span><span style="mso-ansi-language: IN;"></span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Harga diri
yang tinggi.</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Penampilan
peran yang memuaskan.</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Rasa
identitas yang jelas.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Faktor predisposisi</span></b></div>
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<span style="mso-ansi-language: IN;">Berbagai faktor yang menunjang terjadinya perubahan dalam konsep diri seseorang.
Faktor ini dapat dibagi sebagai berikut :</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Faktor yang mempengaruhi harga diri</span></i><span style="mso-ansi-language: IN;"> meliputi penolakan orang tua, harapan orang tua
yang tidak relaistis, <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">kegagalan yang berulang kali</i></b>, kurang
mempunyai tanggung jawab personal, ketergantungan pada orang lain, dan ideal
diri yang tidak relaistik.</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Faktor yang mempengaruhi penampilan peran</span></i><span style="mso-ansi-language: IN;"> adalah stereotipe peran seks, <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">tuntutan
peran kerja</i></b>, dan harapan peran kultural.</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Faktor yang mempengaruhi identitas personal</span></i><span style="mso-ansi-language: IN;"> meliputi ketidakpercayaan orang tua, tekanan dari
kelompok sebaya, dan <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">perubahan dalam struktur sosial</i></b>.</span></div>
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<span style="height: 139px; left: 0px; margin-left: 34px; margin-top: 32px; mso-ignore: vglayout; position: absolute; width: 565px; z-index: 1;"><img alt="preview_html_m520e919b.png" height="139" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="565" /></span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">GAMBAR 1
Rentang respons konsep diri, sumber : </span></i><span lang="EN-US"><a href="http://www.google.co.id/"><i style="mso-bidi-font-style: normal;"><span lang="IN" style="mso-ansi-language: IN;">www.google.co.id</span></i></a></span><span style="mso-ansi-language: IN;"></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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<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Stresor pencetus</span></b></div>
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<span style="mso-ansi-language: IN;">Stresor pencetus mungkin ditimbulkan
dari sumber internal dan eksternal :</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Trauma </span></i><span style="mso-ansi-language: IN;">seperti penganiayaan seksual dan psikologis atau menyaksikan kejadian yang
mengancam kehidupan.</span></div>
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<span style="mso-ansi-language: IN; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Ketegangan
peran berhubungan dengan peran atau posisi yang diharapkan dimana individu
mengalaminya sebagai frustasi</span></i></b><span style="mso-ansi-language: IN;">. Ada tiga jenis transisi peran :</span></div>
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<span style="font-family: Wingdings; mso-ansi-language: IN; 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><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Transisi
peran perkembangan</span></i><span style="mso-ansi-language: IN;"> adalah
perubahan normatif yang berkaitan dengan pertumbuhan. Perubahan ini termasuk
tahap perkembangan dalam kehidupan individu atau keluarga dan norma – norma
budaya, nilai – nilai dan tekanan untuk penyesuaian diri.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l20 level1 lfo4; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; 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><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Transisi peran
situasi</span></i><span style="mso-ansi-language: IN;"> terjadi dengna bertambah
atau berkurangnya anggota keluarga melalui kehiran dan kematian.</span></div>
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<span style="font-family: Wingdings; mso-ansi-language: IN; 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><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Transisi peran sehat </span></i></b><span style="mso-ansi-language: IN;">– sakit sebagai akibat pergeseran dari keadaa
sehat ke keadaan sakit. Transisi ini mungkin dicetuskan oleh :</span></div>
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<span style="font-family: Wingdings; mso-ansi-language: IN; 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="mso-ansi-language: IN;">Kehilangan bagian tubuh</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: l11 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; 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="mso-ansi-language: IN;">Perubahan ukuran, bentuk, penampilan dan fungsi
tubuh</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: l11 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; 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="mso-ansi-language: IN;">Perubahan fisik berhubungan dengan tumbuh kembang
normal</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: l11 level1 lfo5; text-indent: -18.0pt;">
<span style="font-family: Wingdings; mso-ansi-language: IN; 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="mso-ansi-language: IN;">Prosedur medis dan keperawatan</span></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 150%; 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: "Malgun Gothic"; mso-fareast-language: KO; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
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<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: l35 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan Citra Tubuh</span></div>
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<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengertian</span></div>
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<span lang="EN-US">Citra tubuh merupakan komponen dari konsep diri yang
dipengaruhi oleh pertumbuhan kognitif dan perkembangan fisik. Citra tubuh
adalah kumpulan dari sikap individu yang disadari dan tidak disadari terhadap
tubuhnya, termasuk persepsi masa lalu dan sekarang, serta perasaan tentang
ukuran, fungsi, penampilan dan potensi. Gangguan citra tubuh adalah perasaan
tidak puas terhadap perubahan bentuk, struktur dan fungsi tubuh karena tidak
sesuai dengan yang diinginkan.</span></div>
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<br /></div>
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<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Etiologi</span></div>
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<span style="mso-ansi-language: IN;">Kondisi<span style="mso-spacerun: yes;"> </span>Patofisiologi dan Psikopatologis dan prosedur
terapeutik yang dapat menimbulkan gangguan citra tubuh :</span></div>
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<span style="mso-ansi-language: IN;">Eksisi bedah atau gangguan
bagian tubuh</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">enterostomi</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">mastaktomi</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">histerektomi</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">pembedahan
kardiovaskuler</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">pembedahan
leher radikal</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">laringektomi</span></div>
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<span style="mso-ansi-language: IN;">Amputasi pembedahan atau
traumatik</span></div>
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<span style="mso-ansi-language: IN;">Luka bakar</span></div>
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<span style="mso-ansi-language: IN;">Trauma wajah</span></div>
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<span style="mso-ansi-language: IN;">Gangguan makan</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">anoreksia
nervosa</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">bulimia</span></div>
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<span style="mso-ansi-language: IN;">Obesitas</span></div>
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<span style="mso-ansi-language: IN;">Gangguan muskuluskeletal</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">atritis</span></div>
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<span style="mso-ansi-language: IN;">Gangguan integumen</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Psoriasis</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Skar sekunder
akibat trauma atau pembedahan</span></div>
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<span style="mso-ansi-language: IN;">Lesi otak</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Cerebrovaskular
accident</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Demensia</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Penyakit
parkinson</span></div>
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<span style="mso-ansi-language: IN;">Gangguan afektif</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Depresi</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Skizofrenia</span></div>
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<span style="mso-ansi-language: IN;">Gangguan endokrin</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Akromegali</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Sindroma
chusing</span></div>
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<span style="mso-ansi-language: IN;">Penyalahgunaan bahan kimia</span></div>
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<span style="mso-ansi-language: IN;">Prosedur diagnostik</span></div>
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<span style="mso-ansi-language: IN;">Kehilangan atau
pengurangan fungsi</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Impotensi</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Pergerakan/kendali
</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Sensori/persepsi</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Memori</span></div>
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<span style="mso-ansi-language: IN;">Terapi modalitas</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Teknologi
tinggi (misalnya impian defibrilator, prostesis sendi, dialisis)</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Kemoterapi</span></div>
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<span style="mso-ansi-language: IN;">Nyeri</span></div>
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<span style="mso-ansi-language: IN;">Perubahan psikososial atau
kehilangan</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Perubahan
volunter atau dipaksakan dalam peran bekerja atau sosial</span></div>
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<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Dukungan
orang terdekat</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 lfo35; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Perceraian</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 lfo35; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Kepemilikan
pribadi (rumah, perlengkapan rumah tangga, keuangan)</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 lfo35; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Translokasi/relokasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="mso-ansi-language: IN;">Respon masyarakat terhadap
penuaan<span style="mso-spacerun: yes;"> </span>(agetasim)</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: l1 level1 lfo36; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Umpan balik
interpersonal negatif</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: l1 level1 lfo36; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="font-family: Symbol; mso-ansi-language: IN; mso-bidi-font-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="mso-ansi-language: IN;">Penekanan
pada produktivitas</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<span style="mso-ansi-language: IN;">Defisit pengetahuan (personal, pemberi
asuhan, atau masyarakat)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Klasifikasi NOC</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Data
Objektif :</span></i></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: l13 level1 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mengurung diri</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: l13 level1 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dari hasil pemeriksaan dokter
pasien mengalami Goncangan Emosi.</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: l13 level1 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hilangnya bagian tubuh.</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: l13 level1 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan anggota tubuh baik
bentuk maupun fungsi.</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: l13 level1 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menyembunyikan atau memamerkan
bagian tubuh yang terganggu.</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: l13 level1 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menolak melihat bagian tubuh.</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: l13 level1 lfo9; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Aktifitas sosial menurun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<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; text-justify: inter-ideograph;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Data
Subyektif :</span></i></div>
<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; mso-list: l0 level1 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nafsu makan tidak ada.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sulit tidur</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasien suka mengeluh nyeri di
dada.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasien mengeluh sesak nafas.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menolak perubahan anggota tubuh
saat ini, misalnya tidak puas dengan hasil operasi.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mengatakan hal negatif tentang
anggota tubuhnya yang tidak berfungsi.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mengungkapkan perasaan tidak
berdaya, tidak berharga, keputusasaan.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menolak berinteraksi dengan
orang lain.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mengungkapkan keinginan yang
terlalu tinggi terhadap bagian tubuh yang terganggu.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sering mengulang-ulang
mengatakan kehilangan yang terjadi.</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 lfo10; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Merasa asing terhadap bagian
tubuh yang hilang.</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-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="display: none; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="display: none; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hide: all;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="display: none; mso-hide: all;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="display: none; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="display: none; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hide: all;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="display: none; mso-hide: all;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="display: none; line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="display: none; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-hide: all;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="display: none; mso-hide: all;"> </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l23 level1 lfo37; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Intervensi</span><span style="mso-ansi-language: IN;"> berdasarkan NIC dan kriteria hasil berdasarkan
NOC</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Individu
:</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: l24 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tujuan</span><span style="mso-ansi-language: IN;"> dan kriteria hasil</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: l32 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasien dapat mengidentifikasi
citra tubuhnya.</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: l32 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasien dapat mengidentifikasi
potensi ( aspek positif ) dirinya.</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: l32 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasien dapat mengetahui
cara-cara untuk meningkatkan citra tubuh.</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: l32 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasien dapat melakukan
cara-cara untuk meningkatkan citra tubuh.</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: l32 level1 lfo12; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasien dapat berinteraksi
dengan orang lain tanpa terganggu.</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: l24 level1 lfo11; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tindakan Keperawatan</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: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Diskusikan persepsi pasien
tentang citra tubuhnya : dulu dan saat ini, perasaan tentang citra tubuhnya dan
harapan terhadap citra tubuhnya saat ini.</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: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Diskusikan potensi bagian tubuh
yang 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; mso-list: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bantu pasien untuk meningkatkan
fungsi bagian tubuh yang terganggu.</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: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ajarkan pasien meningkatkan
citra tubuh dengan cara :</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: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gunakan protese, wig, kosmetik
atau yang lainnya sesegera mungkin, gunakan pakaian yang baru.</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: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Motivasi pasien untuk melihat
bagian yang hilang secara lengkap.</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: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bantu pasien menyentuh bagian
tersebut.</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: l14 level1 lfo14; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Motivasi pasien untuk melakukan
aktifitas yang mengarah pada pembentukan tubuh yang ideal.</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: l29 level1 lfo13; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan interaksi secara
bertahap dengan cara :</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 lfo15; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Susun jadwal kegiatan
sehari-hari.</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 lfo15; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dorong melakukan aktifitas
sehari-hari dan terlibat dalam aktifitas keluarga dan sosial.</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 lfo15; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dorong untuk mengunjungi teman
atau orang lain yang berarti/mempunyai peran penting baginya.</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: l8 level1 lfo15; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Beri pujian terhadap
keberhasilan pasien melakukan interaksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<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; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Keluarga
