ASKEP MIinggu Ke 3 Rosanty Simamora (KMB 1)

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}}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx5760 \itap0 \rtlch \fcs1 \af8 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \
li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \tql \tx5167 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \
adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1025 \ul1 OLEH:}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \ul1 \par }\pard \plain \qc \li0 \
ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 \ul1 NAMA : ROSANTY MARLYANA SIMAMORA}{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \ul1 \
par }\pard \plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \ul1 NIM :1902028}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \ul1 \par }\
pard \plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22
\rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 \ul1 PRODI : D III KEPERAWATAN}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \ul1 \par }\
pard \plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22
\langfe1033 \langfenp1033 \alang1025 \ul1 DOSEN PEMBIMBING : DEBORA SIMAMORA
SKM,M.KM}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \ul1 \par }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \
sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
alang1025 {\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch
alang1025 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 PROGRAM STUDI D-III
KEPERAWATAN}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \
sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \
rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \
hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\
SEKOLAH TINGGI ILMU KESEHATAN KESEHATAN BARU}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
\b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
alang1025 JALAN BUKIT INSPIRASI SIPALAKKI DOLOKSANGGUL}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 KABUPATEN HUMBANG HASUNDUTAN}{\rtlch \fcs1 \af0
\afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \
plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 TAHUN 2022}{\rtlch \fcs1 \af0 \
li0 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \sb240 \
alang1025 BAB I}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \sb240 \
alang1025 TINJAUAN TEORITIS MEDIS}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \fi-360 \li1353 \ri0 \
sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1353 \rin0 \itap0 \ls1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 1.1\
tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \
dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 Defenisi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi567 \li1134 \
langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 Penyakit refluks gastroesofageal (}{\rtlch \
fcs1 \af0 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
Gastroesophageal Reflux Disease}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1025 /GERD) didefinisikan sebagai suatu keadaan patologis
sebagai akibat refluks kandungan lambung ke dalam esofagus yang menimbulkan
berbagai gejala yang mengganggu }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \i1 \fs24 \
langfe1033 \langfenp1033 \alang1025 (troublesome) }{\rtlch \fcs1 \af0 \afs24 \ltrch
langnp1033 \langfe1033 \langfenp1033 \alang1025 di esofagus maupun ekstra esofagus
dan atau komplikasi (Susanto,2012).}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Gastroesophageal reflux disease (GERD)
merupakan suatu keadaan melemahnya Lower Esophageal Sphincter (LES) yang
mengakibatkan terjadinya refluks cairan asam lambung ke dalam esofagus.(Saputra.
2017)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s24 \qj \fi720 \li1268 \ri209 \sb240 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \nowidctlpar \adjustright \lin1268 \rin209 \itap0 \rtlch \fcs1 \
loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Definisi
GERD menurut Konsensus Nasional Penatalaksanaan Penyakit Refluks Gastroesofageal di
Indonesia tahun 2013 adalah suatu gangguan berupa isi lambung mengalami refluks
berulang ke dalam esofagus, menyebabkan gejala dan/atau komplikasi yang
mengganggu.1 GERD adalah suatu keadaan patologis akibat refluks kandungan lambung
ke dalam esophagus dengan berbagai gejala akibat keterlibatan esofagus, faring,
laring dan saluran napas. (Saputra. 2017)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi567 \li1134 \
adjustright \lin1134 \rin209 \itap0 \rtlch
\fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Sedangkan
menurut American College of Gastroenterology, GERD is a physical condition in which
acid from the stomach flows backward up into the esofagus.3 Jadi, GERD adalah
suatukeadaan patologis di mana cairan asam lambung mengalami refluks sehingga masuk
ke dalam esofagus dan menyebabkan gejala.(Saputra.2017)}{\rtlch \fcs1 \af0 \afs24 \
ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \
qj \fi567 \li1134 \ri209 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1134 \rin209 \itap0 \rtlch \fcs1 \af8 \afs22 \
ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs24
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 GERD (}{\rtlch \fcs1 \af0
\afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Gastroesofageal
Reflux Disease}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 ) adalah suatu penyakit yang jarang terdiagnosis oleh
dokter di Indonesia karena bila belum menimbulkan keluhan yang berat seperti
refluks esofagitis dokter belum bisa mendiagnosa. Refluks gastroesofagus adalah
masuknya isi lambung ke dalam esofagus yang terjadi secara intermiten pada orang,
terutama setelah makan (Asroel,2002).}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langfe1033 \langfenp1033 \alang1025 Penyakit refluks gastroesofageal (}{\rtlch \
Gastroesophageal Reflux Disease}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 /GERD) didefinisikan sebagai suatu keadaan patologis
sebagai akibat refluks kandungan lambung ke dalam esofagus yang menimbulkan
berbagai gejala yang mengganggu }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \i1 \fs24 \
langfe1033 \langfenp1033 \alang1025 (troublesome) }{\rtlch \fcs1 \af0 \afs24 \ltrch
langnp1033 \langfe1033 \langfenp1033 \alang1025 di esofagus maupun ekstra esofagus
dan atau komplikasi (Susanto, 2002).}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Pada orang normal, }{\rtlch \fcs1 \af0 \afs24 \
ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 refluks }{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 ini terjadi
pada posisi tegak sewaktu habis makan. Karena sikap posisi tegak tadi dibantu oleh
adanya kontraksi peristaltik primer, isi lambung yang mengalir masuk ke esofagus
segera dikembalikan ke lambung. Refluks sejenak ini tidak merusak mukosa esofagus
dan tidak menimbulkan keluhan atau gejala. Oleh karena itu, dinamakan }{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 refluks }
{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
fisiologis. Keadaan ini baru dikatakan patologis, bila }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 refluks }{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 terjadi
berulang-ulang yang menyebabkan esofagus distal terkena pengaruh isi lambung untuk
waktu yang lama. Istilah esofagitis }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \i1 \
\langfe1033 \langfenp1033 \alang1025 refluks }{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 berarti{\*\bkmkstart _GoBack}{\*\
bkmkend _GoBack} kerusakan esofagus akibat }{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 refluks }{\rtlch \fcs1 \af0 \
afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 cairan lambung, seperti
erosi dan ulserasi epitel skuamosa esofagus (Susanto, 2012).}{\rtlch \fcs1 \af0 \
qj \fi567 \li1134 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch
\fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \fi-360 \
li1353 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin1353 \rin0 \itap0 \ls1 \rtlch \fcs1 \af8 \afs22 \ltrch \
alang1025 Anatomi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \fi-360 \li1778 \ri0 \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 1.\
alang1025 Esofagus}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
\langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Bagian saluran pencernaan ini merupakan tabung
otot yang berfungsi menyalurkan makanan dari mulut ke lambung. Esofagus diselaputi
oleh epitel berlapis gepeng tanpa tanduk. Pada lapisan submukosa terdapat
kelompokan kelenjar-kelenjar esofagea yang mensekresikan mukus. Pada bagian ujung
distal esofagus, lapisan otot hanya terdiri sel-sel otot polos, pada bagiantengah,
campuran sel-sel otot lurik dan polos, dan pada ujung proksimal, hanya sel-sel otot
lurik.}{\rtlch \fcs1 \af0 \afs24 \ltrch
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-360
\li1778 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin1778 \rin209 \tql \tx1475 \itap0 \ls2 \rtlch \fcs1 \af8 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard \plain \
hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2
2.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \
alang1025 Lambung}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Lambung merupakan segmen saluran pencernaan
yang melebar, yang fungsi utamanya adalah menampung makanan yang telah dimakan,
mengubahnya menjadi bubur yang liat yang dinamakan kimus (chyme). Permukaan lambung
ditandai oleh adanya peninggian atau lipatan yang dinamakan rugae. Invaginasi
epitel pembatas lipatan-lipatan tersebut menembus lamina propria, membentuk alur
mikroskopik yang dinamakan gastric pits atau foveolae gastricae. Sejumlah
kelenjar-kelenjar kecil, yang terletak di dalam lamina propria, bermuara ke dalam
dasar gastric pits ini. Epitel pembatas ketiga bagian ini terdiri dari sel-sel
toraks yang mensekresi mukus. Lambung secara struktur histologis dapat dibedakan
menjadi: kardia, korpus, fundus, danpylorus.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
\fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
alang1025 Etiologi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s24 \qj \li1560 \ri209 \
sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1560 \rin209
\itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
af2 \hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 {\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 Menurut Saputra (2017), beberapa penyebab terjadinya GERD meliputi:}{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par
}\pard \plain \s26 \qj \fi-282 \li1560 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin1560 \rin209 \tql \tx2008 \itap0 \ls3 \
ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \
alang1025 {\listtext \pard \plain \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
langfe1033 \langfenp1033 \alang1025 \f5 \'b7\'00\tab }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Menurunnya tonus LES }{\
rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \
(Lower EsophagealSphincter)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-282 \li1560 \ri209 \
\tql \tx2008 \itap0 \ls3 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
langfe1033 \langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \fcs1 \af8 \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f5 \'b7\'00\tab }{\
Bersihan asam dari lumen esofagus menurun}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-282 \li1560 \
lin1560 \rin209 \tql \tx2008 \itap0 \ls3 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \
f5 \'b7\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Ketahanan epitel esofagusmenurun}{\rtlch \fcs1 \af0 \
qj \fi-282 \li1560 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin1560 \rin209 \tql \tx2008 \itap0 \ls3 \ilvl3 \rtlch \fcs1 \af8 \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard \
plain \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \
alang1025 \f5 \'b7\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Bahan refluksat mengenai dinding esofagus yaitu
Ph <2, adanya pepsin, garam empedu, HCL}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langfenp1033 \alang1025 Kelainan padalambung}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi0 \
lin1260 \rin209 \itap0 \ls3 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
Infeksi H. Pylori dengan corpus predominan gastritis}{\rtlch \fcs1 \af0 \afs24 \
qj \fi0 \li1260 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1025 \f5 \'b7\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Non acid refluks (refluks gas)
menyebabkanhipersensitivitas}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi0 \li1260 \ri0 \
sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1260 \rin0 \
itap0 \ls4 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Alergi makanan atau tidak
bisa menerima makanan juga membuat refluks}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1260 \
rin0 \itap0 \ls4 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \fcs1 \af8 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f5 \'b7\'00\tab }{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Mengkonsumsi
makanan berasam, coklat, minuman berkafein dan berkarbonat, alkohol, merokok, dan
obat-obatan yangbertentangan dengan fungsi esophageal sphincter bagian bawah
termasuk yang memiliki efek antikolinergik (seperti beberapa antihistamin),
penghambat saluran kalsium, progesteron, dan nitrat}{\rtlch \fcs1 \af0 \afs24 \
langfenp1033 \alang1025 Kelaianan anatomi, seperti penyempitan kerongkongan (Yusuf,
2015)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s26 \li1134 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
s26 \fi0 \li990 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin990 \rin0 \itap0 \ls1 \rtlch \fcs1 \af8 \afs22 \
1.4\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Klasifikasi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s24 \qj \li1134 \ri209 \
alang1025 Manifestasi klinis GERD dapat berupa gejala yang tipikal (esofagus) dan
gejala atipikal (ekstraesofagus). Gejala GERD 70 % merupakan tipikal, yaitu :}{\
}\pard \plain \s26 \qj \fi0 \li1134 \ri124 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
langfe1033 \langfenp1033 \alang1025 \f0 1.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Heart Burn}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 , yaitu sensasi terbakar
di daerah retrosternal. Gejala heartburn adalah gejalatersering.}{\rtlch \fcs1 \af0
\afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \
s26 \qj \fi0 \li1134 \ri128 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin1134 \rin128 \tql \tx1456 \itap0 \ls5 \ilvl3 \rtlch \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\
listtext \pard \plain \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
\ltrch \dbch \af2 \hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1025 \f0 2.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Regurgitasi, yaitu kondisi dimana material
lambung terasa di faring. Kemudian mulut terasa asam danpahit.}{\rtlch \fcs1 \af0 \
alang1025 \f0 3.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Disfagia. Biasanya terjadi oleh karena
komplikasi berupa striktur (Yusuf, 2009)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 Gejala Atipikal :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi0 \li1134 \ri0 \
tql \tx1460 \itap0 \ls6 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
\langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \fcs1 \af8 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 1.\tab }{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Batuk kronik dan
kadangwheezing}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033
\alang1025 \par }\pard \plain \s26 \qj \fi0 \li1134 \ri0 \sb240 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \nowidctlpar \adjustright \lin1134 \rin0 \tql \tx1460 \itap0 \ls6 \
langfe1033 \langfenp1033 \alang1025 Suaraserak}{\rtlch \fcs1 \af0 \afs24 \ltrch \
lin1134 \rin0 \tql \tx1460 \itap0 \ls6 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
Pneumonia}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s26 \qj \fi0 \li1134 \ri0 \sb240 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \nowidctlpar \adjustright \lin1134 \rin0 \tql \tx1460 \itap0 \ls6 \
langfe1033 \langfenp1033 \alang1025 Fibrosisparu}{\rtlch \fcs1 \af0 \afs24 \ltrch \
Bronkiektasis}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
langfe1033 \langfenp1033 \alang1025 Nyeri dada nonkardiak (Yusuf, 2009). Gejala
lain:}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s26 \qj \fi0 \li1134 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin1134 \rin0 \tql \tx1460 \itap0 \ls7 \rtlch \
langfe1033 \langfenp1033 \alang1025 Penurunan beratbadan}{\rtlch \fcs1 \af0 \
adjustright \lin1134 \rin0 \tql \tx1460 \itap0 \ls7 \rtlch \fcs1 \af8 \afs22 \ltrch
Anemia}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 Hematemesis ataumelenaOdinofagia
(Bestari,2011)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s26 \li720 \ri0 \sb240 \lisb0 \sa160 \
alang1025 \par }\pard \plain \s26 \fi-360 \li1353 \ri0 \sb240 \lisb0 \sa160 \
langfe1033 \langfenp1033 \alang1025 \f2 1.5\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Patofisiologi}{\rtlch \fcs1 \af0 \
nowidctlpar \adjustright \lin1134 \rin209 \itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Kondisi penyakit refluks
gastroesofagus atau GERD (gastroesophageal reflux disease) disebabkan aliran balik
(refluks) isi lambung ke dalam esophagus.GERD sering kali disebut nyeri ulu hati
(heartburn) karena nyeri yang terjadi ketika cairan asam yang normalnya hanya ada
di lambung, masuk dan mengiritasi atau menimbulkan rasa seperti terbakar di
esophagus.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s24 \qj \fi240 \li1134 \ri209 \sb240 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1134 \rin209 \itap0 \rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Refluks
gastroesofagus biasanya terjadi setelah makan dan disebabkan melemahnya tonus
sfingter esophagus atau tekanan di dalam lambung yang lebih tinggi dari
esophagus.Dengan kedua mekanisme ini, isi lambung yang bersifat asam bergerak masuk
ke dalam esophagus.}{\rtlch
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\
pard \plain \s24 \qj \fi240 \li1134 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin1134 \rin209 \itap0 \rtlch \fcs1 \af8 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Isi lambung dalam
keadaan normal tidak dapat masuk ke esofagus karena adanya kontraksi sfingter
esofagus (sfingter esofagus bukanlah sfingter sejati, tetapi suatu area yang tonus
ototnya meningkat). Sfingter ini normalnya hanya terbuka jika gelombang peristaltik
menyalurkan bolus makanan ke bawah esofagus. Apabila hal ini terjadi, otot polos
sfingter melemas dan makanan masuk ke dalam lambung. Sfingter esofagus seharusnya
tetap dalam keadaan tertutup kecuali pada saat ini, karena banyak organ yang berada
dalam rongga abdomen, menyebabkan tekanan abdomen lebih besar daripada tekanan
toraks. Dengan demikian, ada kecenderungan isi lambung terdorong ke dalam esofagus.