:</span></b></div>
<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; mso-list: l27 level1 lfo16; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tujuan</span><span style="mso-ansi-language: IN;"> dan kriteria hasil</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 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keluarga dapat mengenal masalah
gangguan citra tubuh.</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 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keluarga mengetahui cara
mengatasi masalah gangguan citra tubuh.</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 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keluarga mampu merawat pasien
gangguan citra tubuh.</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 lfo17; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keluarga mampu mengevaluasi
kemampuan pasien dan memberikan pujian atas keberhasilannya.</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; text-justify: inter-ideograph;">
<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: l27 level1 lfo16; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tindakan Keperawatan</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: l5 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jelaskan dengan keluarga
tentang gangguan citra tubuh yang terjadi pada pasien.</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: l5 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jelaskan kepada keluarga cara
mengatasi masalah gangguan citra tubuh.</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: l5 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ajarkan kepada keluarga cara
merawat pasien :</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: l4 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menyediakan fasilitas untuk
memenuhi kebutuhan pasien dirumah.</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: l4 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Memfasilitasi interaksi di
rumah.</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: l4 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Melaksanakan kegiatan di rumah
dan sosial.</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: l4 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Memberikan pujian atas kegiatan
yang telah dilakukan pasien.</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: l5 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ajarkan kepada keluarga untuk
mengevaluasi perkembangan kemampuan pasien seperti pasien mampu menyentuh dan
melihat anggota tubuh yang terganggu, melakukan aktifitas di rumah dan di
masyarakat tanpa hambatan.</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: l5 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Beri pujian yang realistis
terhadap keberhasilan keluarga.</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; mso-list: l5 level1 lfo18; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">TAK : stimulasi persepsi HDR.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Intervensi Spesialis</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: l3 level1 lfo20; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terapi Individu<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Terapi
CBT, terapi kognitif.</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: l3 level1 lfo20; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terapi Keluarga<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Family
system therapy, terapi komunikasi.</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: l3 level1 lfo20; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terapi Kelompok<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Logoterapi,
terapi supportif.</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: l3 level1 lfo20; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terapi Komunitas<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Psikoedukasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l2 level1 lfo8; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Implementasi</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Tindakan
terhadap Perubahan Konsep Diri ( Gangguan Citra Tubuh )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Intervensi
keperawatan membantu pasien memeriksa penilaian kognitif dirinya terhadap
situasi yang berhubungan dengan perasaan untuk membantu pasien meningkatkan penghayatan
diri dan kemudian melakukan tindakan untuk mengubah perilaku. Pendekatan
penyelesaian masalah ini memerlukan tingkat intervensi yang progresif, 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: l10 level1 lfo21; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Meluaskan kesadaran diri</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 lfo21; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Eksplorasi diri</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 lfo21; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Evaluasi diri</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 lfo21; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perencanaan yang realistik</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 lfo21; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komitmen terhadap tindakan</span></div>
</div>
<span lang="EN-US" style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; 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: "Malgun Gothic"; mso-fareast-language: KO; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 70.9pt 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Tabel 1.1 <span style="mso-tab-count: 1;"> </span>Intervensi
keperawatan untuk mengubah konsep </span><span style="mso-ansi-language: IN;">diri
</span><span lang="EN-US">pada Tingkat 1</span></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;">
<tbody>
<tr style="height: 24.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="2" style="border: solid black 1.0pt; height: 24.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 155.95pt;" valign="top" width="208">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Prinsip</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.0pt; 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: 191.35pt;" valign="top" width="255">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Rasional</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.0pt; 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: 347.3pt;" valign="top" width="463">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Intervensi
Keperawatan</span></b></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 1;">
<td colspan="4" style="border-top: none; border: solid black 1.0pt; height: 20.8pt; 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: 694.6pt;" valign="top" width="926">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tujuan
: Meluaskan Kesadaran Diri Pasien</span></b></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: 148.85pt;" valign="top" width="198">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bina hubungan terbuka, saling
percaya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bekerja dengan pasien bagaimanapun
kekuatan egonya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Maksimalkan peran serta pasien dalam
hubungan terapeutik.</span></div>
</td>
<td colspan="2" 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: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Kurangi ancaman yang terlihat dalam
sikap perawat terhadap pasien, bantu pasien untuk meluaskan dan menerima
semua aspek kepribadian.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Kekuatan ego tingkat tertentu,
seperti kapasitas untuk uji realitas, kontrol diri, atau tingkat integritas
ego, dibutuhkan sebagai dasar asuhan keperawatan kemudian.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Timbal balik diperlukan bagi pasien
untuk menerima tanggung jawab terhadap perilaku dan respons kopinnya yang
maladaptif.</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: 347.3pt;" valign="top" width="463">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tawarkan penerimaan tanpa syarat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dengarkan pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dukung pembahasan tentang pikiran dan
perasaan pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Berespons tanpa mendakwa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Sampaikan bahwa pasien adalah seorang
yang berharga dan bertanggung jawab serta mampu menolong dirinya sendiri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Identifikasi kekuatan ego pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Pedoman bagi pasien dengan sumber ego
yang terbatas :</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; mso-list: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Mulai dengan meyakinkan identitas
pasien.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Berikan dukungan untuk mengurangi
tingkat ansietas panik.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dekati pasien dengan cara tidak
menuntut.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Terima dan upayakan klarifikasi
komunikasi verbal dan nonverbal.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Cegah pasien dari pengisolasian diri.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bina rutinitas yang sederhana bagi
pasien.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tetapkan batasan untuk perilaku yang
tidak tepat.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Orientasi pasien terhadap realitas.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Kuatkan perilaku yang sesuai.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tingkatkan aktifitas dan tugas yang
dapat memberikan pengalaman positif secara bertahap.</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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu dalam kebersihan dan kecantikan
diri.</span></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: l30 level1 lfo22; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dukung pasien dalam asuhan mandiri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tingkatkan peran serta pasien secara
bertahap dalam membuat keputusan yang berkaitan dengan asuhan dirinya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Sampaikan bahwa pasien adalah
individu yang bertanggung jawab.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
</tr>
<tr height="0">
<td style="border: none;" width="170"><br /></td>
<td style="border: none;" width="7"><br /></td>
<td style="border: none;" width="207"><br /></td>
<td style="border: none;" width="356"><br /></td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 70.9pt 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Tabel 1.2<span style="mso-tab-count: 1;"> </span>Intervensi
keperawatan untuk mengubah konsep </span><span style="mso-ansi-language: IN;">diri</span>
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US">Tingkat 2</span></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;">
<tbody>
<tr style="height: 24.0pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 24.0pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Prinsip</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.0pt; 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: 7.0cm;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Rasional</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.0pt; 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: 347.3pt;" valign="top" width="463">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Intervensi
Keperawatan</span></b></div>
</td>
</tr>
<tr style="height: 20.8pt; mso-yfti-irow: 1;">
<td colspan="3" style="border-top: none; border: solid black 1.0pt; height: 20.8pt; 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: 694.6pt;" valign="top" width="926">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tujuan
: Mendukung Eksplorasi Diri Pasien</span></b></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: 148.85pt;" valign="top" width="198">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien untuk menerima
perasaan-perasaan dan pikiran – pikirannya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien mengklarifikasi konsep
diri dan hubungan dengan orang lain melalui pengungkapan diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Waspada dan kendalikan perasaan anda
sendiri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Berespons empatik, bukan simpatik,
tekankan bahwa kekuatan untuk berubah berada pada 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: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dengan menunjukkan minat dan
penerimaan terhadap perasaan dan pikiran pasien, perawat membantu pasien
untuk melakukan hal yang sama.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Pengungkapan diri dan pemahaman
terhadap persepsi diri diperlakukan untuk membawa perubahan yang akan datang;
pengungkapan diri dapat mengurangi ansietas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Kesadaran diri memungkinkan perawat
memberikan model perilaku autentik dan membatasi pengaruh negatif
kontertransferens dalam hubungan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Simpati dapat menimbulkan rasa
kasihan pasien; sebaliknya, perawat harus mengkomunikasikan bahwa situasi
kehidupan pasien memerlukan kendali diri.</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: 347.3pt;" valign="top" width="463">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dukung ekspresi emosi, keyakinan,
perilaku, dan pikiran pasein-secara verbal, nonverbal, simbolik, atau
langsung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gunakan keterampilan komunikasi
terapeutik dan respon empati.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Catat penggunaan pemikiran logik dan
tidak logik pasien serta laporkan dan amati respon emosinya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bangkitkan persepsi pasien tentang
kelebihan dan kekurangan diri yang dimiliki.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien untuk menguraikan ideal
diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Identifikasi kritik diri pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien untuk menguraikan
keyakinan tentang bagaimana ia berhubungan dengan orang lain dan dengan
peristiwa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Terbuka terhadap perasaan anda
sendiri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Terima perasaan positif dan negatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gunakan diri secara terapeutik dengan
:</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; mso-list: l15 level1 lfo23; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Berbagi perasaan anda dengan pasien.</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: l15 level1 lfo23; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Mengungkapkan tentang apa yang
mungkin orang lain rasakan.</span></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: l15 level1 lfo23; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Mencerminkan persepsi anda terhadap
perasaan pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gunakan respons empatik dan pantau
diri anda terhadap perasaan simpati dan kasihan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tegaskan bahwa pasien bukan tidak
berdaya atau tak kuasa dalam menghadapi masalah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tunjukkan pada pasien baik secara
verbal maupun melalui perilaku bahwa pasien bertanggung jawab terhadap
perilakunya sendiri, termasuk memilih respon koping yang adaptif dan
maladaptif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gunakan sistem pendukung dari
keluarga dan kelompok untuk memfasilitasi eksplorasi diri pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien dalam mengenali sifat
konflik dan respon koping maladaptif.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 3.0cm 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Tabel 1.3<span style="mso-tab-count: 1;"> </span>Intervensi
Keperawatan terhadap perubahan konsep </span><span style="mso-ansi-language: IN;">diri </span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Tingkat
3</span></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;">
<tbody>
<tr style="height: 24.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 24.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Prinsip</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.4pt; 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: 7.0cm;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Rasional</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.4pt; 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: 347.3pt;" valign="top" width="463">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Intervensi
Keperawatan</span></b></div>
</td>
</tr>
<tr style="height: 20.45pt; mso-yfti-irow: 1;">
<td colspan="3" style="border-top: none; border: solid black 1.0pt; height: 20.45pt; 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: 694.6pt;" valign="top" width="926">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tujuan
: Membantu Evaluasi Diri Pasien</span></b></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: 148.85pt;" valign="top" width="198">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien untuk menjabarkan
masalah secara jelas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gali respons adaptif<span style="mso-spacerun: yes;"> </span>dan maladaptif pasien terhadap masalah.</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: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Hanya setelah masalah dujabarkan
dengan benar, pilihan alternatif dapat diusulkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Penggalian koping tersebut penting
untuk memeriksa pilihan koping pasien dan mengevaluasi akibat positif dan
negatif.</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: 347.3pt;" valign="top" width="463">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Identifikasi stresor yang relevan dan
penilaian pasien terhadap stresor.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Klarifikasi bahwa keyakinan pasien
mempengaruhi perasaan dan perilakunya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Identifikasi bersama keyakinan yang
salah, persepsi yang tidak benar, ilusi dan tujuan yang tidak realistik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Identifikasi bersama area kekuatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tempatkan konsep keberhasilan dan
kegagalan dalam pandangan yang sesuai.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gali penggunaan sumber koping pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Uraikan kepada pasien bahwa semua
respons koping dapat dipilih dan mempunyai akibat baik positif maupun
negatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bandingkan respon adaptif dan
maladaptif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Identifikasi bersama kerugian respons
koping yang maladaptif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Identifikasi bersama keuntungan, atau
“hasil” respons koping adaptif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bahas bagaimana hasil tersebut
mendukung penggunaan respons koping adaptif selanjutnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gunakan berbagai keterampilan
terapeutik, seperti :</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; mso-list: l7 level1 lfo24; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Komunikasi fasilitatif.</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: l7 level1 lfo24; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Konfrontasi suportif.</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: l7 level1 lfo24; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Klarifikasi peran.</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: l7 level1 lfo24; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Reaksi transferens dan