Akan tetapi, jika sfingter melemah atau inkompeten, sfingter tidak dapat mnutup
lambung. Refluks akan terjadi dari daerah bertekanan tinggi (lambung) ke daerah
bertekanan rendah (esofagus). Episode refluks yang berulang dapat memperburuk
kondisi karena menyebabkan inflamasi dan jaringan parut di area bawahesofagus.}{\
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alang1025 Manifestasi Klinis}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-360 \li1494 \
Rasa panas/ tebakar pada esofagus(pirosis)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Muntah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s26 \qj \fi-360 \li1494 \ri209 \sb240 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1494 \rin209 \tql \tx2610 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Nyeri di belakang tulang payudara
atau persis di bawahnya, bahkan menjalar ke leher, tenggorokan, dan wajah, biasanya
timbul setelah makan atau ketikaberbaring}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Kesulitan menelan makanan (osinofagia) karena adanya penyempitan (stricture) pada
kerongkongan darireflux.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Tukak esofageal peptik yaitu luka terbuka pada lapisan kerongkongan, bisa
dihasilkan dari refluks berulang. Bisa menyebabkan nyeri yang biasanya berlokasi di
belakang tulang payudara atau persis di bawahnya, mirip dengan lokasi panas
dalamperut.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Nafas yang pendek dan berbunyi
mengik karena ada penyempitan pada saluran udara}{\rtlch \fcs1 \af0 \afs24 \ltrch \
7.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 Suara parau}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \alang1025 Ludah berlebihan (waterbrash)}{\
langfe1033 \langfenp1033 \alang1025 Rasa bengkak pada tenggorokan (rasaglobus)}{\
langfe1033 \langfenp1033 \alang1025 Terjadi peradangan pada sinus(sinusitis)}{\
langfe1033 \langfenp1033 \alang1025 Gejala lain : pertumbuhan yang buruk, kejang,
nyeri telinga (pada anak)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Peradangan pada kerongkongan (esophagitis) bisa menyebabkan pendarahan yang
biasanya ringan tetapi bisa jadi besar. Darah kemungkinan dimuntahkan atau keluar
melalui saluran pencernaan, menghasilkan kotoran berwarna gelap, kotoran berwarna
ter (melena) atau darah merah terang, jika pendarahan cukupberat.}{\rtlch \fcs1 \
plain \s26 \qj \fi-360 \li1494 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin1494 \rin209 \tql \tx2610 \itap0 \ls8 \rtlch \fcs1 \
loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \
pard \plain \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 Dengan iritasi lama pada bagian bawah
kerongkongan dari refluks berulang, lapisan sel pada kerongkongan bisa berubah
(menghasilkan sebuah kondisi yang disebut kerongkongan Barrett). Perubahan bisa
terjadi bahkan pada gejala-gejala yang tidak ada. Kelainan sel ini adalah sebelum
kanker dan berkembang menjadi kanker pada beberapaorang.}{\rtlch \fcs1 \af0 \
fi-567 \li1134 \ri209 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1134 \rin209 \itap0 \ls1 \rtlch \fcs1 \af8 \afs22
\ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8 \
1.8\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Pemeriksaan Penunjang}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Endoskopi}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s24 \qj \li1134
\ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1134
\rin209 \itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
\dbch \af2 \hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 Dewasa ini endoskopi merupakan pemeriksaan pertama yang dipilih oleh
evaluasi pasien dengan dugaan PRGE. Namun harus diingat bahwa PRGE tidak selalu
disertai kerusakan mukosa yang dapat dilihat secara mikroskopik dan dalam keadaan
ini merupakan biopsi. Endoskopi menetapkan tempat asal perdarahan, striktur, dan
berguna pula untuk pengobatan (dilatasiendoskopi).}{\rtlch \fcs1 \af0 \afs24 \ltrch
\li2061 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
lin2061 \rin0 \tql \tx2610 \itap0 \ls1 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0
\fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8 \lang1033 \
Radiologi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s24 \qj \li1134 \ri238 \sb240 \lisb0 \sa0 \lisa0 \
Pemeriksaan ini kurang peka dan seringkali tidak menunjukkan kelainan, terutama
pada kasus esofagitis ringan. Di samping itu hanya sekitar 25 % pasien PRGE
menunjukkan refluks barium secara spontan pada pemeriksaan fluoroskopi. Pada
keadaan yang lebih berat, gambar radiologi dapat berupa penebalan dinding dan
lipatan mukosa, tukak, atau penyempitan lumen.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\li2061 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright
\lin2061 \rin209 \tql \tx2610 \itap0 \ls1 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \
TesProvokatif}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
langfe1033 \langfenp1033 \alang1025 \f2 A.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Tes Perfusi Asam (Bernstein) untuk
mengevaluasi kepekaan mukosa esofagus terhadap asam. Pemeriksaan ini dengan
menggunakan HCL 0,1 % yang dialirkan ke esofagus. Tes Bernstein yang negatif tidak
memiliki arti diagnostik dan tidak bisa menyingkirkan nyeri asal esofagus. Kepekaan
tes perkusi asam untuk nyeri dada asal esofagus menurut kepustakaan berkisar
antara80-90%.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
langfe1033 \langfenp1033 \alang1025 \f2 B.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 TesEdrofonium}{\rtlch \fcs1 \af0 \
qj \li1418 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
langfe1033 \langfenp1033 \alang1025 Tes farmakologis ini menggunakan obat
endrofonium yang disuntikan intravena. Dengan dosis 80 \uc1 \u181 ?g/kg berat badan
untuk menentukan adanya komponen nyeri motorik yang dapat dilihat dari rekaman
gerak peristaltik esofagus secara manometrik untuk memastikan nyeri dada
asalesofagus.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
itap0 \ls1 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pengukuran pH dan
tekananesofagus}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s24 \qj \li1134 \ri209 \sb240 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1134 \rin209 \itap0 \rtlch
\fcs1 \af8 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0
\loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1
\f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pengukuran pH pada
esofagus bagian bawah dapat memastikan ada tidaknya RGE, pH dibawah 4 pada jarak 5
cm diatas SEB dianggap diagnostik untuk RGE. Cara lain untuk memastikan hubungan
nyeri dada dengan RGE adalah menggunakan alat yang mencatat secara terus menerus
selama 24 jam pH intra esofagus dan tekanan manometrik esofagus. Selama rekaman
pasien dapat memeberi tanda serangan dada yang dialaminya, sehingga dapat dilihat
hubungan antara serangan dan pH esofagus/gangguan motorik esofagus. Dewasa ini tes
tersebut dianggap sebagai gold standar untuk memastikan adanyaPRGE.}{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Tes Gastro-EsophagealScintigraphy}{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \
s24 \qj \li1134 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
langfe1033 \langfenp1033 \alang1025 Tes ini menggunakan bahan radio isotop untuk
penilaian pengosongan esofagus dan sifatnya non invasif (Djajapranata, 2001).}{\
}\pard \plain \s26 \qj \li1134 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin1134 \rin209 \tql \tx2610 \itap0 \rtlch \fcs1 \af8 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 PemeriksaaanEsofagogram
Pemeriksaan ini dapat menemukan kelainan berupa penebalan lipatan mukosa esofagus,
erosi, dan striktur.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
\ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \
sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1134 \rin209 \tql \
tx2610 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
TesPPI}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
af0 \loch \f8 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \alang1025 Diagnosis ini menggunakan PPI
dosis ganda selama 1-2 minggu pada pasien yang diduga menderita GERD. Tes positif
bila 75% keluhan hilang selama satu minggu. Tes ini mempunyai sensitivitas 75%.}{\
langnp1033 \langfe1033 \langfenp1033 \alang1025 Manometri esofagus}{\rtlch \fcs1 \
plain \s26 \qj \li1134 \ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Tes ini untuk menilai
pengobatan sebelum dan sesudah pemberian terapi pada pasien NERD. Pemeriksaan ini
juga untuk menilai gangguan peristaltik/motilitas esofagus.}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 Histopatologi}{\rtlch \fcs1 \af0 \afs24 \
adjustright \lin1134 \rin209 \tql \tx2970 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Pemeriksaan untuk menilai adanya
metaplasia, displasia atau keganasan. Tetapi bukan untuk memastikan NERD (Yusuf,
2009).}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
sl360 \slmult1 \nowidctlpar \adjustright \lin1134 \rin209 \tql \tx2970 \itap0 \
}\pard \plain \s26 \fi-360 \li1353 \ri209 \sb240 \lisb0 \sa160 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1353 \rin209 \itap0 \ls1 \
langfenp1033 \alang1025 \f2 1.9\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 Penatalaksanaan}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 Pada berbagai penelitian terbukti bahwa respons
perbaikan gejala menandakan adanya respons perbaikan lesi organiknya (perbaikan
esofagitisnya).Hal ini tampaknya lebih praktis bagi pasien dan cukup efektif dalam
mengatasi gejala pada tatalaksana GERD.Berikut adalah obat-obatan yang dapat
digunakan dalam terapi medikamentosa GERD:}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 {\uc1
\u45 ?}\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Antasid. Golongan obat ini cukup efektif dan aman dalam
menghilangkan gejala GERD tetapi tidak menyembuhkan lesi esofagitis. Selain sebagai
buffer terhadap HCl, obat ini dapat memperkuat tekanan sfingter esophagus bagian
bawah. Kelemahan obat golongan ini adalah rasanya kurang menyenangkan, dapat
menimbulkan diare terutama yang mengandung magnesium serta konstipasi terutama
antasid yang mengandung aluminium, penggunaannya sangat terbatas pada pasien dengan
gangguan fungsiginjal.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfenp1033 \alang1025 Antagonis reseptor H2. Yang termasuk dalam golongan obat
ini adalah simetidin, ranitidine, famotidin, dan nizatidin. Sebagai penekan sekresi
asam, golongan obat ini efektif dalam pengobatan penyakit refluks gastroesofageal
jika diberikan dosis 2 kali lebih tinggi dan dosis untuk terapi ulkus. Golongan
obat ini hanya efektif pada pengobatan esofagitis derajat ringan sampai sedang
serta tanpa komplikasi.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfenp1033 \alang1025 Obat-obatan prokinetik. Secara teoritis, obat ini paling
sesuai untuk pengobatan GERD karena penyakit ini lebih condong kearah gangguan
motilitas. Namun, pada prakteknya, pengobatan GERD sangat bergantung pada penekanan
sekresiasam.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\loch \af8 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 -Metoklopramid. Obat ini
bekerja sebagai antagonis reseptor dopamine. Efektivitasnya rendah dalam mengurangi
gejalaserta tidak berperan dalam penyembuhan lesi di esophagus kecuali dalam
kombinasi dengan antagonis reseptor H2 atau penghambat pompa proton. Karena melalui
sawar darah otak, maka dapat timbul efek terhadap susunan saraf pusat berupa
mengantuk, pusing, agitasi, tremor, dandiskinesia.}{\rtlch \fcs1 \af0 \afs24 \ltrch
{\uc1 \u45 ?}\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Domperidon. Golongan obat ini adalah antagonis reseptor
dopamine dengan efek samping yang lebih jarang disbanding metoklopramid karena
tidak melalui sawar darah otak.Walaupun efektivitasnya dalam mengurangi keluhan dan
penyembuhan lesi esophageal belum banyak dilaporkan, golongan obat ini diketahui
dapat meningkatkan tonus LES serta mempercepat pengosongan lambung.}{\rtlch \fcs1 \
nowidctlpar \adjustright \lin1134 \rin209 \tql \tx3188 \itap0 \ls11 \rtlch \fcs1 \
alang1025 \f0 {\uc1 \u45 ?}\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Cisapride. Sebagai suatu antagonis reseptor 5
HT4, obat ini dapat mempercepat pengosongan lambung serta meningkatkan tekanan
tonus LES. Efektivitasnya dalam menghilangkan gejala serta penyembuhan lesi
esophagus lebih baik dibandingkan dengan domperidon.}{\rtlch \fcs1 \af0 \afs24 \
{\uc1 \u45 ?}\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Sukralfat (Aluminium hidroksida + sukrosa oktasulfat).
Berbeda dengan antasid dan penekan sekresi asam, obat ini tidak memiliki efek
langsung terhadap asam lambung. Obat ini bekerja dengan cara meningkatkan
pertahanan mukosa esophagus, sebagai buffer terhadap HCl di eesofagus serta dapat
mengikat pepsin dan garam empedu. Golongan obat ini cukup aman diberikan karena
bekerja secara topikal(sitoproteksi).}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langfe1033 \langfenp1033 \alang1025 Penghambat pompa proton (Proton Pump
Inhhibitor/PPI). Golongan obat ini merupakan drug of choice dalam pengobatan GERD.
Golongan obat-obatan ini bekerja langsung pada pompa proton sel parietal dengan
mempengaruhi enzim H, K ATP-ase yang dianggap sebagai tahap akhir proses
pembentukan asam lambung.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 Komplikasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
alang1025 Komplikasi GERD antara lain :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Esofagus barret, yaitu perubahan epitel skuamosa menjadi kolumner metaplastik.}{\
slmult1 \nowidctlpar \adjustright \lin1560 \rin209 \tql \tx1800 \itap0 \ls12 \rtlch
\loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \
langfe1033 \langfenp1033 \alang1025 Esofagitisulseratif}{\rtlch \fcs1 \af0 \afs24 \
alang1025 Perdarahan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-390 \li1560 \ri209 \sb240 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1560 \rin209 \tql \
tx1800 \itap0 \ls12 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langnp1033
\langfe1033 \langfenp1033 \alang1025 \f0 4.\tab }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Striktur esophagus}{\
slmult1 \nowidctlpar \adjustright \lin1560 \rin209 \tql \tx1800 \itap0 \ls12 \rtlch
langfe1033 \langfenp1033 \alang1025 Aspirasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \sb240
\lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
alang1025 \par }\pard \plain \li0 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \
pard \plain \li0 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \sb240
alang1025 \par }\pard \plain \li0 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \
pard \plain \s26 \qc \li720 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
s26 \qc \li720 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
qc \li720 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qc \
li720 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qc \li720 \ri0 \sb240
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qc \li720 \ri0 \
adjustright \lin720 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8 \lang1033 \langnp1033 \
\langfe1033 \langfenp1033 \alang1025 BAB II}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qc \
li720 \ri0 \sb240 \lisb0 \sa160 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \
TINJAUAN TEORITIS KEPERAWATAN}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \
adjustright \lin1800 \rin0 \itap0 \ls13 \ilvl1 \rtlch \fcs1 \af8 \afs22 \ltrch \
alang1025 Pengkajian}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
adjustright \lin1134 \rin238 \tql \tx9043 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Pengkajian keperawatan merupakan
proses keperawatan yang meliputi usaha untuk mengetahui permasalahan Pasien yaitu
pengumpulan data tentang status kesehatan Pasien secara sistematis, akurat,
menyeluruh, singkat, dan berkesinambungan yang dilakukan perawat. Komponen dari
pengkajian keperawatan meliputi anamnesa, pemeriksaan kesehatan, pengkajian,
pemeriksaan diagnostik serta pengkajian penatalaksanaan medis. Dalam pengkajian
keperawatan memerlukan keahlian dalam melakukan komunikasi, wawancara, observasi,
dan pemeriksaan fisik (Muttaqin, 2010 dalam Wibowo 2016).}{\rtlch \fcs1 \af0 \afs24
qj \fi-720 \li2564 \ri238 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin2564 \rin238 \itap0 \ls13 \ilvl2 \rtlch \fcs1 \
alang1025 \f2 2.3.1\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Identitas / Biodata Pasien}{\rtlch \fcs1 \af0 \
s26 \qj \li2564 \ri238 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Meliputi : Nama, umur,
jenis kelamin, agama, suku,pekerjaan, status perkawinan tanggal mrs, pengkajian,
penanggung jawab, No. regester, diagnosa masuk, alamat.}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 Keluhan Utama}{\rtlch \fcs1 \af0 \afs24 \
qj \li2564 \ri238 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Ditulis keluhan utama
(satu keluhan saja) yang dirasakan atau dialami klien yang menyebabkanmklien atau
keluarga mencari bantuan kesehatan/masuk rumah sakit.}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 Riwayat Kesehatan Masa Lalu}{\rtlch \fcs1 \
widctlpar \aspalpha \aspnum \adjustright \lin2552 \rin209 \itap0 \rtlch \fcs1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Tanyakan
riwayat penyakit yang pernah dialami klien beberapa waktu sebelumnya. Beberapa kali
klien pernah sakit sebelum sakit yang sekarang? Bagaimana xara klien mencari
pertolongan? Apakah klien pernah menderita sakit DM (Diabetes Melitus), HT
(Hipertensi), TBC (Tuberkulosisi Paru), kanker dan lain-lain.}{\rtlch \fcs1 \af0 \
qj \fi-720 \li2564 \ri238 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin2564 \rin238 \itap0 \ls13 \ilvl2 \rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Riwayat Penyakit Keluarga}{\rtlch \fcs1 \af0 \
s26 \qj \li2564 \ri238 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Genogram keluarga
biasanya terdapat salah satu anggota keluarga yang juga menderita Gerd atau
penyakit keturunan yang dapat menyebabkan terjadinya defisiensi insulin misal
hipertensi, jantung (Bararah, 2013:40)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2
2.3.5\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Pemeriksaan fisik}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\li2912 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin2912 \rin0 \tql \tx2850 \itap0 \ls1 \ilvl2 \rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Keadaan umum}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\li2912 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin2912 \rin0 \tql \tx2850 \itap0 \ls1 \ilvl2 \rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Kesadaran}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\ri209 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin2694
\rin209 \itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
alang1025 Meliputi kondisi seperti tingkat ketegangan/kelelahan, tingkat kesadaran
kualitatif atau GCS dan respon verbal Pasien .}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\lin2912 \rin1700 \itap0 \ls1 \ilvl2 \rtlch \fcs1 \af8 \afs24 \ltrch \fcs0 \fs24 \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 3.\tab }{\
Tanda-Tanda Vital}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Didapatkan tanda-
tanda vital, menurun suhu meningkat dan kadang menurun, }{\rtlch \fcs1 \af0 \
afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \
f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 respiraton rate }{\
hich \af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 (RR)
meningkat lebih dari 20x/menit (Doengoes, 2014:727).}{\rtlch \fcs1 \af0 \afs24 \
Pemeriksaan Fisik Persistem}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
rin0 \tql \tx2490 \itap0 \ls14 \ilvl5 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
Rambut}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s24 \qj \li2490 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \nowidctlpar \adjustright \lin2490 \rin0 \itap0 \rtlch \fcs1 \af8 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }{\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Mengamati
kondisi rambut , meliputi :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
rin0 \tql \tx2490 \itap0 \ls14 \ilvl6 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
langfenp1033 \alang1025 \f0 a.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Keadaan kesuburan rambut}{\rtlch \fcs1 \af0 \
alang1025 \f0 b.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Keadaan rambut yang mudahrontok}{\rtlch \fcs1 \
langfenp1033 \alang1025 \f0 c.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Keadaan rambut yangkusam}{\rtlch \fcs1 \af0 \
alang1025 \f0 d.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Keadaan tekstur}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 Kepala}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 Mengamati dengan seksama kebersihan kulit kepala, meliputi :}{\rtlch \
pard \plain \s26 \qj \fi-360 \li3338 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\nowidctlpar \adjustright \lin3338 \rin0 \tql \tx2490 \itap0 \ls14 \ilvl6 \rtlch \
langfenp1033 \alang1025 \f0 a.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Botak/alopesia}{\rtlch \fcs1 \af0 \afs24 \ltrch
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 b.\
Ketombe}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 c.\tab }{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Berkutu}{\rtlch \fcs1 \
langfenp1033 \alang1025 \f0 d.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Adakaheritem}{\rtlch \fcs1 \af0 \afs24 \ltrch \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 e.\
Kebersihan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Mata }{\rtlch \fcs1 \
fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 Mengamati adanya tanda-tanda
ikterus, konjungtiva pucat, sekret pada kelopak mata, kemerahan atau gatal-gatal
pada mata.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Hidung}{\rtlch \fcs1 \af0
langfe1033 \langfenp1033 \alang1025 Kaji kebersihan hidung, kaji adanya sinusitis,
perdarahan hidung, tanda- tanda pilek, tanda-tanda alergi, adakah perubahan
penciuman, dan bagaimana membran mukosa.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
ri2338 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin2552
\rin2338 \tql \tx2490 \itap0 \ls14 \ilvl5 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
Mulut}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s24 \qj \li2552 \ri1092 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin2552 \rin1092 \itap0 \rtlch \fcs1 \af8 \afs24
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Amati kondisi mukosa
mulut dan kaji kelembapannya. Perhatikan adanya lesi, tanda-tanda radang
gusi/sariawan, kekeringan atau pecah-pecah.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\lin2552 \rin2338 \tql \tx2490 \itap0 \ls14 \ilvl5 \rtlch \fcs1 \af8 \afs22 \
alang1025 Gigi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin2552 \rin1092 \tql \tx7513
\tql \tx7938 \itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfe1033 \langfenp1033 \alang1025 Amati adanya tanda-tanda karang gigi, karies,
gigi pecah-pecah, tidak lengkap atau gigi palsu.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\lin2552 \rin1092 \tql \tx2490 \tql \tx7513 \tql \tx7938 \itap0 \ls14 \ilvl5 \rtlch
langfe1033 \langfenp1033 \alang1025 Telinga}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\ri1092 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
lin2552 \rin1092 \tql \tx7513 \tql \tx7938 \itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Perhatikan adanya serumen atau
kotoran pada telinga, lesi, infeksi atau perubahan daya pendengaran.}{\rtlch \
pard \plain \s26 \qj \fi-644 \li2552 \ri1092 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin2552 \rin1092 \tql \tx2490 \tql \tx7513 \
tql \tx7938 \itap0 \ls14 \ilvl5 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
Kulit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s24 \qj \li2552 \ri1092 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin2552 \rin1092 \tql \tx7513 \tql \tx7938 \
alang1025 Amati kondisi kulit (tekstur, turgor, kelembapan) dan
kebersihannya. Perhatikan adanya warna kulit, stria, kulit keriput, lesi atau
pruritus.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin2552 \rin1092 \tql \tx2490 \tql
\tx7513 \tql \tx7938 \itap0 \ls14 \ilvl5 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
Kuku danKulit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
sl360 \slmult1 \nowidctlpar \adjustright \lin2552 \rin1092 \tql \tx7513 \tql \
tx7938 \itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
ltrch \dbch \af2 \hich \af0 \loch \af8 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 Amati bentuk dan kebersihan kuku. Perhatikan
adanya kelainan atau luka.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
ri2338 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin2552
\rin2338 \tql \tx2490 \itap0 \ls14 \ilvl5 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
Genetalia}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
sl360 \slmult1 \nowidctlpar \adjustright \lin2552 \rin1092 \itap0 \rtlch \fcs1 \af8
\afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Amati kondisi dan
kebersihan genetalia berikut area perinium. Perhatikan pola pertumbuhan rambut
pubis. Pada laki-laki perhatikan kondisi skrotum dan testisnya.}{\rtlch \fcs1 \
nowidctlpar \adjustright \lin2552 \rin1092 \tql \tx2490 \itap0 \ls14 \ilvl5 \
langfe1033 \langfenp1033 \alang1025 Tubuh SecaraUmum}{\rtlch \fcs1 \af0 \afs24 \
qj \li2552 \ri1092 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin2552 \rin1092 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 Amati kondisi dan kebersihan tubuh
secara umum. Perhatikan adanya kelainan pada kulit atau bentuk tubuh.}{\rtlch \fcs1
\af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \
plain \s26 \qj \li360 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
alang1025 \f2 2.2\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Diagnosa keperawatan}{\rtlch \fcs1 \af0 \
s26 \qj \fi-425 \li1843 \ri525 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin1843 \rin525 \tql \tx2490 \tql \tx8647 \itap0 \ls1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Risiko aspirasi berhubungan dengan
hambatan menelan, penurunan refluks laring dan glotis terhadap cairan refluks. }{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab
}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \
}\pard \plain \s26 \qj \fi-425 \li1843 \ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin1843 \rin-42 \tql \tx2490 \tql \tx8647 \itap0
\ls1 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Defisit volume cairan berhubungan
dengan pemasukan yang kurang, mual dan muntah / pengeluaran yang berlebihan. }{\
}\pard \plain \s26 \qj \fi-425 \li1843 \ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin1843 \rin-42 \tql \tx2490 \tql \tx8647 \itap0
\ls1 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Nyeri akut berhubungan dengan
inflamasi lapisan esofagus.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
lin1843 \rin-42 \tql \tx2490 \itap0 \ls1 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \
Ketidakseimbangan nutrisi kurang dari kebutuhan tubuh berhungan dengan anoreksi,