kontertransferens dalam hubungan perawat-pasien.</span></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: l7 level1 lfo24; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">psikodrama</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 3.0cm 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<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: "Malgun Gothic"; mso-fareast-language: KO; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 3.0cm 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Tabel 1.4 <span style="mso-tab-count: 1;"> </span>Intervensi
Keperawatan terhadap perubahan konsep </span><span style="mso-ansi-language: IN;">diri </span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Tingkat
4</span></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;">
<tbody>
<tr style="height: 24.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 24.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Prinsip</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.4pt; 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: 7.0cm;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Rasional</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.4pt; 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: 347.3pt;" valign="top" width="463">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Intervensi
Keperawatan</span></b></div>
</td>
</tr>
<tr style="height: 20.45pt; mso-yfti-irow: 1;">
<td colspan="3" style="border-top: none; border: solid black 1.0pt; height: 20.45pt; 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: 694.6pt;" valign="top" width="926">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tujuan
: Membantu Pasien dalam Merumuskan Rencana Tindakan yang Realistik</span></b></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: 148.85pt;" valign="top" width="198">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien mengidentifikasi solusi
alternatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu
pasien mengkonsepualisasi tujuan yang realistik</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: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Hanya setelah semua alternatif yang
memungkinkan dievaluasi baru dapat terjadi suatu perubahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Penetapan tujuan harus mencakup
jabaran yang jelas tentang perubahan yang diharapkan.</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: 347.3pt;" valign="top" width="463">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien memahami bahwa hanya dia
yang dapat mengubah dirinya, bukan orang lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Jika pasien berpegang pada persepsi
yang tidak konsisten, bantu pasien untuk melihat bahwa dia dapat mengubah :</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; mso-list: l6 level1 lfo25; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">keyakinan atau ideal mendekati suatu
kenyataan.</span></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: l6 level1 lfo25; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Lingkungan membuatnya konsisten
dengan keyakinan pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Jika konsep diri tidak konsisten
dengan perilaku, pasien dapat mengubah :</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; mso-list: l17 level1 lfo26; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Perilaku yang sesuai dengan konsep
diri.</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: l17 level1 lfo26; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Keyakinan yang melatar belakangi
konsep diri termasuk perilaku.</span></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: l17 level1 lfo26; tab-stops: 148.85pt 163.05pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Ideal diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tinjau bersama bagaimana pasien dapat
lebih baik menggunakan sumber koping.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dorong pasien untuk merumuskan
tujuannya sendiri ( bukan tujuan anda ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bahas bersama konsekuensi yang
bersifat emosional, praktikal dan realistik dari tiap tujuan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien untuk menjabarkan secara
jelas perubahan konkrit yang diinginkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gunakan latihan peran, contoh peran,
permainan peran, dan visualisasi jika sesuai.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 3.0cm 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US">Tabel 1.5<span style="mso-tab-count: 1;"> </span>Intervensi
Keperawatan terhadap perubahan konsep Gangguan Citra Diri Tingkat 5</span></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;">
<tbody>
<tr style="height: 24.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 24.4pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 148.85pt;" valign="top" width="198">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Prinsip</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.4pt; 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: 7.0cm;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Rasional</span></b></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 24.4pt; 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: 347.3pt;" valign="top" width="463">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Intervensi
Keperawatan</span></b></div>
</td>
</tr>
<tr style="height: 20.45pt; mso-yfti-irow: 1;">
<td colspan="3" style="border-top: none; border: solid black 1.0pt; height: 20.45pt; 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: 694.6pt;" valign="top" width="926">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tujuan
: Membantu Pasien agar Bertekat untuk Membuat Keputusan dan Mencapai
Tujuannya Sendiri</span></b></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: 148.85pt;" valign="top" width="198">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Bantu pasien melakukan tindakan yang
diperlukan untuk mengubah respons koping maladaptif dan mempertahankan
respons koping yang adaptif.</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: 7.0cm;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tujuan utama dalam meningkatkan
penghayatan adalah membuat pasien mengganti respons koping yang maladaptif
dengan yang lebih adaptif.</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: 347.3pt;" valign="top" width="463">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Berikan kesempatan kepada pasien
untuk mengalami suatu keberhasilan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dukung kekuatan, keterampilan, dan
aspek yang sehat dari kepribadian pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Dukung pasien untuk memperoleh
bantuan (pekerjaan, finansial, pelayanan masyarakat ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Gunakan kelompok untuk meningkatkan
harga diri pasien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Tingkatkan perbedaan diri pasien
dalam keluarga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Beri pasien waktu yang cukup untuk
berubah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin;">Beri sejumlah dukungan yang sesuai
dan positif untuk membantu pasien mempertahankan kemajuannya.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 148.85pt 163.05pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 150%; 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: "Malgun Gothic"; mso-fareast-language: KO; mso-fareast-theme-font: minor-fareast; mso-hansi-theme-font: minor-latin;"><br clear="all" style="mso-special-character: line-break; page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-indent: 36.0pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span style="mso-ansi-language: IN;">DAFTAR
PUSTAKA</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; text-justify: inter-ideograph;">
<span lang="EN-US"><a href="http://www.library.upnvj.ac.id/pdf/2d3keperawatan/207301008/bab3.pdf"><span lang="IN" style="mso-ansi-language: IN;">http://www.library.upnvj.ac.id/pdf/2d3keperawatan/207301008/bab3.pdf</span></a></span><span style="mso-ansi-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; text-justify: inter-ideograph;">
<span style="mso-ansi-language: IN;">Meridean
L. Maas, et al. 2011. <i style="mso-bidi-font-style: normal;">ASUHAN KEPERAWATAN
GERIATRIK : DIAGNOSIS NANDA, KRITERIA HASIL NOC, & INTERVENSI NIC</i>.
Jakarta : EGC. </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; text-justify: inter-ideograph;">
<span style="mso-ansi-language: IN;">Stuart,
Gail Wiscarz. 1998. <i style="mso-bidi-font-style: normal;">Buku Saku Keperawatan
Jiwa Edisi 3</i>. Jakarta : EGC.</span></div>
Anonymoushttp://www.blogger.com/profile/03310852569455236748noreply@blogger.com1tag:blogger.com,1999:blog-6330742078279769511.post-31490566843508265422013-04-01T02:03:00.001-07:002013-04-01T02:03:21.224-07:00Laporan Pendahuluan Infark Miokard Akut<!--[if !mso]>
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<div class="Section1">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; mso-outline-level: 1; text-align: center;">
<b style="mso-bidi-font-weight: normal;">BAB
I</b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; mso-outline-level: 1; text-align: center;">
<b style="mso-bidi-font-weight: normal;">PENDAHULUAN</b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l38 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Latar Belakang</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Seiring dengan keberhasilan pemerintah dalam pembangunan nasional, telah
mewujudkan hasil yang positif diberbagai bidang yaitu adanya kemajuan ekonomi,
perbaikan lingkungan hidup, kemajuan ilmu pengetahuan dan teknologi terutama
dibidang medis atau ilmu kedokteran sehingga dapat meningkatkan umur harapan
hidup manusia (Nugroho Wahyudi, 2000) dan mengacu pada visi dan misi kesehatan
yaitu menjadikan masyarakat Indonesia sehat 2010, perlu dilakukan upaya-upaya
kesehatan salah satunya adalah pelayanan keperawatan. </span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">(Direktorat Bina
Pelayanan Keperawatan Ditjen Pelayanan Medis Depkes RI disajikan pada seminar
keperawatan UNSRIT Mei, 2007).</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Keperawatan
adalah suatu bentuk pelayanan profesional yang merupakan bagian integral dari
pelayanan kesehatan berdasarkan ilmu dan kiat-kiat keperawatan berbentuk bio,
psiko, sosio dan spiritual yang komperhensif ditujukan kepada individu,
keluarga dan masyarakat baik sehat maupun sakit yang mencakup seluruh proses
kehidupan manusia (lokakarya nasional 1983, Kusnanto 2004).</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Pelayanan
keperawatan yang paling ideal adalah asuhan keperawatan dengan pendekatan
proses keperawatan. Asuhan keperawatan adalah suatu pemecahan masalah dinamis
dalam usaha memperbaiki atau memelihara pasien sampai pada taraf optimum
melalui pendekatan yang sistematis untuk mengenal dan membantu memenuhi
kebutuhan khusus pasien (Doenges, 2000). Termasuk dalam memenuhi kebutuhan,
khususnya pasien dengan gangguan sistem kardiovaskuler infark miokard akut.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Infark miokard
akut adalah kematian jaringan otot miokard , merupakan sumbatan total pada
arteri koronaria (Faqih Rahyudin,2007)</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Penyakit jantung
adalah penyebab utama kematian dineg</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">ara</span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"> maju.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"> Tahun 2005</span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"> Di Amerika Serikat
diperkirakan 12,4 juta orang menderita penyakit dan 1,1 juta orang terkena
infark miocard acut. Tahun 2000, 16,7 juta penderita meninggal karena penyakit
ini atau sekitar 30,3% dari total kematian diseluruh dunia</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">. </span><span lang="SV" style="mso-ansi-language: SV; mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Sekitar 250.000 penderita meninggal dalam waktu 1 jam
setelah timbul serangan, meski pelayanan kesehatan sudah sedemikian majunya.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"> (http ://www.pdpersi.com di akses tgl 15
januari 2010)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Indonesia merupakan negara berkembang dimana
prevelansi penyakit jantung dari tahun ke tahun semakin meningkat terutama
infrak miocard acut. SKRT (Survei Kesehatan Rumah Tangga) tahun 1992
mengukuhkan penyakit kardiovaskuler merupakan penyakit yang masih menduduki
presentase tertinggi yang menyebabkan kematian (33,2%), (Faqih Rahyudin,2007)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Penyakit kardiovaskuler merupakan penyebab
kematian nomor satu di dunia. Menurut American Heart Association semakin banyak
kematian yang disebabkan oleh penyakit kardiovaskuler dibandingkan dengan
gabungan ketujuh penyebab kematian utama berikutnya. Hal ini menunjukkan
terjadinya satu kematian akibat penyakit kardiovaskuler tiap 33 detik.
Pencegahan primer-identifikasi dini dan modifikasi faktor resiko bagi timbulnya
penyakit kardiovaskuler penting dilakukan untuk menurunkan angka mortalitas,
morbiditas, dan angka kecacatan.</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Salah satu penyakit kardiovaskuler adalah
Iskemia yang berlangsung lebih dari 30-45 menit akan menyebabkan kerusakan sel
ireversibel serta nekrosis atau kematian otot .Bagian miokardium yang mengalami
infark atau nekrosis akan berhenti berkontraksi secara permanen (Sylvia
Anderson dan Lorraine,2005).Infark miokard akut mengacu pada proses rusaknya
jaringan jantung akibar<span lang="FR" style="mso-ansi-language: FR;">t </span>suplai
darah yang tidak adekuat, sehingga aliran darah koroner kurang. Infark miokard
akut adalah nekrosisi miokard akibat aliran darah ke otot jantung
targanggu.Faktor-faktor yang menyebabkan Acute Myocardial Infarction adalah
suplai darah oksigen ke miokard berkurang (aterosklerosis,
spasme,arteritis,stenosis aorta, insufisiensi jantung, anemia,
hipoksemia),curah jantung yang meningkat (emosi,aktivitas
berlebih,hipertiroidisme), dan kebutuhan oksigen miokard meningkat ( kerusakan
miokard, hpertropi miokard,hipertensi diastolik). Penyebab infark miokard yang
jarang adalah penyakit vaskuler inflamasi, emboli (endokarditis, katup
buatan),spasme koroner yang berat (misal setelah menggunakan kokain),
peningkatan viskositas darah serta peningkatan kebutuhan O2 yang bermakna saat
istirahat.</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l38 level1 lfo1; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Tujuan Penulisan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l32 level1 lfo21; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Tujuan
Umum</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
Mampu melaksanakan
asuhan keperawatan pada Tn. D dengan Infark Miokard Akut di Ruang ICCU Rumah
Sakit Doris Sylavanus Palangka Raya.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l32 level1 lfo21; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Tujuan
Khusus</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l6 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mampu melakukan pengakjian keperawatan pada Tn.
D dengan Infark Miokard Akut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l6 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mampu merumuskan diagnosa keperawatan pada Tn. D
dengan Infark Miokard Akut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l6 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mampu membuat perencanaan keperawatan pada Tn. D
dengan Infark Miokard Akut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l6 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mampu melakukan pelaksanaan asuhan keperawatan
pada Tn. D dengan Infark Miokard Akut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l6 level1 lfo22; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mampu melakukan evaluasi keperawatan pada Tn. D
dengan Infark Miokard Akut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l38 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Manfaat Penulisan</div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Bagi Peningkatan Kualitas Asuhan Keperawatan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
Laporan Studi Kasus ini diharapkan dapat
digunakan sebagai salah satu acuan dalam upaya meningkatkan kualitas pelayanan
asuhan jeperawatan dengan masalah Infark Miokard Akut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Bagi Ilmu Pengetahuan dan Teknologi ( IPTEK )</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
Diharapkan Laporan Studi Kasus ini, dapat
menimbulkan ide-ide kreatif dalam pengembangan Ilmu Pengetahuan dan Teknologi.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Bagi Institusi</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Rumah Sakit</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
Meningkatkan
dan menyediakan sarana bahan bagi para Tenaga Kesehatan yang ada dalam rangka
menunjang Ilmu Pengetahuan dan Teknologi serta Kompetensi yang ingin dicapai
pada Proses Asuhan Keperawatan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l10 level1 lfo20; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pendidikan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
Sebagai
tolak ukur kemampuan mahasiswa dalam penguasaan terhadap ilmu keperawatan,
proses keperawatan, dan sistem dokumentasi lengkap. Menyediakan informasi nyata
dan aktual tentang asuhan keperawatan terhadap Infark Miokard Akut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l5 level1 lfo19; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Bagi Profesi</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
Sebagai referensi bagi teman mahasiswa dan sejawat dalam
mengembangkan pengetahuan dan sumber daya yang ada. Diharapkan mampu
menciptakan tenaga kesehatan Keperawatan yang berkompeten baik dalam tindakan
maupun dalam pengetahuan.</div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l38 level1 lfo1; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Metode Penulisan</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Dalam penulisan makalah<span style="mso-spacerun: yes;"> </span>ini ditempuh
metode-metode tertentu untuk mengumpulkan beberapa data dan mengolah data
tersebut. Untuk pengumpulan data dilakukan dengan metode dokumentasi yaitu
mengumpulkan berbagai sumber yang memuat materi yang terkait dengan Infark
Miokard Akut. Sumber tersebut melalui beberapa buku keperawatan dan juga
melalui internet. Data yang telah diperoleh kemudian diolah dengan menggunakan
metode deskriptif kualitatif, yaitu suatu metode dengan jalan menyusun data
atau fakta-fakta yang telah diperoleh secra sistematis dan menuangkannya dalam
suatu simpulan yang disusun atas kalimat-kalimat.</div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;">BAB II<br />
TINJAUAN PUSTAKA</b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l13 level1 lfo2; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Konsep Dasar</div>
<div class="MsoListParagraphCxSpMiddle">
Pengertian</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Infark Miokard Akut ( IMA ) adalah
suatu keadaan dimana otot jantung tiba-tiba tidak mendapat suplai darah akibat
penyumbatan mendadak arteri koroner oleh gumpalan darah karena pecahnya plak. (
Kabo, 2008 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">IMA adalah kematian sel-sel miokardium
yang terjadi akibat kekurangan oksigen berkepanjangan. ( Corwin, 2009 )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Infark Miokard Akut adalah kematian
jaringan miokard akibat oklusi akut pembuluh darah koroner. ( Suryono, Bambang
dkk. 2005 : 120 )</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Menurut Smeltzer dan Bare ( 2008 : 788 )
Infark Miokard Akut mengacu pada proses masuknya proses rusak jaringan jantung
akibat suplai darah yang tidak adekuat sehingga aliran darah koroner berkurang.