mual, muntah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-425 \li1843 \ri-42 \sb240 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1843 \rin-42 \tql \
tx2490 \itap0 \ls1 \ilvl3 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Bersihan jalan nafas
tidak efektif berhubungan dengan refluks cairan ke laring dan tenggorokan}{\rtlch \
af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \
plain \s26 \qj \fi-425 \li1843 \ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin1843 \rin-42 \tql \tx2490 \itap0 \ls1 \ilvl3 \rtlch \
langfe1033 \langfenp1033 \alang1025 Gangguan menelan berhubungan dengan
penyempitan/struktur pada esophagus akibat gastroesofageal reflux disease}{\rtlch \
pard \plain \s26 \qj \fi-425 \li1843 \ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin1843 \rin-42 \tql \tx2490 \itap0 \ls1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Ansietas berhubungan dengan proses
penyakit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s26 \qj \li1843 \ri-42 \sb240 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \nowidctlpar \adjustright \lin1843 \rin-42 \tql \tx2490 \itap0 \
}\pard \plain \s26 \qj \li1843 \ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin1843 \rin-42 \tql \tx2490 \itap0 \rtlch \fcs1 \af8 \
qj \li1843 \ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin1843 \rin-42 \tql \tx2490 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \
\ri-42 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin1843
\rin-42 \tql \tx2490 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
alang1025 Intervensi keperawatan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 \par }\trowd \trql \trgaph0 \trleft-142 \
trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \
trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \
trautofit1 \trwWidth9923 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \
trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \
brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \
brdrw10 \cltxlrtb \clwWidth2694 \clftsWidth3 \cellx2552 \clvertalt \clbrdrl \
brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \
brdrw10 \cltxlrtb \clwWidth3544 \clftsWidth3 \cellx9781 \pard \plain \s26 \qc \
li0 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
\langfe1033 \langfenp1033 \alang1025 DIAGNOSA}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qc \li0 \
\langfe1033 \langfenp1033 \alang1025 NOC}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1
\langfe1033 \langfenp1033 \alang1025 NIC}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \li0 \ri0 \
\rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trleft-142 \trbrdrt \brdrs \brdrw10
\trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trwWidth9923 \trftsWidth3 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth2694 \clftsWidth3 \
cellx2552 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \
cellx9781 \row }\pard \plain \s26 \qj \li0 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \
Risiko aspirasi berhubungan dengan hambatan menelan, penurunan refluks laring dan
glotis terhadap cairan refluks.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qj \fi-18 \li111 \
ri92 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin111 \rin92 \
intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
alang1025 Setelah dilakukan tindakan keperawatan selama ...x 24 jam masalah
aspirasi pada Pasien dapat diatasi dengan kriteria hasil:}{\rtlch \fcs1 \af0 \
afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
alang1025 \par }\pard \plain \s19 \qj \fi-426 \li459 \ri92 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \nowidctlpar \adjustright \lin459 \rin92 \intbl \itap1 \ls15 \
langfenp1033 \alang1025 \f5 \'b7\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 Pasien dapat bernafas dengan mudah, frekuensi
pernafasan normal.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s19 \qj \fi-426 \li459 \ri92 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin459 \rin92 \intbl \itap1 \
ls15 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien mampu menelan,
mengunyah tanpa terjadi aspirasi, dan mampu melakukan oral hygiene skala 4}{\
}\pard \plain \s19 \qj \fi-426 \li459 \ri92 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin459 \rin92 \intbl \itap1 \ls15 \rtlch \fcs1 \af8 \
langfe1033 \langfenp1033 \alang1025 Jalan nafas paten, mudah bernafas, tidak merasa
tercekik dan tidak ada suara nafas abnormal skala 4}{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \
s19 \fi-360 \li813 \ri-29 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin813 \rin-29 \tql \tx832 \tql \tx2133 \intbl \itap1 \ls15 \rtlch \
fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-2 \expndtw-2 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 M}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 on}{\rtlch \fcs1 \af0 \
expnd-1 \expndtw-1 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 it}{\
or }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
af2 \hich \af0 \loch \f8 \expnd-1 \expndtw-1 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1025 ti}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 ngk}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 a}{\rtlch \fcs1 \af0 \
expnd-120 \expndtw-120 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
1}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
t. kesadaran, reflek batuk}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\langfe1033 \langfenp1033 \alang1025 dan kemampuan menelan.}{\rtlch \fcs1 \af0 \
fi-360 \li813 \ri89 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
lin813 \rin89 \tql \tx832 \tql \tx1827 \intbl \itap1 \ls15 \rtlch \fcs1 \af8 \afs22
\'b7\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
alang1025 Naikkan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-4 \expndtw-4 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 kepala }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 30-45}{\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }{\rtlch \
af0 \loch \f8 \expnd-3 \expndtw-3 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 derajat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s19 \li832 \ri-29 \lisb0 \sa0 \lisa0 \
sl240 \slmult1 \nowidctlpar \adjustright \lin832 \rin-29 \intbl \itap1 \rtlch \fcs1
\af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 setelah
makan.2.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s19 \fi-360 \li813 \ri89 \sb138 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \nowidctlpar \adjustright \lin813 \rin89 \tql \tx832 \intbl \itap1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Potong }{\rtlch \fcs1 \
loch \f8 \expnd-3 \expndtw-3 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 makanan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 kecil kecil.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
tx832 \tql \tx1841 \tql \tx1895 \intbl \itap1 \ls15 \rtlch \fcs1 \af8 \afs22 \ltrch
langfenp1033 \alang1025 Hindari}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }{\rtlch \fcs1 \af0 \afs24 \
ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-4
\expndtw-4 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 makan }{\
kalau}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
af2 \hich \af0 \loch \f8 \expnd-4 \expndtw-4 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1025 residu }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 masih banyak}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \
alang1025 {\trowd \trql \trgaph0 \trleft-142 \trbrdrt \brdrs \brdrw10 \trbrdrb \
brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \
brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trwWidth9923 \trftsWidth3 \
cellx9781 \row }\trowd \trql \trgaph0 \trrh7677 \trleft-142 \trbrdrt \brdrs \
brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \
brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trwWidth9923
\trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \
trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \
clwWidth2694 \clftsWidth3 \cellx2552 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \
brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \
clwWidth3544 \clftsWidth3 \cellx9781 \pard \plain \s26 \qj \li0 \ri0 \sb240 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \
rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfe1033 \langfenp1033 \alang1025 Defisit volume cairan berhubungan dengan
pemasukan yang kurang, mual dan muntah / pengeluaran yang berlebihan.}{\rtlch \fcs1
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \
plain \s19 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \adjustright \
lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1025 Setelah dilakukan tindakan}{\rtlch \fcs1 \
plain \s19 \qj \li110 \ri96 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin110 \rin96 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 keperawatan selama .....x24 jam,
defisit volume cairan pada Pasien dapat diatasi dengan kriteria hasil:}{\rtlch \
pard \plain \s19 \qj \fi-360 \li830 \ri96 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
langfe1033 \langfenp1033 \alang1025 Mempertahankan urine output sesuai dengan usia
BB, BJ urine normal skala 4}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
intbl \itap1 \ls16 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Tidak ada
tanda-tanda dehidrasi, elastisitas turgor kulit baik dan tidak ada rasa haus yang
berlebihan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
\langfe1033 \langfenp1033 \alang1025 Hematokrit menurun skala 4}{\rtlch \fcs1 \
plain \s19 \qj \fi-360 \li830 \ri96 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar
\adjustright \lin830 \rin96 \intbl \itap1 \ls16 \rtlch \fcs1 \af8 \afs22 \ltrch \
langfenp1033 \alang1025 Tidak ada ascites skala 4}{\rtlch \fcs1 \af0 \afs24 \
qj \li0 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qj \fi-
360 \li459 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin459 \rin0 \intbl \itap1 \ls16 \rtlch \fcs1 \af8 \afs22 \
alang1025 Monitor status dehidrasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-360 \li459 \ri0
\sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin459 \rin0 \intbl \itap1 \ls16 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Kaji
tanda vital, catat perubahan TD, Takikardi, turgor kulit dan kelembaban membrane
mukosa.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
alang1025 \par }\pard \plain \s26 \qj \fi-360 \li459 \ri0 \sb240 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin459 \rin0 \intbl \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Dorong masukan oral bila
mampu.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \
loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\trowd \
trql \trgaph0 \trrh7677 \trleft-142 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \
brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \
cellx9781 \row }\trowd \trql \trgaph0 \trleft-142 \trbrdrt \brdrs \brdrw10 \trbrdrb
\brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \
cellx9781 \pard \plain \s26 \qj \li0 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Nyeri akut
berhubungan dengan inflamasi lapisan esofagus.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qj \li110
\ri94 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin110 \rin94 \
alang1025 Setelah dilakukan tindakan keperawatan selama ......x 24 jam, pasien
tidak mengalami nyeri, dengan kriteria hasil:}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s19 \li0 \ri0 \
sb4 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \adjustright \lin0 \rin0 \intbl
alang1025 \par }\pard \plain \s19 \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin720 \rin0 \intbl \itap1 \ls17 \rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Mampu mengontrol nyeri}{\rtlch \fcs1 \af0 \
fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
lin720 \rin0 \intbl \itap1 \ls17 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch
Mampu mengetahui atau mengenali nyeri (skala, intensitas, frekuensi dan tanda)}{\
}\pard \plain \s19 \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
nowidctlpar \adjustright \lin720 \rin0 \intbl \itap1 \ls17 \rtlch \fcs1 \af8 \afs22
alang1025 Melaporkan bahwa nyeri berkurang dengan menggunakan manajemen nyeri}{\
nowidctlpar \adjustright \lin720 \rin0 \intbl \itap1 \ls17 \rtlch \fcs1 \af8 \afs22
alang1025 Tanda vital dalam rentang normal}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qj \fi-360 \li459 \
adjustright \lin459 \rin0 \intbl \itap1 \ls16 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0
f5 \'b7\'00\tab
}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
Kurangi factor presipitasi nyeri}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Tingkakan istirahat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Berikan informasi tentang nyeri seperti penyebab nyeri, berapa lama nyeri akan
berkurang dan antisipasi ketidaknyamanan prosedur}{\rtlch \fcs1 \af0 \afs24 \
aspalpha \aspnum \adjustright \lin459 \rin0 \intbl \itap1 \ls16 \rtlch \fcs1 \af8 \
langfe1033 \langfenp1033 \alang1025 Ajarkan tentang teknik non farmakologi seperti
teknik relaksai nafas dalam, distraksi dan kompres hangat / dingin}{\rtlch \fcs1 \
widctlpar \aspalpha \aspnum \adjustright \lin459 \rin0 \intbl \itap1 \ls16 \rtlch \
\langfe1033 \langfenp1033 \alang1025 Berikan analgesic untuk mengurangi nyeri}{\
}\pard \plain \s26 \qj \li459 \ri0 \sb240 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\
pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trleft-
142 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \
trautofit1 \trwWidth9923 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \
brdrw10 \cltxlrtb \clwWidth3544 \clftsWidth3 \cellx9781 \row }\pard \plain \s19 \qj
\li108 \ri95 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin108 \
rin95 \tql \tx1108 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch
langfe1033 \langfenp1033 \alang1025 Ketidakseimbangan nutrisi kurang dari kebutuhan
tubuh berhubungan dengan intake kurang dari kebutuhan tubuh berhubungan dengan
intake kurang akibat mual dan muntah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qj \li110 \ri94 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin110 \rin94 \intbl \
alang1025 Setelah dilakukan tindakan keperawatan .. x24 jam, nutrisi pada Pasien
dapat ditasi dengan criteria hasil :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Peningkatan
BB }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s19 \qj \fi-360 \li742 \ri94 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\nowidctlpar \adjustright \lin742 \rin94 \intbl \itap1 \ls18 \rtlch \fcs1 \af8 \
langfe1033 \langfenp1033 \alang1025 Tidak ada tanda-tanda malnutrisi }{\rtlch \fcs1
s19 \qj \fi-360 \li742 \ri94 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin742 \rin94 \intbl \itap1 \ls18 \rtlch \fcs1 \af8 \afs22 \ltrch \
langfenp1033 \alang1025 Tidak ada penurunan BB }{\rtlch \fcs1 \af0 \afs24 \ltrch \
rin94 \intbl \itap1 \ls18 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0
langfenp1033 \alang1025 Mengidentifikasi skala nutrisi}{\rtlch \fcs1 \af0 \afs24 \
qj \fi-360 \li742 \ri94 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin742 \rin94 \intbl \itap1 \ls18 \rtlch \fcs1 \af8 \afs22 \ltrch \
langfenp1033 \alang1025 Stamina dan energy ada}{\rtlch \fcs1 \af0 \afs24 \ltrch \
459 \li459 \ri92 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
lin459 \rin92 \tql \tx469 \intbl \itap1 \ls18 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0
langfenp1033 \alang1025 Diskusikan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-5 \expndtw-5 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 pada }{\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 pasien }{\rtlch
\loch \f8 \expnd-3 \expndtw-3 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 makanan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 yang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 disukainya }{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dan makanan yang tidak}{\
hich \af0 \loch \f8 \expnd-3 \expndtw-3 \lang1033 \langnp1033 \langfe1033 \
langfenp1033 \alang1025 }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 disukainya.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
rin94 \tql \tx469 \tql \tx1574 \tql \tx1610 \intbl \itap1 \ls19 \rtlch \fcs1 \af8 \
langfe1033 \langfenp1033 \alang1025 Buat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 jadwal }{\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 masukan tiap
jam. Anjurkan mengukur cairan/makanan dan minum }{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-3 \
expndtw-3 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 sedikit }{\
hich \af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 demi
sedikit }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
dbch \af2 \hich \af0 \loch \f8 \expnd-4 \expndtw-4 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 atau }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 makan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 secara }{\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 perlahan.}{\
nowidctlpar \adjustright \lin459 \rin93 \tql \tx469 \intbl \itap1 \ls20 \rtlch \
\langfe1033 \langfenp1033 \alang1025 Beritahu }{\rtlch \fcs1 \af0 \afs24 \ltrch \
expndtw-3 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 pasien }{\
untuk duduk }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-4 \expndtw-4 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 saat }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 makan/minum.}{\rtlch \fcs1 \af0 \afs24 \
adjustright \lin459 \rin95 \tql \tx469 \tql \tx1841 \intbl \itap1 \ls20 \rtlch \
\langfe1033 \langfenp1033 \alang1025 Tekankan pentingnya menyadari kenyang}{\
langfenp1033 \alang1025 dan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 menghentikan masukan.}{\rtlch \fcs1 \af0 \afs24
adjustright \lin459 \rin93 \tql \tx469 \intbl \itap1 \ls20 \rtlch \fcs1 \af8 \afs22
rtlch \fcs1 \af8
Timbang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 berat }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 badan tiap }{\rtlch \fcs1 \af0 \afs24 \ltrch \
expndtw-4 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 hari. }{\rtlch
\loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Buat jadwal }
langfenp1033 \alang1025 teratur }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 setelah}{\rtlch \fcs1 \af0 \afs24 \ltrch \
expndtw-3 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\rtlch \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 pulang.}{\
\langfe1033 \langfenp1033 \alang1025 Kolaborasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd34 \
expndtw34 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\rtlch \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dengan
ahli gizi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
trql \trgaph0 \trleft-142 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \
trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \
trbrdrv \brdrs \brdrw10 \trautofit1 \trwWidth9923 \trftsWidth3 \trftsWidthB3 \
trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \
clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \
brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth2694 \clftsWidth3 \cellx2552 \
row }\pard \plain \s19 \qj \li91 \ri0 \lisb0 \sa0 \lisa0 \sl-247 \slmult0 \
nowidctlpar \adjustright \lin91 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch
langnp1033 \langfe1033 \langfenp1033 \alang1025 Bersihan}{\rtlch \fcs1 \af0 \
adjustright \lin108 \rin110 \tql \tx913 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \
expnd11 \expndtw11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
jalan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
af2 \hich \af0 \loch \f8 \expnd11 \expndtw11 \lang1033 \langnp1033 \langfe1033 \
alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd7 \expndtw7 \lang1033 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 nafas }{\rtlch \fcs1 \af0 \afs24 \
ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd11
\expndtw11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 tidak}{\rtlch
\loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 efektif berhu bungan
dengan refluks cairan ke laring dan tenggorokan}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qj \fi-17
rin95 \tql \tx1053 \tql \tx2109 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 Setelah dilakukan tindakan
keperawatan selama }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 1x24 }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 jamPasien }{\rtlch \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }{\
langfenp1033 \alang1025 dapat }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 menunjukkan kriteria}{\rtlch \fcs1 \af0 \
expnd-7 \expndtw-7 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\
hasil:}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
\langfe1033 \langfenp1033 \alang1025 jalan nafas yang paten (tidak tercekik, irama
nafas dan pola nafas dalam rentang normal) }{\rtlch \fcs1 \af0 \afs24 \ltrch \
459 \li459 \ri94 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \
lin459 \rin94 \tql \tx469 \tql \tx1598 \intbl \itap1 \ls22 \rtlch \fcs1 \af8 \afs22
\ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch
\af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard \
langfe1033 \langfenp1033 \alang1025 Posisikan}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\expndtw-4 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 pasien }{\
untuk memaksimalkan ventilasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \adjustright \lin459 \rin0 \tql \
tx469 \intbl \itap1 \ls22 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Lakukan}{\rtlch
\langfe1033 \langfenp1033 \alang1025 fisioterapi}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\expndtw-6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dada }{\rtlch
\loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 jika}{\rtlch \
alang1025 }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 perlu}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s19 \qj \fi-459 \li459 \ri0 \lisb0 \sa0
\lisa0 \sl240 \slmult1 \nowidctlpar \adjustright \lin459 \rin0 \intbl \itap1 \rtlch
plain \s19 \qj \fi-459 \li459 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \
nowidctlpar \adjustright \lin459 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \
adjustright \lin459 \rin92 \tql \tx469 \intbl \itap1 \ls22 \rtlch \fcs1 \af8 \afs22
alang1025 Atur intake }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 untuk }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 cairan mengoptimalkan
keseimbangan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \
trowd \trql \trgaph0 \trleft-142 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \
brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \
cellx9781 \row }\pard \plain \s19 \qj \fi-17 \li108 \ri0 \lisb0 \sa0 \lisa0 \
sl362 \slmult1 \nowidctlpar \adjustright \lin108 \rin0 \intbl \itap1 \rtlch \fcs1 \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Gangguan
Menelan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
alang1025 \par }\pard \plain \s19 \qj \li108 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \nowidctlpar \adjustright \lin108 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 berhubungan dengan}{\
}\pard \plain \s19 \qj \li108 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 penyempitan}{\rtlch \fcs1
langnp1033 \langfe1033 \langfenp1033 \alang1025 /strikture pada}{\rtlch \fcs1 \
fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0
\loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 esophagus
akibat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s19 \qj \li108 \ri0 \lisb0 \sa0 \lisa0 \sl-252 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 gastroesophe}{\rtlch \
pard \plain \s19 \qj \li108 \ri95 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd8
\expndtw8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 gal}{\rtlch \
alang1025 \tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd9 \expndtw9 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 reflux }{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd12 \
expndtw12 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 disease}{\
hich \af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \
cell }\pard \plain \s19 \qj \fi-17 \li108 \ri95 \lisb0 \sa0 \lisa0 \sl360 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Setelah dilakukan
tindakan keperawatan selama }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 1x24 }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 jam maka }{\rtlch \fcs1 \
loch \f8 \expnd-3 \expndtw-3 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
alang1025 gangguan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 menelan pada Pasien }{\rtlch \fcs1 \af0 \afs24
\ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-
4 \expndtw-4 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dapat }{\
diatasi dengan kriteria hasil:}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien dapat }
langfenp1033 \alang1025 menelan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 makanan}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\expndtw-4 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dengan }{\
sempurna }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \cell }\pard \plain \s19 \qj \fi-459 \li459 \ri93 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \nowidctlpar \adjustright \lin459 \rin93 \tql \tx469 \tql \tx1601 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Bantu}{\rtlch \
langfenp1033 \alang1025 pasien }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 dengan mengontrol}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 kepala}{\rtlch \fcs1 \af0
s19 \qj \fi-459 \li459 \ri93 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin459 \rin93 \tql \tx469 \tql \tx1598 \tql \tx1649 \intbl \itap1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Letakkan}{\rtlch \fcs1 \
alang1025 pasien }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 pada}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 posisi }{\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 duduk/tegak
selama dan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 setelah makan.}{\rtlch \fcs1 \af0 \afs24 \
qj \fi-459 \li459 \ri93 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar
\adjustright \lin459 \rin93 \tql \tx469 \tql \tx1598 \tql \tx1649 \intbl \itap1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Berikan makan}{\rtlch \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\
perlahan pada lingkungan yang tenang}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \
cellx9781 \row }\pard \plain \s19 \qj \fi-17 \li108 \ri0 \lisb0 \sa0 \lisa0 \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Ansietas
berhubungan dengan proses penyakit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qj \li108 \ri95 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin108 \rin95 \intbl \
alang1025 Setelah dilakukan tindakan keperawatan selama }{\rtlch \fcs1 \af0 \
expnd-5 \expndtw-5 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
1x24 }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
jam, ansietas pada Pasien dapat diatasi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dengan }{\rtlch \fcs1 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 kriteria}{\
langfe1033 \langfenp1033 \alang1025 hasil:}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
tql \tx469 \intbl \itap1 \ls25 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Menyingkirkan
tanda kecemasan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin742 \rin95 \tql \tx469 \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Merencanakan }
langfenp1033 \alang1025 strategi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 koping }{\rtlch \fcs1 \af0 \afs24 \ltrch \
rin94 \tql \tx469 \intbl \itap1 \ls25 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
Intensitas kecemasan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Mencari }{\
langfenp1033 \alang1025 informasi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 untuk }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 menurunkan }{\rtlch \fcs1
\f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 cemas }{\rtlch \fcs1
\f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \
plain \s19 \fi-425 \li459 \ri92 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \nowidctlpar \
adjustright \lin459 \rin92 \tql \tx469 \tql \tx1598 \tql \tx1845 \intbl \itap1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Dorong}{\rtlch
langfenp1033 \alang1025 pasien }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 untuk mengungkapkan pikiran}{\rtlch \fcs1 \af0 \afs24 \
alang1025 dan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 perasaan.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
tx469 \tql \tx1683 \intbl \itap1 \ls26 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
langfenp1033 \alang1025 Berikan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-3 \expndtw-3 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 informasi }{\rtlch \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 yang}{\
langfenp1033 \alang1025 dapat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
lisb0 \sa0 \lisa0 \sl-252 \slmult0 \nowidctlpar \adjustright \lin459 \rin0 \intbl \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dipercaya dan}{\rtlch \
pard \plain \s19 \fi-425 \li459 \ri93 \sb121 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
langfe1033 \langfenp1033 \alang1025 konsisten dan dukungan untuk orang terdekat.}{\
nowidctlpar \adjustright \lin459 \rin93 \tql \tx469 \tql \tx1843 \intbl \itap1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Tingkatkan }{\rtlch \fcs1