Penyebab penurunan suplai darah mungkin akibat penyempitan kritis arteri
koroner karena aterosklerosis atau penyumbatan total arteri oleh emboli atai
trombus.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Etiologi</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Terlepasnya suatu plak aterosklerosis dari
salah satu arteri koroner dan kemudian tersangkut dibagian hilir yang menyumbat
aliran darah keseluruh miokardium yang diperdarahi oleh pembuluh tersebut,
dapat menyebabkan infark miokardium. Infark miokardium juga dapat terjadi
apabila lesi trombotik yang melekat ke suatu arte yang rusak menjadi cukup
besar untuk menyumbat secara total aliran darah ke bagian hilir, atau apabila
suatu ruang jantung mengalami hipertfrofi berat sehingga kebutuhan oksigen
tidak dapat terpenuhi. ( corwin, 2000 ).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Infark miokard dapat disebabkan oleh :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Penyempitan kritis arteri koroner,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Oklusi arteri komplit,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Syok hemoragik,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Ketidakseimbangan suplai dan kebutuhan
oksigen,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Stenosis aorta/aorta inufisiensi,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Hipertensi,</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Lesi trombolik,</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l25 level1 lfo4; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Hipertrofi
ruang jantung.</span></div>
<div align="right" class="MsoNormal" style="line-height: 150%; text-align: right;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">( Suryono,
bambang dkk. 2005 : 119 )</span></div>
<div class="MsoListParagraph" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l9 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Patofisiologi</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Menurut Smeltzer
dan Bare (2002 : 7776-777) Aterosklerosis dimulai ketika kolesterol berlemak
tertimbun di intima arteri besar. Timbunan ini dinamakan ateroma atau plaqul
yang akan mengganggu absorpsi nutrien oleh sel-sel endotal yang menyusun
lapisan dinding dalam pembuluh darah dan menyumbat aliran darah karena timbunan
ini menonjol ke lumen pembuluh darah. Endotel pembuluh darah terkena akan
mengalami nekrotik dan menjadi jaringan parut, selanjutnya lumen akan menjadi
sempit dan kasar, akan cenderung terjadi pembentukan bekuan darah terjadi
koagulasi intravaskuler.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Iskemia
miokard bermanifestasi berupa angina pektoris yaitu dengan gejala perasaan
tertekan dan penuh atau nyeri substernal. Ini akibat kurangnya oksigen untuk
miokard agar dapat bekerja efektif, penyebabnya hampir selalu penyempitan yang
disebabkan aterosklerosis, perubahan ini masih reversible dan fungsi sel-sel
kembali normal bila oksigenasinya kembali mencukupi (Tambayong, 2000:90).</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Infark miokardium jelas akan menurunkan fungsi
ventrikel karena otot yang nekrosis kehilangan daya kontraksi sedangkan otot
yang iskemia disekitarnya juga mengalami daya kontraksi.Secara fungsional
infark miokardium akan menyebabkan perubahan-perubahan seperti pada iskemia
:daya kontraksi menurun,gerakan dinding abnormal,perubahan daya kembang dinding
ventrikel,pengurangan volume sekuncup,pengurangan fraksi injeksi,peningkatan
volume akhir sistolik dan akhir diastolik ventrikel dan peningkatan tekanan
akhir diastolik ventrikel kiri<i style="mso-bidi-font-style: normal;">.(Price
& Wilson “Patofisiologi” Ed:6,2005.</i></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l9 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Manifestasi
Klinis</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Walaupun
sebagian individu tidak memperlihatkan tanda-tanda jelas infark miokardium
(suatu serangan jantung tersamar), biasanya timbul manifestasi klinis yang
bermakna:</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: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Nyeri dengan awitan yang (biasanya) mendadak,
sering digambarkan memiliki sifat meremukan dan parah. Nyeri dapat menyebar
kebagian atas tubuh mana saja, tapi sebagian besar menyebar ke lengan kiri,
leher, atau rahang. Nitrat dan istirahat dapat menghilangkan iskemia di luar
zona nekrotik dengan menurunkan beban kerja jantung.</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: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Timbul mual dan muntah yang mungkin berkaitan
dengan nyeri yang hebat.</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: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Perasaan lemas yang berkaitan dengan penurunan
aliran darah ke otot-otot rangka.</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: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kulit yang dingin, pucat akibat vasokontriksi
simpatis.</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: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Pengeluaran urin berkurang karena penurunan
aliran darah ginjal serta peningkatan aldosteron dan ADH.</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: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Takikardia akibat
peningkatan stimulasi simpatis jantung.</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: l21 level1 lfo5; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Keadaan mental berupa rasa cemas besar
disertai perasaan mendekati kematian.<span style="mso-no-proof: yes;"> (Corwin,
2000)</span>.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">AMI biasanya
disertai nyeri dada substernum yang parah dan terasa menekan, yang mungkin
menyebar keleher, rahang, epigastrium, bahu, atau lengan kiri. Pada sekitar 50%
pasien, AMI didahului oleh serangan-serangan angina pektoris. Namun, berbeda
pada nyeri dada angina pektoris, nyeri dada AMI biasanya berlangsung beberapa
jam sampai hari dan tidak banyak berkurang dengan nitrogliserin. Nadi biasanya
cepat dan lemah, dan pasien sering mengalami diaforesis. Sering timbul sesak
dan hal ini diakibatkan oleh gangguan kontraktilitas miokardium yang iskemik,
yang menyebabkan kongesti dan edema paru. Pada AMI masif yang mengenai lebih
dari 40% ventrikel kiri, timbul syok kardiogenik. Pada sebagian kecil pasien
(20% sampai 30%), AMI tidak menimbulkan nyeri dada. AMI <i style="mso-bidi-font-style: normal;">“silent” </i>ini terutama terjadi pada pasien dengan diabetes melitus
dan hipertensi serta pada pasien berusia lanjut<i style="mso-bidi-font-style: normal;">. </i><span style="mso-no-proof: yes;">(Kumar, Cortan, & Robins,
2007)</span>.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l9 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Pathway</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%;">
( terlampir )</div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l9 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Pemeriksaan
Penunjang</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Laboratorium :</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Creatinin Posfakinase</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">SGOT</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Laju Endap Darah</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Leukosit</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Kolesterol</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Trigliserida</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Kardiak iso-enzim</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l51 level1 lfo6; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Analisa Gas Darah</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Diagnostik :</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Elektrokardiogram ( EKG )</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Foto Thorax</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Tes Treadmill</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Echocardiography</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Angiografy coroner</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Multyslice Computed Tomografhy Scanning</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Cardiac Magnetic Resonance Imaging</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Radionuclear Medicine</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Vektocardiography</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l1 level1 lfo7; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Scintygraphy Talium</span></div>
<div align="right" class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: right;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">( Kabo, 2008 )</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l9 level1 lfo3; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Penatalaksanaan
Medik / Terapi Pengobatan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Bedrest total</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Diit makanan lunak / saring serta rendah garam
( bila gagal jantung ).</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pasang infus Dekstrosa 5% untuk persiapan
pemberian obat IV.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Atasi nyeri :</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Morfin 2,5 – 5 Mg IV atau Petidin 25 – 50 Mg
IM.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Lain-lain : Nitrat, Antagonis Kalsium, dan
Beta Bloker.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Oksigen 2 – 4 liter / hari.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Sedatif sedang seperti Diazepam 3 -4 x 2,5 Mg
/ oral. Pada insomnia dapat ditambah Flurazepam 15 – 30 Mg.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l18 level1 lfo8; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Antikoagulan :</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Heparin 20.000 – 40.000 U/24 Jam IV, tiap 4 –
6 jam atau drip IV dilakukan atas indikasi.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Asetakumoral dan atau Warparin.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Streptokinase / Trombolisis.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pengobatan ditujukan sedapat mungkin
memperbaiki kembali aliran pembuluh darah koroner. Bila ada tenaga terlatih,
trombolisis dapat dibesrikan sebelum dibawa ke RS. Dengan trombolisis, kematian
dapat diturunkan sebesar 40 %.</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">( Punsalan, 2009 )</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Asuhan Keperawatan</div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Pengkajian</div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Identitas</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Riwayat Kesehatan</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Riwayat Kesehatan Sekarang</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Riwayat Kesehatan Dahulu</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Riwayat Kesehatan Keluarga</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Riwayat Psikososial</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Fungsi Kesehatan</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Persepsi</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Aktivitas – Latihan</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Nutrisi</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Sirkulasi</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Eliminasi</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Penafasan</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Tidur – Istirahat</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Kognitif</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Toleransi</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">10)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Persepsi Diri</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">11)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Pola Hubungan-Peran</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Observasi dan Pemeriksaan Fisik</span></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Keadaan Umum</span></div>
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</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Tanda – tanda Vital</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo16; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Hasil Pemeriksaan Penunjang</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Laboratorium</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Diagnostik </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l36 level1 lfo16; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">Terapi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l44 level1 lfo11; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Diagnosa
Keperawatan</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Nyeri akut
berhubungan dengan iskemia jaringan sekunder terhadap sumbatan arteri koroner.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Intoleransi
aktivitas berhubungan dengan ketidakseimbanmgan antara suplai oksigen miokard
dengan kebutuhan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Ansietas
berhubungan dengan ancaman atau perubahan kesehatan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Resiko tinggi
menurunnya curah jantung berhubungan dengan perubahan frekuenasi, irama,
konduksilektrikal.</span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: 5.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l63 level1 lfo17; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Resiko tinggi
terhadap kelebihan volume cairan berhubungan dengan penurunan ferfusi organ.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraph" style="line-height: 150%; mso-list: l44 level1 lfo11; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Perencanaan
dan Implementasi</div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; 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 windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; mso-outline-level: 4;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Diagnosa</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 92.1pt;" valign="top" width="123">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; mso-outline-level: 4;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tujuan- Kriteria</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.6pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; mso-outline-level: 4;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Intervensi</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-left-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 121.3pt;" valign="top" width="162">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; mso-outline-level: 4;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Rasional</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; 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; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Nyeri akut b/d iskemia jaringan sekunder
terhadap sumbatan arteri koroner.</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: 92.1pt;" valign="top" width="123">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tujuan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Nyeri dada hilang/terkontrol</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kriteria:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Klien menyatakan nyeri dada hilang
/berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Mendemonstrasikan tehnik penggunaan
relaksasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Klien terlihat rileks.</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: 127.6pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Catat karakteristik nyeri, lokasi,
intensitas, lamanya dan penyebaran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Anjurkan kepada klien untuk melaporkan nyeri
dengan segera</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan lingkungan yang tenang, aktivitas
perlahan dan tindakan nyaman, dekati pasien, berikan sentuhan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Bantu melakukan tehnik relaksasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan oksigen tambahan dengan kanula nasal
atau masker sesuai dengan indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kolaborasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan obat sesuai dengan indikasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Antiangina ( nitroglyserin,) </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Penyekat 8 ( contoh, atenolol ,Tonormin,
pindolol, ( Visken ) propanolol ( inderal )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Analgesik, contoh morphin meperidin (
demerol </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Penyekat saluran kalsium contoh, verafamil,
( calan )diltiazem ( prokardia )</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: 121.3pt;" valign="top" width="162">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Variasi pemampilan dan perilaku pasien
karena nyeri terjadi sebagai temuan pengkajian.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Nyeri berat dapat menyebabkan syok.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Menurunkan rangsangan eksternal, </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Membantu dalam penurunan persepsi respon
nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Meningkatkan jumlah oksigen yang ada untuk
pemakaian miokard sekaligus mengurangi ketidaknyamanan s/d iskemia.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Nitrat berguna untuk kontrol nyeri dengan
efek vasodilatasi koroner.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Agen ke 2 untuk pengontrol nyeri melalui
efek hambatan rangsanggsimpatis sehingga menurunkan TD.( sistolik ) Fibrilasi
jantung,dan kebutuhan oksigen miokard . </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Menurunkan nyeri hebat, memberikan sedasi,
dan mengurangi kerja miokard.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Efek vasodilatasi dapat meningkatkan aliran
darah koroner, sirkulasi kolateral dan menurunkan preload.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Intoleransi aktivitas b/d ketidakseimbanmgan
antara suplai oksigen miokard dan kebutuhan</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: 92.1pt;" valign="top" width="123">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tujuan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Meningkatkan toleransi aktiviitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kriteria ;</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Frekuensi jantung, irama dan tekanan darah
dalam batas normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kulit hangat, merah muda dan kering.</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: 127.6pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Catat frekuensi jantung, irama dan perubahan
TD., selama dan sesudah aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tingkatkan istirahat, batasi aktivitas , dan
berikan aktivitas senggang yang tidak berat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Anjurkan menghindari peningkatan tekanan
abdomen misal, mengejan saat defekasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Jelaskan pola peningkatan bertahap dari
tingkat aktivitas , contoh bangun dari kursi, bila tak ada nyeri, ambulasi,
dan istirahat selama 1 jam setelah makan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Rujuk ke program rehabilitasi jantung..</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: 121.3pt;" valign="top" width="162">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Respon pasien terhadap aktivitas dapat
mengindikasikan penurunan oksigen miokard.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Menurunkan kerja miokard/konsumsi
oksigen </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Dengan mengejan dapat mengakibatkan
bradikardi, menurunkan curah jantung, dan takhicardia serta peningkatan TD</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Aktivitas yang maju memberikan kontrol
jantung, meningkatkan regangan dan mencegah aktovitas berlebihan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Ansietas b/d ancaman atau perubahan
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: 92.1pt;" valign="top" width="123">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tujuan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Ansietas hilang /berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kriteria :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Mengenal perasaannya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Dapat mengidentifikasi penyebab atau faktor
yang mempengaruhi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">nya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Menyatakan ansietas berkurang /hilang.</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: 127.6pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Bantu</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">
klien mengekspresikan perasaan marah, kehilangan dan takut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kaji</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">
tanda verbal dan non verbal kecemasan, dampingi klien dan lakukan tindakan
bila menunjukan perilaku merusak.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt; mso-outline-level: 1;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Hindari konfrantasi </span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Orientasikan</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"> klien terhadap prosedur rutin dan aktifitas
yang diharapkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Beri </span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">kesempatan
kepada klien untuk mengungkapkan ansietasnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">
privasi untuk klien dan orang terdekat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kolaborasi</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">
: berikan anti cemas / hipnotik sesuai indikasi contohnya diazepam</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: 121.3pt;" valign="top" width="162">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Cemas berkelanjutan memberikan dampak
serangan jantung selanjutnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Reaksi verbal/non verbal dapat menunjukan
rasa agitasi, marah dan gelisah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Konfrontasi dapat meningkatkan rasa marah,
menurunkan kerja sama dan mungkin memperlambat penyembuhan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Orientasi dapat menurunkan kecemasan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Dapat menghilangkan ketegangan terhadap
kehawatiran yang tidak diekspresikan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Memberi waktu untuk mengekspresikan
perasaan, menghilangkan cemas dan perilaku adaptasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Meningkatkan relaksasi dan menurunkan
kecemasan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Resiko tinggi terhadap penurunan curah
jantung b/d perubahan frekuensi, irama dan konduksi elektrikel.</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: 92.1pt;" valign="top" width="123">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tujuan</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Penurunan curah jantung tidak terjadi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kriteria</span></b><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Stabilitas hemodinamik baik (tekanan darah
dbn., curah jantung drn.intake dan output sesuai, tidak menunjukan tanda –
tanda disritmia)</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: 127.6pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Auskultasi TD. Bandingkan kedua lengan, ukur
dalam keadaan berbaring, duduk, atau berdiri bila memungkinkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Evaluasi kualitas dan kesamaan nadi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Catat terjadinya S3/S4.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Catat Murmur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Pantau frekuensi jantung dan irama </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan makanan kecil / mudah dikunyah,
batasi asupan kafein.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kolaborasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan O² tambahan sesuai indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Pertahankan cara masuk heparin (IV) sesuai
indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Pantau data laboratorium enzim jantung, GDA.
Dan elektrolit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan obat antidisritmia s/d indikasi.</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: 121.3pt;" valign="top" width="162">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Hipotensi dapat terjadi s/d disfungsi
ventrikel, hipertensi juga fenomena umum b/d nyeri cemas pengeluaran
katekolamin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Penurunan curah jantung mengakibatkan
menurunnya kekuatan nadi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">S3 b/d gjk atau gagal mitral yang disertai
infark berat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">S4 b/d iskemia, kekakuan ventrikel atau
hypertensi pulmonal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Menunjukan gangguan aliran darah dalam
jantung,(kelainan katup, kerusakan septum, atau vibrasi otot papilar </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Perubahan frekuensi dan irama jantung
menunjukan komplikasi disritmia.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Makanan besar dapat meningkatkan kerja
miokard.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kafein dapat merangsang langsung ke jantung
sehingga meningkatkan frekuensi jantung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Meningkatkan kebutuhan miokard</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Jalur yang paten pentying untuk pemberian
obat darurat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Enzim memantau perluasan infark, elektrolit
berpengaruh terhadap irama jantung.</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-top-alt: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.4pt;" valign="top" width="111">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Resiko tinggi terhadap kelebihan volume
cairan b/d penurunan ferfusi organ</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: 92.1pt;" valign="top" width="123">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tujuan <br />
Kelebihan volume cairan tidak terjadi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kriteria :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">TD. Dbn.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Tidak ada edema, tidak ada distensi vena,
paru bersih berat badan stabil.</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: 127.6pt;" valign="top" width="170">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Auskultasi bunyi nafas ( krekels )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Kaji adanya edema </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Ukur intake dan output</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Timbang berat badan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Pertahankan pemasukan total cairan 2000ml/24
jam dalam toleransi kardiovaskuler.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"> Kolaborasi <br />
Berikan diet natrium rendah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Berikan diuretik, contoh : Lasix atau
hidralazin, sprinolakton,hidronolakton</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Pantau Kalium sesuai dengan indikasi</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: 121.3pt;" valign="top" width="162">
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Indikasi edema paru, sekunder akibat
dekompensasi jantung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Curiga gagal kongestif/kelebihan volume
cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Penurunan curah jantung, mengakibatkan
gangguan ferfusi ginjal, retensi natrium/air, dan penurunan haluaran
urine.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Perubahan tiba-tiba dari berat badan
menunjukan gangguan keseimbangan cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Memenuhi kebutuhan cairan tubuh orang
dewasa, tepai memerlukan pembatasan dengan adanya dekompensasi jantung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Natrium meningkatkan retensi cairan dan
harus dibatasai.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Memperbaiki kelebihan cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: 5.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Hipokalemia dapat membatasi keefeftifan
terapi.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l44 level1 lfo11; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Evaluasi</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Setelah tindakan
pengkajian, merumuskan diagnosa, menentukan intervensi, serta melakukan tindakan
maka langkah selanjutnya tahap evaluasi dilakukan. Tahap evaluasi dilakukan
agar setiap tindakan yang dilakukan dapat diketahui sejauh mana tingkat
keberhasilannya. Tahap ini juga dilakukan guna mengetahui tingkat kompetensi
yang telah dicapai selama proses tindakan.<span style="mso-spacerun: yes;">
</span>Kriteria hasil yang diharapkan adalah sebagai berikut :</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo69; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Nyeri tidak ada atau hilang.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo69; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Aktivitas mobilisasi meningkat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo69; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Perasaan cemas berkurang atau hilang.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo69; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Peningkatan curah jantung.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 54.0pt; mso-add-space: auto; mso-list: l22 level1 lfo69; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span>Resiko
kelebihan volume cairan terhindari.</div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 6.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;">BAB III<br />
TINJAUAN KASUS<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l17 level1 lfo18; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Tinajaun Kasus</div>
<div align="center" class="MsoNormal" style="mso-outline-level: 1; text-align: center;">
FORMAT</div>
<div align="center" class="MsoNormal" style="text-align: center;">
ASUHAN KEPERAWATAN
MEDIKAL BEDAH</div>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt;">
<br /></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 92.15pt 106.35pt 269.35pt 304.8pt 318.95pt;">
Tanggal Pengkajian<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>05
Februari 2013 <span style="mso-tab-count: 1;"> </span>Pukul<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>09.30
WIB</div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 92.15pt 106.35pt;">
Nama Mahasiswa<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Brilian Samuel Dehes</div>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l47 level1 lfo23; tab-stops: 92.15pt 106.35pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">PENGKAJIAN</b></div>
<div class="MsoListParagraphCxSpMiddle" style="mso-list: l53 level1 lfo24; tab-stops: 92.15pt 106.35pt 269.35pt 290.6pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Identitas</b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l69 level1 lfo25; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Klien</b><span style="mso-tab-count: 5;"> </span>b.
<span style="mso-tab-count: 1;"> </span><b style="mso-bidi-font-weight: normal;">Penanggung
Jawab</b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Inisial
Klien<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 1;"> </span>Tn. D<span style="mso-tab-count: 2;"> </span>Nama<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Fatmawati</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Umur<span style="mso-tab-count: 3;"> </span>:<span style="mso-tab-count: 1;"> </span>65 Tahun<span style="mso-tab-count: 2;"> </span>Umur<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>45
Tahun</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Jenis
Kelamin<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Laki-laki<span style="mso-tab-count: 2;"> </span>Pekerjaan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>PNS</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Suku/Bangsa<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Dayak/Indonesia<span style="mso-tab-count: 2;"> </span>Pendidikan<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>S-1</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Agama<span style="mso-tab-count: 3;"> </span>:<span style="mso-tab-count: 1;"> </span>Kristen<span style="mso-tab-count: 2;"> </span>Alamat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Jln.
Hiu Putih VII B</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Pekerjaan<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 1;"> </span>Pensiunan PNS<span style="mso-tab-count: 4;"> </span>No.