\f8 \expnd-4 \expndtw-4 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
rasa }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
tenang}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
ltrch \dbch \af2 \hich \af0 \loch \f8 \expnd-6 \expndtw-6 \lang1033 \langnp1033 \
langfe1033 \langfenp1033 \alang1025 dan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 lingkungan}{\rtlch \fcs1 \af0 \afs24 \ltrch \
expndtw-6 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\rtlch \
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 tenang.}{\
}\pard \plain \s19 \fi-425 \li459 \ri93 \sb1 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
\langfe1033 \langfenp1033 \alang1025 Pertahankan kontak }{\rtlch \fcs1 \af0
f8 \expnd14 \expndtw14 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
langfe1033 \langfenp1033 \alang1025 sering}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lisb0 \sa0 \lisa0 \sl-252 \slmult0 \nowidctlpar \adjustright \lin459 \rin0 \intbl \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 dengan }{\rtlch \
alang1025 pasien,}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s19 \fi-425 \li459 \ri93 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \nowidctlpar \adjustright \lin459 \rin93 \tql \tx469 \tql \
tx1601 \intbl \itap1 \ls26 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
bicara dengan menyentuh bila tepat.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
cellx9781 \row }\pard \plain \s26 \qj \li1800 \ri0 \sb240 \lisb0 \sa160 \lisa0 \
\par }\pard \plain \s26 \qj \fi-360 \li1800 \ri0 \sb240 \lisb0 \sa160 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1800 \rin0 \itap0 \ls13 \
langfe1033 \langfenp1033 \alang1025 \f2 2.4\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Implementasi}{\rtlch \fcs1 \af0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Pelaksanaan adalah dari rencana
tindakan yang spesifik untuk membantu Pasien mencapai tujuan yang diharapkan
(nursalam, 2014).}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s24 \qj \fi306 \li1134 \ri525 \lisb0 \
\f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Implementasi atau
tindakan adalah pengelolaan dan perwujudan dan rencana keperawatan yang telah
disusun pada tahap perencanaan. Pada tahap ini, perawat sebaiknya tidak bekerja
sendiri, tetapi perlu melibatkan secara integrasi semua profesi kesehatan yang
menjadi tim perawatan (Setiadi, 2010).}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
\rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f8 \lang1033 \langnp1033 \
alang1025 Evaluasi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
lin1134 \rin950 \tql \tx180 \tql \tx7513 \itap0 \rtlch \fcs1 \af8 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Tahap terakhir dari proses
keperawatan adalah evaluasi. Tahap penilaian atau evaluasi adalah perbandingan yang
sistematis dan terencana tentang kesehatan keluarga dengan tujuan yang telah
ditetapkan, dilakukan dengan cara berkesinambungan dengan melibatkan pasien dengan
tenaga kesehatanlainnya.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qj \li0 \ri0 \lisb0 \
alang1025 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qj \
adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qj \li0 \ri0 \
qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 BAB III}{\rtlch \fcs1 \af0 \afs24 \ltrch \
alang1025 TINJAUAN KASUS}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 3.1\tab }{\rtlch
\fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \
Pengkajian}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s26 \fi-180 \li2160 \ri0 \lisb0 \
rin0 \itap0 \ls28 \ilvl2 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 3.3.1.\tab }{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Identitas
Pasien}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin2160 \rin0 \itap0 \rtlch \fcs1 \af8 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Nama}{\rtlch \fcs1 \af0 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : Ny. }{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 M}{\
}\pard \plain \s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 Umur}{\rtlch \fcs1 \af0 \afs24 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : 57
Tahun}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Jenis Kelamin}{\rtlch \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :
Perempuan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Suku / Bangsa}{\rtlch \
Batak / Indonesia}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \
Agama}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
: Kristen Protestan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \li2160 \ri0 \lisb0 \
alang1025 Pekerjaan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
langfe1033 \langfenp1033 \alang1025 : Petani}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \li2160 \
langfe1033 \langfenp1033 \alang1025 Pendidikan}{\rtlch \fcs1 \af0 \afs24 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : SMA}{\rtlch \fcs1 \
plain \s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Status}{\rtlch \fcs1 \af0 \afs24 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : Kawin}{\
langnp1033 \langfe1033 \langfenp1033 \alang1025 Alamat}{\rtlch \fcs1 \af0 \afs24 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : }{\rtlch
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Parlilitan}{\
langnp1033 \langfe1033 \langfenp1033 \alang1025 Tgl MRS}{\rtlch \fcs1 \af0 \afs24 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : }{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 senin}{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 , 02
November 2021}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
afs24 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 Tgl pengkajian}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : S}{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 enin}{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 , 02
November 2021}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 NO. RM}{\rtlch \fcs1 \af0
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :}{\rtlch \fcs1
s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Dx Medis}{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : GERD
(Gastroesophageal Refluks Disease)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 3.3.2.\tab }{\
Identitas Penanggung Jawab}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \li2160 \ri0 \lisb0 \
alang1025 Nama}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\langfe1033 \langfenp1033 \alang1025 : Tn. M}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \li2160 \
langfe1033 \langfenp1033 \alang1025 Hubungan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : Suami}{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Pekerjaan}{\rtlch \fcs1 \af0 \afs24
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : Petani}{\
langnp1033 \langfe1033 \langfenp1033 \alang1025 Alamat}{\rtlch \fcs1 \af0 \afs24 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : Lintong}
widctlpar \aspalpha \aspnum \adjustright \lin2160 \rin0 \itap0 \ls28 \ilvl2 \
langfenp1033 \alang1025 \f2 3.3.3.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Keluhan Utama}{\rtlch \fcs1 \af0 \
s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien datang ke UGD tanggal 2
november pukul 13.45 WIB dengan keluhan nyeri pada ulu hati dengan skala 5/10,
dada terasa terbakar, mual dan muntah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch
\af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard \
alang1025 \f2 3.3.4.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Riwayat Kesehatan sekarang}{\rtlch \fcs1 \
plain \s26 \qj \li2160 \ri99 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 pasien mengatakan nyeri
pada ulu hati skala 5/10 seperti terasa terbakar dibagian dada, Pasien merasa
mual, muntah, sulit menelan, terlihat tanda dehidrasi, konjungtiva anemis, CTR > 3,
mukosa bibir kering dan susah tidur.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
3.3.5.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Riwayat Kesehatan Masa Lalu}{\rtlch \fcs1 \af0 \afs24 \
qj \li2160 \ri241 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin2160 \rin241 \tql \tx7797 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 pasien mengatakan tidak ada
penyakit terdahulu.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfenp1033 \alang1025 Riwayat Kesehatan Keluarga}{\rtlch \fcs1 \af0 \afs24 \ltrch
langfe1033 \langfenp1033 \alang1025 Pasien mengatakan tidak ada keluarga yang
mempunyai penyakit yang sama.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 GENOGRAM}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
\ri241 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1024 \langfenp1024 \alang1025 {\shp {\*\shpinst \shpleft-1993 \shptop1877 \
shpright11392 \shpbottom7272 \shpfhdr0 \shpbxmargin \shpbxignore \shpbymargin \
shpbyignore \shpwr2 \shpwrk0 \shpfblwtxt0 \shpz0 \shplid1026 {\sp {\sn shapeType}{\
sv 75}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn
fLockAgainstGrouping}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 1}}{\sp {\sn WrapText}
{\sv 0}}{\sp {\sn pib}{\sv {\pict \piccropl0 \piccropr0 \piccropt0 \piccropb0 \
picscalex100 \picscaley100 \picw892 \pich359 \picwgoal13385 \pichgoal5395 \pngblip
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{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn f3DOK}{\sv 0}}{\sp {\sn fShadowOK}{\sv 1}}{\sp
{\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 0}}{\sp {\sn
wzName}{\sv Picture 8}}{\sp {\sn posrelh}{\sv 0}}{\sp {\sn posrelv}{\sv 0}}{\sp {\
sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\langfe1033 \langfenp1033 \alang1025 Keterangan}{\rtlch \fcs1 \af0 \afs24 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :}{\rtlch \fcs1 \af0 \
s26 \qj \li2160 \ri241 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langfe1024 \langfenp1024 \alang1025 {\shp {\*\shpinst \shpleft2212 \shptop208 \
shpright2572 \shpbottom395 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \
shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz10 \shplid1027 {\sp {\sn shapeType}
{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 1}}{\sp {\sn WrapText}{\sv
0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}
{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 1}}{\sp
{\sn fArrowheadsOK}{\sv 1}}{\sp {\sn wzName}{\sv Straight Connector 65}}{\sp {\sn
fLayoutInCell}{\sv 1}}{\sp {\sn sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv 0}}}{\
shprslt {\pict }}}}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfenp1024 \alang1025 {\shp {\*\shpinst \shpleft2228 \shptop257 \shpright2572 \
shpbottom533 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \
shpwrk0 \shpfblwtxt0 \shpz8 \shplid1028 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn
fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 1}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn
fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn
fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn
fArrowheadsOK}{\sv 1}}{\sp {\sn wzName}{\sv Straight Connector 65}}{\sp {\sn
fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv
0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn anchorText}{\sv 1}}{\sp {\sn fLineOK}{\sv
1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fillColor}{\sv 16777215}}{\sp {\sn
fFilled}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\
sn fLine}{\sv 1}}{\sp {\sn wzName}{\sv Oval 43}}{\sp {\sn fLayoutInCell}{\sv 1}}{\
sp {\sn sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv 0}}}{\shprslt {\pict }}}}{\rtlch \
af0 \loch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 \alang1025 k }{\rtlch
}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \
\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \
alang1025 : }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1024 \alang1025 Pasien Perempuan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfenp1024 \alang1025 {\shp {\*\shpinst \shpleft2012 \shptop318 \shpright2572 \
anchorText}{\sv 1}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn
fillColor}{\sv 16777215}}{\sp {\sn fFilled}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}
{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn wzName}{\sv Oval 60}}
{\sp {\sn fLayoutInCell}{\sv 1}}{\sp {\sn sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv
0}}}{\shprslt {\pict }}}}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : }{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Perempuan}{\rtlch \fcs1 \
lang1024 \langnp1024 \langfe1024 \langfenp1024 \alang1025 {\shp {\*\shpinst \
shpleft2048 \shptop212 \shpright2572 \shpbottom634 \shpfhdr0 \shpbxcolumn \
shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz3 \
shplid1034 {\sp {\sn shapeType}{\sv 1}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\
sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn anchorText}{\sv 1}}{\sp {\sn fLineOK}{\
sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fillColor}{\sv 16777215}}{\sp {\sn
fFilled}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\
sn fLine}{\sv 1}}{\sp {\sn wzName}{\sv Rectangle 3}}{\sp {\sn fLayoutInCell}{\sv
1}}{\sp {\sn sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv 0}}}{\shprslt {\pict }}}}{\
\par }\pard \plain \s26 \qj \li2160 \ri241 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
af0 \loch \af8 \lang1024 \langnp1024 \langfe1024 \langfenp1024 \alang1025 {\shp {\
*\shpinst \shpleft2012 \shptop362 \shpright2572 \shpbottom879 \shpfhdr0 \
shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \
shpz4 \shplid1035 {\sp {\sn shapeType}{\sv 3}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn
fFlipV}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn anchorText}{\sv 1}}{\sp {\sn
fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fillColor}{\sv 16777215}}{\sp
{\sn fFilled}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}{\sp {\sn lineStyle}{\sv 0}}{\
sp {\sn fLine}{\sv 1}}{\sp {\sn wzName}{\sv Oval 43}}{\sp {\sn fLayoutInCell}{\sv
1}}{\sp {\sn sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv 0}}}{\shprslt {\pict }}}}{\
alang1025 \tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 : }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
langfe1033 \langfenp1033 \alang1025 Laki-laki}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1024 \langfenp1024 \alang1025 {\shp {\*\shpinst \shpleft2048 \shptop69 \
shpright2485 \shpbottom345 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \
shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz12 \shplid1036 {\sp {\sn shapeType}
{\sv 20}}{\sp {\sn fFlipH}{\sv 1}}{\sp {\sn fFlipV}{\sv 1}}{\sp {\sn WrapText}{\sv
0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}
{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 1}}{\sp