22</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Pendidikan<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 1;"> </span>SPG / SMA<span style="mso-tab-count: 2;"> </span>Hubungan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
Alamat<span style="mso-tab-count: 3;"> </span>:<span style="mso-tab-count: 1;"> </span>Tewah<span style="mso-tab-count: 2;"> </span>keluarga
<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Anak</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt 347.3pt 354.4pt;">
<br /></div>
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Tanggal
Masuk RS<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>01 Februari 2013<span style="mso-tab-count: 2;"> </span>Diagnosa
Medis :</div>
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No. MR<span style="mso-tab-count: 3;"> </span>:<span style="mso-tab-count: 1;"> </span>11.45.10<span style="mso-tab-count: 2;"> </span><u>Infark
Miokard Akut ( IMA )</u></div>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="mso-list: l53 level1 lfo24; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Riwayat
Perawatan</b></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;">Keluhan
Utama</b><span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>Nyeri dada bagian kanan dan kiri, sesak nafas.</div>
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<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Riwayat
Penyakit</b></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Riwayat Kesehatan / Keperawatan Sekarang</div>
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Pasien
MRS 4 hari yang lalu dengan keluhan nyeri dada dan sesak nafas. Pasien pernah
dirawat di Puskesmas Tewah namun dirujuk karena keterbatasan alat dan oksigen
serta Tekanan Darah Tinggi. Terpasang Infus NaCl 10 tetes/menit. Oksigen lewat
Nasal Kanul 4 Liter/menit.</div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo27; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Riwayat Kesehatan / Keperawatan Dahulu</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
Pasien
menyatakan bahwa keluhan nyeri dada dan sesak nafas sudah muncul sejak 1 tahun
yang lalu. Pasien hanya sesekali berobat ke Puskesmas dan lebih rutin
menggunakan obat tradisional.</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo27; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Riwayat Kesehatan / Keperawatan Keluarga</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
Pasien
menyatakan tidak ada keluarga yang memilki penyakit sama seperti yang dialami
pasien.</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 5.0cm 155.95pt 179.25pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="mso-tab-count: 3;"> </span></div>
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<b style="mso-bidi-font-weight: normal;">Genogram Keluarga</b></div>
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<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="15" width="49"><br /></td>
</tr>
<tr>
<td><br /></td>
<td><img height="157" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image001.gif" width="490" /></td>
</tr>
</tbody></table>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
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<br /></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="height: 25px; left: 0px; margin-left: 492px; margin-top: 15px; mso-ignore: vglayout; position: absolute; width: 24px; z-index: 251728896;"><img height="25" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image002.gif" width="24" /></span><span style="height: 14px; left: 0px; margin-left: 321px; margin-top: 16px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251718656;"><img height="14" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image003.gif" width="2" /></span><span style="height: 14px; left: 0px; margin-left: 281px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251717632;"><img height="14" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image003.gif" width="2" /></span><span style="height: 14px; left: 0px; margin-left: 246px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251716608;"><img height="14" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image003.gif" width="2" /></span><span style="height: 14px; left: 0px; margin-left: 201px; margin-top: 15px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251715584;"><img height="14" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image003.gif" width="2" /></span><span style="height: 14px; left: 0px; margin-left: 159px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251714560;"><img height="14" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image003.gif" width="2" /></span><span style="height: 14px; left: 0px; margin-left: 117px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251708416;"><img height="14" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image003.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 113px; margin-top: 15px; mso-ignore: vglayout; position: absolute; width: 208px; z-index: 251706368;"><img height="2" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image004.gif" width="208" /></span><span style="height: 14px; left: 0px; margin-left: 217px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251705344;"><img height="14" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image003.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 95px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 242px; z-index: 251704320;"><img height="2" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image005.gif" width="242" /></span><span style="mso-tab-count: 7;"> </span>Keterangan
:</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="height: 25px; left: 0px; margin-left: 309px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 24px; z-index: 251711488;"><img height="25" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image006.gif" width="24" /></span><span style="height: 25px; left: 0px; margin-left: 235px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 24px; z-index: 251713536;"><img height="25" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image006.gif" width="24" /></span><span style="height: 20px; left: 0px; margin-left: 188px; margin-top: 7px; mso-ignore: vglayout; position: absolute; width: 27px; z-index: 251710464;"><img height="20" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image007.gif" width="27" /></span><span style="height: 25px; left: 0px; margin-left: 270px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 24px; z-index: 251712512;"><img height="25" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image006.gif" width="24" /></span><span style="height: 20px; left: 0px; margin-left: 146px; margin-top: 6px; mso-ignore: vglayout; position: absolute; width: 27px; z-index: 251709440;"><img height="20" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image007.gif" width="27" /></span><span style="height: 25px; left: 0px; margin-left: 106px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 24px; z-index: 251707392;"><img height="25" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image006.gif" width="24" /></span><span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 8;"> </span>Perempuan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="height: 20px; left: 0px; margin-left: 490px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 27px; z-index: 251729920;"><img height="20" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image007.gif" width="27" /></span><span style="mso-tab-count: 9;"> </span>Laki-laki</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="height: 18px; left: 0px; margin-left: 497px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 15px; z-index: 251731968;"><img height="18" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image008.gif" width="15" /></span><span style="height: 18px; left: 0px; margin-left: 495px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 19px; z-index: 251730944;"><img height="18" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image009.gif" width="19" /></span><span style="mso-tab-count: 9;"> </span>Meninggal</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="height: 17px; left: 0px; margin-left: 507px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251727872;"><img height="17" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image010.gif" width="2" /></span><span style="height: 17px; left: 0px; margin-left: 499px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251726848;"><img height="17" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image010.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 490px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 26px; z-index: 251725824;"><img height="2" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image011.gif" width="26" /></span><span style="height: 2px; left: 0px; margin-left: 490px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 26px; z-index: 251724800;"><img height="2" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image011.gif" width="26" /></span><span style="height: 20px; left: 0px; margin-left: 490px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 27px; z-index: 251723776;"><img height="20" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image007.gif" width="27" /></span><span style="mso-tab-count: 9;"> </span>Pasien</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="height: 19px; left: 0px; margin-left: 488px; margin-top: 7px; mso-ignore: vglayout; position: absolute; width: 29px; z-index: 251741184;"><img height="19" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image012.gif" width="29" /></span><span style="mso-tab-count: 9;"> </span>Serumah</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<span style="height: 18px; left: 0px; margin-left: 504px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 15px; z-index: 251735040;"><img height="18" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image013.gif" width="15" /></span><span style="height: 2px; left: 0px; margin-left: 497px; margin-top: 13px; mso-ignore: vglayout; position: absolute; width: 26px; z-index: 251732992;"><img height="2" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image011.gif" width="26" /></span><span style="mso-tab-count: 9;"> </span>Bercerai</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo27; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ignore: vglayout; position: relative; z-index: 251734016;"><span style="height: 2px; left: 0px; left: 499px; position: absolute; top: -1px; width: 26px;"><img height="2" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image011.gif" width="26" /></span></span>Riwayat Kesehatan Lingkungan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
Pasien
menyatakan bahwa dirinya tinggal di lingkungan dengan kondisi yang baik.</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l26 level1 lfo27; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Riwayat Psikososial</div>
<div class="MsoListParagraphCxSpLast" style="margin-left: 72.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
Pasien
tidak mengalami gangguan dalam hubungan keluarga. Pasien berinteraksi terhadap
lingkungan dengan baik.</div>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l15 level1 lfo26; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Pola
Fungsi Kesehatan</b></div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo28; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Persepsi – Pemeliharaan Kesehatan</div>
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Pasien
memiliki lingkungan yang bersih. Lantai rumah terbuat dari kayu. Tersedia
tempat pembuangan sampah dan WC di rumah pasien. Rumah selalu dobersihkan
secara teratur.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Aktivitas – Latihan</div>
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Pasien
tidak memiliki aktivitas yang berat / keras. Pasien jarang olahraga.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Nutrisi – Metabolik</div>
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Pasien
mengalami penurunan nafsu makan.</div>
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Sebelum
MRS : Makan 1 piring nasi + lauk. Minum 7 – 10 gelas per hari.</div>
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Sesudah
MRS<span style="mso-spacerun: yes;"> </span>: Makan ½ porsi yang diberikan.
Minum 2 – 3 gelas per hari.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Eliminasi</div>
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Tidak
ada gangguan pada pola eliminasi pasien.</div>
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BAK </div>
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Warna
: Kuning, Bau : Amoniak, Frekuensi : 3 Kali / hari.</div>
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BAB</div>
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Warna :Kuning,
Konsistensi : Lunak, Frekuensi : 1 kali / hari.</div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Tidur – Istirahat</div>
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Pasien
tidur 6 – 8 jam / hari sebelum MRS. Sesudah MRS pasien hanya tidur 3 – 4 jam
per hari.</div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Persepsi – Perseptual</div>
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Pasien
tidak mengalami gangguan citra diri maupun sistem indera. Pasien merespon
secara kooperatif.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Toleransi – Koping Sress</div>
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Pasien
dapat menerima apa yang dialaminya sekarang, klien menghadapi masalah dan
penyakitnya dengan baik.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Persepsi Diri / Konsep Diri</div>
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Pasien
mengetahui penyakitnya cukup parah dan menyatakan akan berobat secara teratur
serta akan mulai berolahraga.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">9)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Seksual – Reproduktif</div>
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Pasien
tidak mengalami gangguan pada pola seksual dan reproduktif.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">10)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Hubungan – Peran</div>
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Pasien
memiliki hubungan yang baik terhadap lingkungan dan keluarga. Pasien berperan
sebagai kepala rumah tangga dan seorang ayah.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">11)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pola Nilai dan Keyakinan</div>
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Pasien
menyatakan memiliki kepercayaan dan berjanji akan merubah pola hidup dengan
olahraga ringan secara teratur dan menghindari konsumsi daging.</div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l15 level1 lfo26; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 269.35pt 290.6pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Observasi
dan Pemeriksaan Fisik</b></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Keadaan Umum<span style="mso-tab-count: 2;"> </span>:<span style="mso-tab-count: 1;"> </span>Pasien tampak lemah, Kesadaran Compos
Mentis ( CM ),</div>
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<span style="mso-tab-count: 6;"> </span>Terpasang
Infus NaCl 10 Tetes / menit di tangan kiri.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Tanda – tanda Vital<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>TD : 104/64
mmHg,<span style="mso-spacerun: yes;"> </span>N : 70 x/m ,<span style="mso-spacerun: yes;"> </span>S : 36,2 <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C,<span style="mso-spacerun: yes;"> </span>RR : 26 x/m.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pemeriksaan Kulit, Rambut, dan Kelenjar Getah
Bening</div>
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Kulit
berwarna sawo matang, turgor kulit baik, tidak ada edema dan asites. Rambut
lurus dan lembab. Tidak ada gangguan / pembengkakkan pada kelenjar getah
bening.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pemeriksaan Kepala dan Leher</div>
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Bentuk
kepala oval. Ada bekas luka 6 jahitan pada kepala bagian kiri dan 14 jahitan
pada kepala bagian kanan. Tidak ada cacat atau gangguan pada leher.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pemeriksaan Dada</div>
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Bentuk
dada simetris. Pola nafas normal setelah 2 hari MRS. Sebelum MRS pasien mengaku
sesak nafas. ( Normal frekuensi nafas : 16 – 20 kali/menit ).</div>
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Bunyi
jantung I : Lup</div>
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Bunyi
jantung II : Dup</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pemeriksaan Abdomen</div>
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Bentuk
dan ukuran perut normal. Tidak ada nyeri tekan. Tidak ada bising usus. Tidak
ada asites.</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pemeriksaan Anggota Gerak dan Neurologis</div>
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<span style="height: 28px; left: 0px; margin-left: 423px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 48px; z-index: 251659264;"><img height="28" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image014.gif" width="48" /></span>Respon Motorik<span style="mso-tab-count: 3;"> </span>:<span style="mso-tab-count: 2;"> </span>6<span style="mso-spacerun: yes;"> </span>( menurut perintah )</div>
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<span style="height: 22px; left: 0px; margin-left: 423px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 48px; z-index: 251660288;"><img height="22" src="file:///C:\Users\User\AppData\Local\Temp\msohtmlclip1\01\clip_image015.gif" width="48" /></span>Respon Verbal<span style="mso-tab-count: 4;"> </span>:<span style="mso-tab-count: 2;"> </span>5<span style="mso-spacerun: yes;"> </span>( orientasi baik )<span style="mso-tab-count: 3;"> </span>Jumlah : 15</div>
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Respon
Membuka Mata<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 2;"> </span>4<span style="mso-spacerun: yes;"> </span>( spontan )</div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Hasil
Pemeriksaan Penunjang</b></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pemeriksaan Laboratorium</div>
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Pemeriksaan
Tanggal 02 Februari 2013 </div>
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Glukosa
S<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>253<span style="mso-tab-count: 1;"> </span>( N : < 200 ),<span style="mso-tab-count: 1;"> </span>Trigliserida<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>54<span style="mso-tab-count: 2;"> </span>( N : < 165 ),</div>
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Glukosa
N<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>189<span style="mso-tab-count: 1;"> </span>( N : 65 – 110 ),<span style="mso-tab-count: 1;"> </span>HDL-CHOL<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>94<span style="mso-tab-count: 2;"> </span>(
N : < 180 ),</div>
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Glukosa
PP<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>217<span style="mso-tab-count: 1;"> </span>( N : < 140 ),<span style="mso-tab-count: 1;"> </span>SGOT<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>90<span style="mso-tab-count: 2;"> </span>( N : < 31<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C, 37<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C )</div>
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Asam
Urat<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>2,8<span style="mso-tab-count: 2;"> </span>( N : 4 – 7,0
),<span style="mso-tab-count: 1;"> </span>SGPT<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>60<span style="mso-tab-count: 2;"> </span>( N : < 42<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C, <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">37°</span>C)</div>
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Cholesterol<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>168<span style="mso-tab-count: 1;"> </span>( N : < 200 ),<span style="mso-tab-count: 1;"> </span>Creatinin<span style="mso-tab-count: 1;"> </span>:<span style="mso-tab-count: 1;"> </span>0,72<span style="mso-tab-count: 1;"> </span>(
N : 0,17 – 1,5 ).</div>
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<br /></div>
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<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pemeriksaan Diagnostik</div>
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EKG
dan Foto Thorax.</div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 54.0pt; mso-add-space: auto; mso-list: l15 level1 lfo26; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Terapi</b></div>
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Oksigen
4 Liter/Menit,<span style="mso-tab-count: 5;"> </span>Vaclo
Tablet 1 x 1,<span style="mso-tab-count: 3;"> </span>Lipnoav 2 x 1,</div>
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Infus
NaCl 500cc/24 Jam,<span style="mso-tab-count: 4;"> </span>Aspirel
Tablet 1 x 1,<span style="mso-tab-count: 2;"> </span>Sucralfat
3 x 1 SM,</div>
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Injeksi
Ranitidin 2 x 1 ampul,<span style="mso-tab-count: 3;"> </span>Suenalfar
3 x 1 SM,<span style="mso-tab-count: 2;"> </span>Codipron
k/p</div>
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Simvastatin
20mg 1 x 1,<span style="mso-tab-count: 4;"> </span>I S D N 3
x 1.</div>
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<br /></div>
<div align="right" class="MsoNormal" style="mso-outline-level: 1; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: right;">
Nama
dan Tanda Tangan Mahasisa</div>
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<br /></div>
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<br /></div>
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<span style="mso-tab-count: 11;"> </span><span style="mso-spacerun: yes;"> </span>Brilian Samuel Dehes </div>
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<span style="mso-tab-count: 10;"> </span><span style="mso-spacerun: yes;"> </span>NIM. PO. 62. 20. 1. 11. 006</div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l47 level1 lfo23; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Analisis Masalah</div>
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<br /></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;">
<tbody>
<tr style="height: 25.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 25.5pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; mso-border-themecolor: text1; padding: 0cm 5.4pt 0cm 5.4pt; width: 160.6pt;" valign="top" width="214">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
Data
Fokus</div>
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(
Subyektif dan Obyektif )</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 25.5pt; 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: 148.05pt;" valign="top" width="197">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
Masalah</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 25.5pt; 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: 144.95pt;" valign="top" width="193">
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Kemungkinan
Penyebab</div>
</td>
</tr>
<tr style="height: 89.5pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 89.5pt; 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: 160.6pt;" valign="top" width="214">
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Data
Obyektif :</div>
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<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>TTV : </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
TD
: 104/64 mmHg</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
N<span style="mso-spacerun: yes;"> </span>: 70 kali / menit</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
S<span style="mso-spacerun: yes;"> </span>: 36,2 <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
RR
: 26 kali/menit</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -16.3pt; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -16.3pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Nyeri dada</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -16.3pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Skala nyeri 4 ( 1 – 10 )</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Data
Subyektif :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien menyatakan nyeri pada bagian dada kanan
dan kiri.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien menyatakan nyeri seperti ditusuk-tusuk.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 40.95pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Data
Obyektif :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Sesak nafas ( dispnea )</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Oksigen 4 Liter/menit</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Posisi semifowler</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>RR : 26 kali / menit</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Data
Subyektif :</div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l19 level1 lfo31; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-ascii-font-family: Calibri; mso-bidi-font-family: Calibri; mso-fareast-font-family: Calibri; mso-hansi-font-family: Calibri;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien menyatakan sesak nafas saat melakukan
aktivitas yang berat.</div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; tab-stops: 22.95pt 37.15pt 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 89.5pt; 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: 148.05pt;" valign="top" width="197">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
Nyeri</div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
Gangguan
Pertukaran</div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
Gas</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 89.5pt; 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: 144.95pt;" valign="top" width="193">
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Kurang
Suplai Oksigen ke Infark Miokard</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Bersihan
Jalan Nafas Tidak Efektif</div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l47 level1 lfo23; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Diagnosa Keperawatan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></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-table-layout-alt: fixed; mso-yfti-tbllook: 1184;">
<tbody>
<tr style="height: 18.4pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid black 1.0pt; height: 18.4pt; 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 align="center" class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
No.</div>
</td>
<td style="border-left: none; border: solid black 1.0pt; height: 18.4pt; 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: 418.2pt;" valign="top" width="558">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: center;">
Diagnosa
Keperawatan ( Secara Prioritas )</div>
</td>
</tr>
<tr style="height: 181.6pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 181.6pt; 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: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
1.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
2.</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 181.6pt; 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: 418.2pt;" valign="top" width="558">
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Nyeri
berhubungan dengan kurang suplai oksigen ke infark miokard.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
Gangguan
pertukaran gas berhubungan dengan bersihan jalan nafas tidak efektif.</div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraph" style="margin-left: 18.0pt; mso-add-space: auto; tab-stops: 92.15pt 106.35pt 5.0cm 155.95pt 6.0cm 184.3pt 191.4pt 205.55pt 269.35pt 290.6pt 326.05pt 12.0cm 354.4pt 13.0cm 382.75pt; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 150%; 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;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section2">
<table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 6.75pt; margin-right: 6.75pt; mso-border-alt: solid black .5pt; mso-border-themecolor: text1; 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: 99.15pt; 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: 26.7pt;" valign="top" width="36">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
No</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="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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Diagnosa</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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Keperawatan</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: 155.9pt;" valign="top" width="208">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Tujuan dan</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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Kriteria Hasil</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: 177.2pt;" valign="top" width="236">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Intervensi
Keperawatan</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; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Rasionalisasi</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: 72.5pt;" valign="top" width="97">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Nama dan</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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Paraf</div>
</td>
</tr>
<tr style="mso-yfti-irow: 1; 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: 26.7pt;" valign="top" width="36">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
1.</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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
2.</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 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Diagnosa I</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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; text-align: center;">
Diagnosa II</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: 155.9pt;" valign="top" width="208">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Setelah dilakukan tindakan
keperawatan selama 1 x 8 jam diharapkan nyeri berkurang / hilang dengan
Kriteria Hasil :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l7 level1 lfo33; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Tidak ada nyeri dada</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l7 level1 lfo33; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien tidak gelisah</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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Setelah dilakukan tindakan
keperawatan selama 1 x 8 jam diharapkan sesak nafas berkurang / hilang dengan
kriteria hasil :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l67 level1 lfo38; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Tidak ada sesak nafas</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l67 level1 lfo38; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Respirasi 16 – 20 x / menit</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: 177.2pt;" valign="top" width="236">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Mandiri :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l46 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Kaji TTV pasien</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l46 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Observasi skala nyeri.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l46 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Observasi jenis nyeri.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l46 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Kaji keluhan pasien terhadap lokasi nyeri.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l46 level1 lfo34; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Berikan posisi semifowler.</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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Penkes :</div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l20 level1 lfo36; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Ajarkan teknik relaksasi</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: 99.15pt; 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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Mandiri :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l62 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Hitung RR per menit pasien.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l62 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Kaji pola nafas</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l62 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Berikan posisi semifowler</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l62 level1 lfo39; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Observasi kemampuan ekspirasi maksimal.</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: 99.15pt; 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: 99.15pt; 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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Kolaborasi :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l14 level1 lfo41; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Berikan terapi oksigen 4 Liter/menit.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Penkes :</div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l68 level1 lfo44; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Ajarkan nafas dalam dan batuk efektif.<br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</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="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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Mandiri :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l43 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengontrol perkembangan kesehatan pasien.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l43 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Menentukan skala nyeri.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l43 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengobservasi jenis nyeri.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l43 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengkaji penyebaran lanjutan nyeri.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l43 level1 lfo35; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Memberikan rasa aman dan nyaman.</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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Penkes :</div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l37 level1 lfo37; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengalihkan rasa nyeri.</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: 99.15pt; 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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Mandiri :</div>
<div class="MsoListParagraphCxSpFirst" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l57 level1 lfo40; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Menentukan perbandingan dengan kondisi
abnormal.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l57 level1 lfo40; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengkaji pola pernafasan.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l57 level1 lfo40; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Memberikan rasa aman dan nyaman.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l57 level1 lfo40; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengobservasi kemampuan ekspirasi maksimal
paru-paru.</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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Kolaborasi :</div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l35 level1 lfo42; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Membantu memenuhi kebutuhan oksigen tubuh.</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: 99.15pt; 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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
Penkes :</div>
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-element-anchor-horizontal: margin; mso-element-anchor-vertical: page; mso-element-frame-hspace: 9.0pt; mso-element-top: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly; mso-list: l52 level1 lfo43; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengurangi sesak nafas dan mengeluarkan
sekret.</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: 72.5pt;" valign="top" width="97">
<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: 99.15pt; mso-element-wrap: around; mso-element: frame; mso-height-rule: exactly;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l50 level1 lfo45; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-spacerun: yes;"> </span>Intervensi Keperawatan</div>
<div class="MsoListParagraphCxSpMiddle" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l45 level1 lfo46; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Implementasi</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;">
<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: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
No.
Diagnosa</div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Keperawatan</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: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Tanggal
dan </div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Jam</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: 205.5pt;" valign="top" width="274">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Pelaksanaan</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: 205.55pt;" valign="top" width="274">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Evaluasi
Tindakan / Respon Pasien</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: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Nama
dan</div>
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Paraf</div>
</td>
</tr>
<tr style="height: 367.95pt; mso-yfti-irow: 1; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid black 1.0pt; height: 367.95pt; 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: 92.15pt;" valign="top" width="123">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Diagnosa I</div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<br /></div>
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
Diagnosa
II</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 367.95pt; 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: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
05 Februari 2013 </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
09.30 WIB</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
05 Februari 2013 </div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: justify; text-justify: inter-ideograph;">
10.30 WIB</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 367.95pt; 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: 205.5pt;" valign="top" width="274">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo47; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Menghitung TTV</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo47; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Memberikan posisi semifowler</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo47; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Memberikan pendidikan kesehatan tentang
mobilisasi dan hidup sehat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo47; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengobservasi keadaan lokasi nyeri.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l39 level1 lfo47; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengkaji pola penanganan pasien terhadap
nyeri.</div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo49; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Menghitung RR per menit pasien</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo49; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengkaji pola nafas pasien</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo49; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Mengajarkan pasien latihan nafas dalam.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo49; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Memberikan pendidikan kesehatan mengenai
penanganan sesak nafas.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l40 level1 lfo49; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Melatih pasien mobilisasi ringan.</div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; height: 367.95pt; 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: 205.55pt;" valign="top" width="274">
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo48; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>TD : 104/64 mmHg, N : 70 x/menit,</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
S : 36,2 <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C,<span style="mso-spacerun: yes;">