{\sn fArrowheadsOK}{\sv 1}}{\sp {\sn wzName}{\sv Straight Connector 65}}{\sp {\sn
shprslt {\pict }}}}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : }{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Perempuan Meninggal}{\
}\pard \plain \s26 \qj \li2160 \ri241 \lisb0 \sa160 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin2160 \rin241 \
alang1025 {\shp {\*\shpinst \shpleft2012 \shptop293 \shpright2521 \shpbottom689 \
shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \
shpfblwtxt0 \shpz14 \shplid1038 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv
1}}{\sp {\sn fFlipV}{\sv 1}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\
sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp
{\sn lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp
{\sn wzName}{\sv Straight Connector 65}}{\sp {\sn fLayoutInCell}{\sv 1}}{\sp {\sn
sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv 0}}}{\shprslt {\pict }}}}{\rtlch \fcs1 \
loch \af8 \lang1024 \langnp1024 \langfe1024 \langfenp1024 \alang1025 {\shp {\*\
shpinst \shpleft2012 \shptop267 \shpright2556 \shpbottom689 \shpfhdr0 \
fFlipV}{\sv 1}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn
fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn
lineStyle}{\sv 0}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn
wzName}{\sv Straight Connector 65}}{\sp {\sn fLayoutInCell}{\sv 1}}{\sp {\sn
sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv 0}}}{\shprslt {\pict }}}}{\rtlch \fcs1 \
loch \af8 \lang1024 \langnp1024 \langfe1024 \langfenp1024 \alang1025 {\shp {\*\
shpinst \shpleft2048 \shptop267 \shpright2572 \shpbottom689 \shpfhdr0 \
fFlipV}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn anchorText}{\sv 1}}{\sp {\sn
fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fillColor}{\sv 16777215}}{\sp
{\sn fFilled}{\sv 1}}{\sp {\sn lineWidth}{\sv 25400}}{\sp {\sn lineStyle}{\sv 0}}{\
sp {\sn fLine}{\sv 1}}{\sp {\sn wzName}{\sv Rectangle 3}}{\sp {\sn fLayoutInCell}{\
sv 1}}{\sp {\sn sizerelh}{\sv 0}}{\sp {\sn sizerelv}{\sv 0}}}{\shprslt {\pict }}}}
{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \alang1025 \ltrch \dbch \
alang1025 : }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Laki-laki Meninggal}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfenp1033 \alang1025 Riwayat Psikososial}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Pasien tampak cemas.}{\rtlch \fcs1 \af0 \afs24
langfe1033 \langfenp1033 \alang1025 DS: Pasien mengatakan cemas karena kurang
mengetahui tentang penyakit yang di deritanya.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfenp1033 \alang1025 Pemeriksaan Fisik}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
adjustright \lin2880 \rin0 \itap0 \ls29 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 a.\tab }{\
Keadaan Umum }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Kesadaran compos mentis,
Pasien tampak pucat.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
lin2880 \rin0 \itap0 \ls29 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
\langfenp1033 \alang1025 {\listtext \pard \plain \rtlch \fcs1 \af8 \afs22
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 b.\tab }{\rtlch \fcs1
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Tanda-Tanda Vital}{\
langnp1033 \langfe1033 \langfenp1033 \alang1025 TD}{\rtlch \fcs1 \af0 \afs24 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : 110/90 mmHg}{\rtlch \
pard \plain \s26 \li2880 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 HR}{\rtlch \fcs1 \af0 \afs24 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : 82x/i}{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 RR}{\rtlch \fcs1 \af0 \afs24 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : 20x/i}{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 T}{\rtlch \fcs1 \af0 \afs24 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : 36 \uc1 \u778
? C}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s26 \qj \fi-360 \li2880 \ri0 \lisb0 \sa160 \lisa0 \sl360 \
langfenp1033 \alang1025 \f2 c.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Pemeriksaan Head to toe}{\rtlch \fcs1 \af0 \
qj \li2880 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 BB: sebelum sakit 50}{\rtlch \fcs1 \af0 \afs24
qj \fi-425 \li3402 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 a)\
Kepala}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin3402 \rin0 \itap0 \rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Bentuk }{\
bulat simetris, tidak ada benjolan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \li3402 \ri0 \lisb0
\sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin3402 \
alang1025 Kulit kepala }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\langfe1033 \langfenp1033 \alang1025 : bersih, tidak ada lesi.}{\rtlch \fcs1 \af0 \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 b)\
Rambut }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
langfe1033 \langfenp1033 \alang1025 Penyebaran dan keadaan rambut }{\rtlch \fcs1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : merata
dan bersih }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Warna
rambut }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\langfe1033 \langfenp1033 \alang1025 : hitam keputih-keputihan (beruban)}{\rtlch \
widctlpar \aspalpha \aspnum \adjustright \lin3402 \rin0 \itap0 \ls30 \rtlch \fcs1 \
alang1025 \f2 c)\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Wajah }{\rtlch \fcs1 \af0 \afs24 \ltrch \
\ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin3402 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
langfe1033 \langfenp1033 \alang1025 Warna kulit }{\rtlch \fcs1 \af0 \afs24 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : sawo matang }{\rtlch \
pard \plain \s26 \qj \li3402 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Struktur wajah }{\rtlch \fcs1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :
simetris, normal dan tidak ada kelainan.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 d)\tab }{\
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Mata
}\pard \plain \s26 \qj \li3402 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin3402 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Kelengkapan dan
kesimetrisan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
langfenp1033 \alang1025 : lengkap dan simetris}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Konjungtiva dan sclera }{\rtlch \fcs1 \af0 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : anemis
dan ikterik }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 e)\tab }{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Hidung }{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Lubang hidung }{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : bersih, tidak
ada polip }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Cuping
hidung }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
langfenp1033 \alang1025 : pernafasan cuping hidung (-)}{\rtlch \fcs1 \af0 \afs24 \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 f)\
Telinga}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Bentuk
telinga}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
\langfe1033 \langfenp1033 \alang1025 : simetris kanan/kiri}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 Ukuran telinga}{\rtlch \fcs1 \af0 \afs24 \ltrch
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : simetris
kanan/kiri }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Lubang
telinga }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
\langfe1033 \langfenp1033 \alang1025 : bersih }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Ketajaman pendengaran }{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : normal }{\
alang1025 \f2 g)\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Integument }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Kulit }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 : bersih }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Turgor }{\rtlch \fcs1 \af0 \afs24 \ltrch \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : tidak baik }
{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \
alang1025 Capillary refli }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\langfe1033 \langfenp1033 \alang1025 : >3 detik }{\rtlch \fcs1 \af0 \afs24 \ltrch \
\li3402 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 h)\tab }{\
Pemeriksaan thoraks/ dada}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 Thoraks }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\langfe1033 \langfenp1033 \alang1025 : bentuk normal }{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 Pernafasan }{\rtlch \fcs1 \af0 \afs24 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :
24x/menit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Irama
Pernafasan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 : regular }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Tanda kesulitan bernafas }{\rtlch \fcs1 \af0 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : tidak ada
kesulitan dalam bernafas }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfenp1033 \alang1025 Pola Kebiasaan Sehari-hari}{\rtlch \fcs1 \af0 \afs24 \ltrch
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 a.\
Pola makan dan Minum}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \li2880 \ri0 \lisb0 \sa160 \
alang1025 Frekuensi makan/hari }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
\langfe1033 \langfenp1033 \alang1025 : makan 3 kali sehari }{\rtlch \fcs1 \af0 \
afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \
par }\pard \plain \s26 \qj \li2880 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Nafsu/ Selera makan}{\
nafsu atau selera makan menurun}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \li2880 \ri0 \lisb0 \sa160 \
alang1025 Alergi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\langfe1033 \langfenp1033 \alang1025 : tidak ada alergi terhadap makanan}{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Mual dan Muntah}{\rtlch \fcs1 \
ada mual dan muntah }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
alang1025 Waktu pemberian makanan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
\langfe1033 \langfenp1033 \alang1025 : pagi 07. 00 WIB}{\rtlch \fcs1 \af0 \afs24 \
\langfe1033 \langfenp1033 \alang1025 Siang 12.00 WIB}{\rtlch \fcs1 \af0 \afs24 \
\langfe1033 \langfenp1033 \alang1025 Malam 19.00 WIB}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 Jumlah dan jenis makanan}{\rtlch \fcs1 \af0 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : makan \
uc1 \u188 ? dari porsi yang diberikan di RS}{\rtlch \fcs1 \af0 \afs24 \ltrch \
\lin2880 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch
langnp1033 \langfe1033 \langfenp1033 \alang1025 Waktu pemberian cairan/minuman }{\
melalui infuse }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
alang1025 Masalah makan dan minum }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
\langfe1033 \langfenp1033 \alang1025 : Pasien Mengatakan Sakit Saat Menelan}{\
alang1025 \f2 b.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Perawatan diri/ }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Personal Hygine }{\
rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \i1 \fs24 \rtlch \alang1025 \ltrch \dbch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Kebersihan tubuh }{\rtlch
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \tab }{\
tubuh bersih}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
alang1025 Kebersihan gigi dan mulut }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
\langfe1033 \langfenp1033 \alang1025 : gigi dan mulut cukup bersih }{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Kebersihan kuku kai dan tangan}{\
bersih}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 \f2 c.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Pola kegiatan/ aktivitas }{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\trowd \trql \trgaph0 \
trleft1942 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \
brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \
brdrw10 \trautofit1 \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \
brdrw10 \cltxlrtb \clwWidth2187 \clftsWidth3 \cellx8501 \pard \plain \s26 \qj \
\langfe1033 \langfenp1033 \alang1025 Kegiatan }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qj \li0 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1025 Mandiri }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qj \li0 \ri0 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
alang1025 Sebagian }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
alang1025 {\trowd \trql \trgaph0 \trleft1942 \trbrdrt \brdrs \brdrw10 \trbrdrb \
brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trftsWidth1 \trftsWidthB3 \
row }\pard \plain \s26 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Mandi}{\
\cell }\pard \plain \s26 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
pard \plain \s26 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \uc1 \u8730 ?}{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \
\langfe1033 \langfenp1033 \alang1025 Makan }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \
alang1025 \uc1 \u8730 ?}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 BAB}{\
trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 BAK}{\
\langfe1033 \langfenp1033 \alang1025 Ganti Pakaian }{\rtlch \fcs1 \af0 \afs24 \
s26 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \
alang1025 \uc1 \u8730 ?}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 d.\
Pola eliminasi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
alang1025 BAB}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
langfe1033 \langfenp1033 \alang1025 \f0 {\uc1 \u45 ?}\tab }{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pola BAB }{\rtlch \fcs1 \
tidak normal }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
af2 \hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\alang1025 {\listtext \pard \plain \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Karakter feses}{\rtlch \
keras }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Riwayat perdarahan }{\
Tidak ada}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 BAB terakhir }{\rtlch \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : 23
Oktober 2021}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 {\uc1 \u45 ?}\tab }{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Diare }{\
tidak ada }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Penggunaan laktasif }{\
tidak ada}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 BAK }{\
langfenp1033 \alang1025 \f0 {\uc1 \u45 ?}\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Pola BAK}{\rtlch \fcs1 \af0 \
normal }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Karakter Urine }{\rtlch \