</span>RR : 26x/menit.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo48; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien merasa nyaman.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo48; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien menyatakan mengetahui pola hidup sehat.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo48; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Nyeri pada bagian dada kanan dan kiri.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l27 level1 lfo48; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien menyatakan mengalihkan nyeri dada dengan
cara duduk di kursi.</div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo50; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>RR : 26 x/menit.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo50; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien bernafas dengan perut.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo50; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Melatih pasien mengatasi sesak nafas.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo50; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasein menyatakan akan menerapkan posisi duduk
saat sesak nafas.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 115%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l61 level1 lfo50; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien mampu berjalan keliling lingkungan
sekitar.</div>
<div class="MsoNormal" style="line-height: 115%; 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; height: 367.95pt; 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="MsoListParagraph" style="line-height: 115%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
</div>
<span style="font-family: "Calibri","sans-serif"; font-size: 11.0pt; line-height: 150%; 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;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="MsoListParagraph" style="margin-left: 18.0pt; mso-add-space: auto; mso-list: l59 level1 lfo51; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Evaluasi</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-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: 63.8pt;" valign="top" width="85">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Nomor</div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Diagnosa</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: 78.0pt;" valign="top" width="104">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Tanggal dan</div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Jam</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: 269.3pt;" valign="top" width="359">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Catatan Perkembangan</div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
( SOAP / SOAPIER )</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: 2.0cm;" valign="top" width="76">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Nama dan</div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Paraf</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: 63.8pt;" valign="top" width="85">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Diagnosa I</div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Diagnosa II</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: 78.0pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
05 – 02 – 2013 </div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
09.30 WIB</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="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="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="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="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
05 – 02 – 2013 </div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
10.30 WIB</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: 269.3pt;" valign="top" width="359">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l4 level1 lfo52; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">S.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Klien menyatakan nyeri pada dada bagian kanan
dan kiri</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l33 level1 lfo53; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">O.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pasien tampak lemah, tidak mampu tidur
terlentang.</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
TD : 104/64 mmHG</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
S : 36, 2 <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
N : 70 x/menit</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
RR :26 x/menit</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l16 level1 lfo54; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Masalah belum teratasi</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l65 level1 lfo55; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">P.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Lanjutkan intervensi</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l34 level1 lfo56; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">S.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Klien menyatakan sesak nafas saat tidur
terlentang.</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l64 level1 lfo57; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">O.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>RR : 26 x/menit</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
Pasien tampak sesak nafas.</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l56 level1 lfo58; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Masalah belum teratasi</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l30 level1 lfo59; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">P.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Lanjutkan intervensi</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 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: 2.0cm;" valign="top" width="76">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<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: 63.8pt;" valign="top" width="85">
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Diagnosa I</div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
Diagnosa II</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: 78.0pt;" valign="top" width="104">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
06 – 02 – 2013 </div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
09.00 WIB</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="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="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="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;">
06 – 02 – 2013 </div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
09.00 WIB</div>
<div class="MsoNormal" style="line-height: normal; 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: 269.3pt;" valign="top" width="359">
<div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l66 level1 lfo60; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">S.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Klien menyatakan nyeri telah berkurang</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l11 level1 lfo61; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">O.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>TD : 110/70 mmHg</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
N : 62 x/menit</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
S : 36 <span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;">°</span>C</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
RR : 22 x/menit</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
Pasien tampak tenang.</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l70 level1 lfo62; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Masalah teratasi</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l58 level1 lfo63; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">P.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Intervensi selesai/pasien pulang.</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l55 level1 lfo64; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">S.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Klien menyatakan sudah tidak sesak nafas</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l29 level1 lfo65; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">O.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>RR : 22 x/menit</div>
<div class="MsoListParagraphCxSpLast" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto;">
Pasien tampak tenang, tidak tampak sesak nafas.</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l31 level1 lfo66; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Masalah teratasi</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: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-add-space: auto; mso-list: l42 level1 lfo67; text-indent: -18.0pt;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><span style="mso-list: Ignore;">P.<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Intervensi selesai/pasien pulang.</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: 2.0cm;" valign="top" width="76">
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l31 level1 lfo66; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<a href="http://www.blogger.com/blogger.g?blogID=6330742078279769511" name="_GoBack"></a><b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Pembahasan</b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l24 level1 lfo71; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Pengkajian</b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Pengkajian adalah proses
mengobservasi dan mengkaji data-data yang aktual terhadap pasien. Pengkajian
keperawatan pada seluruh tingkat analisis ( individu, keluarga, dan komunitas
), terdiri dari data subjektif dari seorang atau kelompok dan data obyektif yang
diperoleh dari hasil tes diagnostik dan sumber-sumber lain. Pengkajian individu
terdiri dari riwayat kesehatan ( data subjektif ) dan pengkajian fisik ( data
objektif ) ( Weber dan Kelly, 2007 ). Pengkajian keluarga terdiri dari
kelengkapan informasi spesifik dari keluarga ( data subyektif ) dan hasil
observasi interaksi keluarga ( data objektif ) ( Weber dan Leahey, 2005 ).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Sedangkan pengkajian
komunitas terdiri dari kelengkapan informasi dari pemberi informasi kunci di
dalam komunitas ( data subyektif ) dan data statistik ( data objektif ) (
Anderson dan McFarland, 2006 ). Kerangka pengkajian keperawatan yang telah
secara luas digunakan untuk menghasilkan diagnosis keperawatan yang akurat
adalah kerangka pola kesehatan fungsional ( Gordon, 2007 ). Kerangka ini
mencakup 11 pola individu, keluarga dan komunitas.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Dalam pengkajian pada kasus Tn. D, penulis
melakukan pengkajian dengan metoda observasi, wawancara dan diagnostik. Penulis
menggunakan konsep aktual, yaitu menggunakan data-data terbaru pasien yang
kemudian dikoordinasikan dengan tahap keperawatan lainnya. Kesulitan yang
didapatkan dalam proses pengkajian ini adalah minimnya bahan berupa data
ataupun buku mengenai Infark Miokard Akut yang dinilai masih belum memenuhi
kebutuhan penulis. Kemudahan dalam pengkajian ini adalah terjalinnya kerjasama
yang baik antara perawat dan pasien dalam hal pengkajian sehingga sedikit
banyak telah membantu dalam melengkapi proses pengkajian.</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l24 level1 lfo71; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Diagnosa
Keperawatan</b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Pada respon manusia, ada
hal yang sangat bertumpang tindih untuk mendiagnosis dan banyak faktor penting,
misalnya budaya yang dapat mengubah perspektif tentang diagnosis telah
memverifikasi banyak penelitian bahwa interpretasi terhadap kasus klinis
memiliki potensi kurang akurat dari yang diindikasikan oleh data ( Lunney, 2008
). Diagnosa keperawatan adalah suatu proses dimana semua data yang ada dari
tahap pengkajian dipilah kedalam analisis data kemudian ditentukan prioritas
masalah yang ada, selanjutnya dari prioritas yang ada dirumuskanlah diagnosa
keperawatan berdasarkan prioritas ( Problem, Etiologi, Syntom ). ( NANDA, 2010
)</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Dalam kasus Tn. D penulis memilah antara
diagnosa proritas dan non prioritas. Penulis mengangkat Nyeri dan Gangguan
Pertukaran Gas sebagai prioritas yang ditemukan pada pasien dana diangkat dalam
asuhan keperawatan. Kesulitan dalam perumusan diagnosa adalah terbatasnya
sumber daya ilmu pengetahuan mengenai Infark Miokard Akut. Kemudahan yang
ditemukan adalah adanya kerjasama dari Pembimbing RS Doris Sylvanus dalam
membantu membimbing penulis menentukan diagnosa yang akan diangkat kedalam
asuhan keperawatan.</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l24 level1 lfo71; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Intervensi
Keperawatan</b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Diagnosis keperawatan yang
valid dan akurat menentukan sensitivitas perawat tentang hasil yang diharapkan.
Hasil yang diharapkan tersebut menjadi petunjuk dalam menyeleksi intervensi
yang mungkin menghasilkan efek pengobatan yang diharapkan. Intervensi
keperawatan merupakan tahap dimana perawat akan secara kritis menentukan
rencana tindakan keperawatan secara prioritas terhadap pasien, yang kemudian
mejadi tolak ukur suatu asuhan keperawatan. Secara garis besar intervensi
adalah tahap kritis dimana perawat diminta untuk menentukan rencana apa yang
akan diberikan, kemudian dari semua rencana itu haruslah bekejasama terhadap
tenaga kesehatan lain guna mendapatkan hasil yang maksimal ( Johnson et al,
2006 ).</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Dalam tahap perencanaan pada kasus Infark
Miokar Akut pada Tn. D , penulis menggunakan perencanaan yang bersifat
prioritas yang digunakan untuk mengurangi/menghilangkan keluhan utama pada
pasien. Kesulitan pada tahap ini adalah terbatasnya sarana dan prasarana yang
ada guna menunjang tindakan intervensi keperawatan ini. Kemudahan yang
ditemukan adalah adanya kolaborasi yang baik antara penulis dan Perawat Senior
di Ruang ICCU dalam menuntun penulis guna menetapkan perencanaan yang dinilai
sesuai.</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l24 level1 lfo71; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Implementasi
Keperawatan</b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Implementasi keperawatan
adalah tahap final dari sebuah asuhan keperawatan sebelum evaluasi. Pada tahap
ini semua rencana tindakan yang prioritas dan non prioritas akan diterapkan dan
dilaksanakan terhadap pasien. Sekali lagi dalam tahap ini dituntut sikap
kompeten dari tenaga kesehatan guna mendapatkan hasil memuaskan dan maksimal
dari tahap pengkajian, perumusan diagnosa hingga intervensi yang sudah
ditetapkan ( Crosseti dan Saurin, 2006 ).</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Dalam tahap ini kesulitan yang ada adalah
ada beberapa rencana tindakan non prioritas yang belum terlaksana atau belum
mendapatkan hasil yang memuaskan dikarenakan keterbatasan waktu keperawatan.
Kemudahan yang didapatkan pada tahap ini adalah adanya kerjasama dari CI dalam
melakukan tindakan yang dinilai perlu dan prioritas.</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l24 level1 lfo71; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Evaluasi
</b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Evaluasi merupakan tahap
akhir dimana tindakan mulai dari pengkajian hingga pelaksanaan akan dilakukan
penilaian pencapaian tingkat keberhasilannya. Pada tahap semua tindakan akan
dikembangkan guna mengetahui letak kekurangan dan kelebihan pada asuhan
keperawatan. Tingkat keberhasilan yang tinggi serta kemajuan dalam pola
perubahan kesehatan merupakan hasil yang paling diharapkan oleh tenaga
kesehatan<span style="mso-spacerun: yes;"> </span>( Minthorn, 2006 ).</div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Pada tahap ini penulis
telah melakukan penilaian atas kinerja yang dicapai dan masuk dalam kategori
memuaskan. Tahap pengkajian hingga pelaksanaan telah sedikit banyak membantu
pasien dalam meningkatkan pola kesehatannya.</div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Pada tahap ini tidak ditemukan kesulitan.
Kemudahan yang didapatkan adalah adanya bantuan oleh perawat Ruang ICCU dalam
hal evaluasi hasil kinerja yang telah dicapai.</div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;">BAB IV<br />
KESIMPULAN DAN SARAN</b></div>
<div class="MsoListParagraph" style="line-height: 150%; margin-left: 18.0pt; mso-add-space: auto; mso-list: l12 level1 lfo70; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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;">Kesimpulan</b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">IMA (infark
miokard akut) Merupakan salah satu penyakit yang di akibatkan karena
berkurangnya suplai oksigen kejaringan .sehingga kematian sel-sel mikardium
yang terjadi akibat kekurangan oksigen berkepanjangan .</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Selain itu
,serangan jantung terjadi jika ada suatu sumbatan pada arteri koroner
menyebabkan terbatasnya atau terputusnya aliran darah kesuatu bagian dari
jantung .dimana arteri koroner kiri memperdarahi sebagian besar ventrikel kiri,
septum dan arteri kiri serta arteri kanan memperdarahi sisi diafragmatik
ventrikel kiri sedikit bagian posterior septum dan vetrikel serta antrium kanan
.</span><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Akan tetapi , IMA (infark miokard akut) bisa
diatasi .apabila ,perawat atupun tim medis segera melakukan tindakan kepada
kliennya untuk cepat tanggap terhadap gejala-gejala yang ditimbulkan dalam IMA
ini .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-justify: inter-ideograph;">
<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; mso-list: l12 level1 lfo70; text-align: justify; text-indent: -18.0pt; text-justify: inter-ideograph;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin;"><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="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";">Saran</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify; text-indent: 36.0pt; text-justify: inter-ideograph;">
Sebaiknya
, untuk menghindari penyakit IMA ini .maka hindarilah hal-hal yang dapat
menyebabkan fungsi otot jantung terganggu ,dengan melakukan pola nafas efektif
dengan baik karena penyakit ini cukup membahayakan bagi tubuh dalam menjalankan
aktivitas sehari-hari .<span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; mso-fareast-font-family: "Times New Roman";"></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;">Daftar Pustaka</b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
Corwin, J Elisabeth. 2009. Buku
Saku Patofisiologi. Jakarta : EGC.</div>
<div class="MsoNormal" style="line-height: 150%;">
NANDA. 2010. Nursing Diagnoses :
definitions and classification. Jakarta : EGC</div>
<div class="MsoNormal" style="line-height: 150%;">
Price and Wilson. 2005.
Patofisiologi. Edisi 6. Jakarta : EGC.</div>
<div class="MsoNormal" style="line-height: 150%;">
Smeltzer and Bare. 2008. Buku Ajar
Keperawatan Medikal Bedah. Jakarta : EGC.</div>
<div class="MsoNormal" style="line-height: 150%;">
Suryono, Bambang dkk. 2005. Ilmu
Penyakit Dalam. Jakarta : EGC.</div>
<div class="MsoNormal" style="line-height: 150%;">
WWW. Us. Elsevierhealth. Com. 2004.
Nursing Diagnosis : A Guide to Planning Care. Fifth Edition.</div>
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</xml><![endif]--><!--[if gte mso 10]>
<style>
/* Style Definitions */
table.MsoNormalTable
{mso-style-name:"Table Normal";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-noshow:yes;
mso-style-priority:99;
mso-style-qformat:yes;
mso-style-parent:"";
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-para-margin-top:0cm;
mso-para-margin-right:0cm;
mso-para-margin-bottom:10.0pt;
mso-para-margin-left:0cm;
line-height:115%;
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;}
table.MsoTableGrid
{mso-style-name:"Table Grid";
mso-tstyle-rowband-size:0;
mso-tstyle-colband-size:0;
mso-style-priority:59;
mso-style-unhide:no;
border:solid black 1.0pt;
mso-border-themecolor:text1;
mso-border-alt:solid black .5pt;
mso-border-themecolor:text1;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;
mso-border-insideh:.5pt solid black;
mso-border-insideh-themecolor:text1;
mso-border-insidev:.5pt solid black;
mso-border-insidev-themecolor:text1;
mso-para-margin:0cm;
mso-para-margin-bottom:.0001pt;
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;}
</style>
<![endif]--><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1107"/>
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1"/>
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</o:shapelayout></xml><![endif]-->Anonymoushttp://www.blogger.com/profile/03310852569455236748noreply@blogger.com0