\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 :warna kuning dan tidak keruh }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 {\uc1 \u45 ?}\
Nyeri/kesulitan BAK}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\langfe1033 \langfenp1033 \alang1025 :tidak ada kesulitan BAK }{\rtlch \fcs1 \af0 \
langfenp1033 \alang1025 Riwayat penyakit ginjal}{\rtlch \fcs1 \af0 \afs24 \ltrch \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : tidak ada}{\
alang1025 \f0 {\uc1 \u45 ?}\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 Riwayat penyakit kandung kemih }{\rtlch \fcs1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 : tidak
ada}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
langfenp1033 \alang1025 \f0 {\uc1 \u45 ?}\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Penggunan diuretic }{\rtlch \fcs1 \
tidak menggunakan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 {\uc1 \u45 ?}\tab }{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Upaya
mengatasi masalah }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\langfe1033 \langfenp1033 \alang1025 : tidak ada masalah }{\rtlch \fcs1 \af0 \afs24
langfe1033 \langfenp1033 \alang1025 e. Pola istirahat}{\rtlch \fcs1 \af0 \afs24 \
langfenp1033 \alang1025 Lama tidur malam : 6 jam}{\rtlch \fcs1 \af0 \afs24 \ltrch \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 {\uc1 \u45 ?}\
Lama tidur siang : 2 jam}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\rtlch \alang1025 \ltrch \dbch
\af2 \hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Keluhan }{\
sering terbangun di subuh hari ( jam 03:00 wib}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 f. Nilai pola keyakinan}{\rtlch \fcs1 \af0 \
langfenp1033 \alang1025 Pasien Percaya dan meyakini bahwa hidup dan matinya ada
dalam perlindungan Tuhan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa160 \
alang1025 \par }\pard \plain \s26 \fi-361 \li1005 \ri0 \lisb0 \sa0 \lisa0 \sl-252 \
slmult0 \nowidctlpar \adjustright \lin1005 \rin0 \tql \tx1006 \itap0 \ls36 \ilvl1 \
langfenp1033 \alang1025 \f0 1.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 Kemampuan ADL}{\rtlch \fcs1 \af0 \afs24 \
qc \li1005 \ri0 \lisb0 \sa160 \lisa0 \sl-252 \slmult0 \widctlpar \aspalpha \
aspnum \adjustright \lin1005 \rin0 \tql \tx1006 \itap0 \rtlch \fcs1 \af8 \afs22 \
fi-2727 \li3240 \ri0 \lisb0 \sa4 \lisa0 \sl-252 \slmult0 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Tingkat kemandirian dalam kehidupan
sehari-hari (IndeksBarthel)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \qc \li513 \ri0 \lisb0 \sa4 \lisa0 \sl-
252 \slmult0 \widctlpar \aspalpha \aspnum \adjustright \lin513 \rin0 \tql \tx3207 \
alang1025 \par }\trowd \trql \trgaph0 \trrh755 \trleft542 \trbrdrt \brdrs \
brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \
brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \
trbrdrv \brdrs \brdrw10 \brdrcf1 \trwWidth9455 \trftsWidth3 \trftsWidthB3 \
trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs
\brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \
brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth528 \clftsWidth3 \
cellx1070 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \
brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \
cltxlrtb \clwWidth5500 \clftsWidth3 \cellx6570 \clvertalt \clbrdrl \brdrs \
brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \
cellx9997 \pard \plain \s19 \qc \li117 \ri130 \lisb0 \sa0 \lisa0 \sl-250 \slmult0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 No}{\rtlch \fcs1 \af0 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \
s19 \qc \li1720 \ri2447 \lisb0 \sa0 \lisa0 \sl-250 \slmult0 \nowidctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 KRITERIA}{\rtlch \fcs1 \af0 \
s19 \fi14 \li194 \ri183 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Dengan Bantuan}{\rtlch \fcs1 \af0 \
s19 \qc \li137 \ri153 \lisb0 \sa0 \lisa0 \sl-250 \slmult0 \nowidctlpar \adjustright
\lin137 \rin153 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langfe1033 \langfenp1033 \alang1025 Mandiri}{\rtlch \fcs1 \af0 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qj \fi120
\li52 \ri207 \lisb0 \sa0 \lisa0 \sl-252 \slmult0 \nowidctlpar \adjustright \lin52 \
rin207 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
\langfenp1033 \alang1025 {\rtlch \fcs1 \af0 \afs22
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Skor Yang Didapat}{\rtlch
cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \
trrh755 \trleft542 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \
brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \
trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \trwWidth9455 \
trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3
\clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \
clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \
clwWidth528 \clftsWidth3 \cellx1070 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \
clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \
brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth5500 \clftsWidth3 \cellx6570 \
clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \
clwWidth1049 \clftsWidth3 \cellx9997 \row }\trowd \trql \trgaph0 \trrh253 \
trleft542 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \
trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \
brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \trwWidth9455 \
clwWidth1049 \clftsWidth3 \cellx9997 \pard \plain \s19 \qc \li110 \ri12 \lisb0 \sa0
\lisa0 \sl-234 \slmult0 \nowidctlpar \adjustright \lin110 \rin12 \intbl \itap1 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 1}{\
cell }\pard \plain \s19 \li93 \ri0 \lisb0 \sa0 \lisa0 \sl-234 \slmult0 \nowidctlpar
\adjustright \lin93 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22
langfe1033 \langfenp1033 \alang1025 Makan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qc \li110 \ri17 \
lisb0 \sa0 \lisa0 \sl-234 \slmult0 \nowidctlpar \adjustright \lin110 \rin17 \
alang1025 5}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
alang1025 \cell }\pard \plain \s19 \qc \li137 \ri153 \lisb0 \sa0 \lisa0 \sl-234 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 10}{\rtlch \fcs1 \af0 \
s19 \li110 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar \adjustright \
langfe1033 \langfenp1033 \alang1025 10}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs18
alang1025 {\trowd \trql \trgaph0 \trrh253 \trleft542 \trbrdrt \brdrs \brdrw10 \
brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \
trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \
brdrs \brdrw10 \brdrcf1 \trwWidth9455 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \
brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \
clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth528 \clftsWidth3 \cellx1070 \
brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth1049 \clftsWidth3 \cellx9997 \row }\
trowd \trql \trgaph0 \trrh251 \trleft542 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb
\brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10
\brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \
trwWidth9455 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \
trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \
brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \
brdrcf1 \cltxlrtb \clwWidth528 \clftsWidth3 \cellx1070 \clvertalt \clbrdrl \brdrs \
cltxlrtb \clwWidth1049 \clftsWidth3 \cellx9997 \pard \plain \s19 \qr \li110 \
ri213 \lisb0 \sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \adjustright \lin110 \rin213
\intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfe1033 \langfenp1033 \alang1025 2}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard
\plain \s19 \li93 \ri0 \lisb0 \sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Berpindah dari kursi roda ketempat
tidur,atau sebaliknya}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \qc \li277 \ri291 \
lisb0 \sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \adjustright \lin277 \rin291 \intbl
alang1025 5-10}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfenp1033 \alang1025 \cell }\pard \plain \s19 \qc \li137 \ri153 \lisb0 \sa0 \
lisa0 \sl-232 \slmult0 \nowidctlpar \adjustright \lin137 \rin153 \intbl \itap1 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 15}
cell }\pard \plain \s19 \li110 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trrh251 \trleft542 \trbrdrt \
brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \
brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \brdrw10 \
brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \trwWidth9455 \trftsWidth3 \
trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \
clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \
brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth528 \
clftsWidth3 \cellx1070 \clvertalt \clbrdrl \brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs
\brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \
brdrcf1 \cltxlrtb \clwWidth5500 \clftsWidth3 \cellx6570 \clvertalt \clbrdrl \
brdrs \brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \
brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth1260 \
clftsWidth3 \cellx9997 \row }\trowd \trql \trgaph0 \trrh254 \trleft542 \trbrdrt \
clftsWidth3 \cellx9997 \pard \plain \s19 \qr \li110 \ri213 \lisb0 \sa0 \lisa0 \sl-
234 \slmult0 \nowidctlpar \adjustright \lin110 \rin213 \intbl \itap1 \rtlch \fcs1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 3}{\
langfe1033 \langfenp1033 \alang1025 Personal toilet(cucimuka,menyisir
rambut,gosokgigi)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
cell }\pard \plain \s19 \qc \li110 \ri16 \lisb0 \sa0 \lisa0 \sl-234 \slmult0 \
trowd \trql \trgaph0 \trrh251 \trleft542
\trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb \brdrs \brdrw10 \brdrcf1 \trbrdrl \
brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10 \brdrcf1 \trbrdrh \brdrs \
brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \trwWidth9455 \trftsWidth3 \
langfe1033 \langfenp1033 \alang1025 Keluar masuk toilet
(mencucipakaian,menyekatubuh,menyiram)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth1049 \clftsWidth3 \cellx9997 \row }\pard
\plain \s19 \qr \li110 \ri213 \lisb0 \sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 5}{\rtlch \fcs1 \af0 \afs22 \
s19 \li93 \ri0 \lisb0 \sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \adjustright \lin93
langfe1033 \langfenp1033 \alang1025 Mandi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs
\brdrw10 \brdrcf1 \clbrdrb \brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth1260 \
clftsWidth3 \cellx9997 \row }\trowd \trql \trgaph0 \trrh253 \trleft542 \trbrdrt \
langfe1033 \langfenp1033 \alang1025 Berjalandipermukaan datar (jika tidak
bisa,dengan kursi roda)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
trowd \trql \trgaph0 \trrh251 \trleft542 \trbrdrt \brdrs \brdrw10 \brdrcf1 \trbrdrb
\brdrs \brdrw10 \brdrcf1 \trbrdrl \brdrs \brdrw10 \brdrcf1 \trbrdrr \brdrs \brdrw10
\brdrcf1 \trbrdrh \brdrs \brdrw10 \brdrcf1 \trbrdrv \brdrs \brdrw10 \brdrcf1 \
trwWidth9455 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \
brdrcf1 \cltxlrtb \clwWidth528 \clftsWidth3 \cellx1070 \clvertalt \clbrdrl \brdrs \
cltxlrtb \clwWidth1049 \clftsWidth3 \cellx9997 \pard \plain \s19 \qr \li110 \
ri213 \lisb0 \sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \adjustright \lin110 \rin213
langfe1033 \langfenp1033 \alang1025 7}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \li93 \ri0 \lisb0 \
sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \adjustright \lin93 \rin0 \intbl \itap1 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Naik
turun tangga}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
cell }\pard \plain \s19 \qc \li137 \ri153 \lisb0 \sa0 \lisa0 \sl-232 \slmult0 \
brdrs \brdrw10 \brdrcf1 \cltxlrtb \clwWidth1049 \clftsWidth3 \cellx9997 \row }\pard
\plain \s19 \qr \li110 \ri213 \lisb0 \sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \
langfe1033 \langfenp1033 \alang1025 Mengenakan pakaian}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \li110 \ri0 \lisb0 \
clwWidth1049 \clftsWidth3 \cellx9997 \pard \plain \s19 \qr \li110 \ri213 \lisb0 \
sa0 \lisa0 \sl-234 \slmult0 \nowidctlpar \adjustright \lin110 \rin213 \intbl \itap1
\rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \
langfe1033 \langfenp1033 \alang1025 Kontrol bowe (BAB)}{\rtlch \fcs1 \af0 \afs24 \
langnp1033 \langfe1033
\langfenp1033 \alang1025 5}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \
alang1025 10}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfenp1033 \alang1025 \cell }\pard \plain \s19 \li110 \ri0 \lisb0 \sa0 \lisa0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trrh254 \
clwWidth1049 \clftsWidth3 \cellx9997 \pard \plain \s19 \qr \li110 \ri163 \lisb0 \
sa0 \lisa0 \sl-232 \slmult0 \nowidctlpar \adjustright \lin110 \rin163 \intbl \itap1
langfe1033 \langfenp1033 \alang1025 Kontrol Bladder(BAK)}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s19 \li110 \ri0 \lisb0 \
clvertalt \clbrdrl \brdrs
\brdrw10 \brdrcf1 \clbrdrr \brdrs \brdrw10 \brdrcf1 \clbrdrt \brdrs \brdrw10 \
cellx9997 \pard \plain \s19 \li110 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \
\rin0 \tql \tx1356 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch
langfe1033 \langfenp1033 \alang1025 Jumlah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 35-45}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
cell }\pard \plain \s19 \li110 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \nowidctlpar
langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trrh253 \trleft542 \trbrdrt \
clftsWidth3 \cellx9997 \row }\pard \plain \s24 \li0 \ri0 \sb5 \lisb0 \sa0 \lisa0 \
sl240 \slmult1 \nowidctlpar \adjustright \lin0 \rin0 \itap0 \rtlch \fcs1 \af8 \
li347 \ri0 \sb101 \lisb0 \sa160 \lisa0 \sl-250 \slmult0 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Kategori:}{\rtlch \fcs1 \af0 \afs22
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li347
\ri0 \sb101 \lisb0 \sa160 \lisa0 \sl-250 \slmult0 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 Mandiri}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0
af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :72-9}{\
}\pard \plain \li347 \ri0 \sb101 \lisb0 \sa160 \lisa0 \sl-250 \slmult0 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Ketergantungan parsial}{\
hich \af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :54-
71}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2
par }\pard \plain \li347 \ri0 \sb101 \lisb0 \sa160 \lisa0 \sl-250 \slmult0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Ketergantungan total }{\
hich \af0 \loch \f8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 :35-
53}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2
par }\pard \plain \s24 \qc \li362 \ri7369 \sb1 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \
expnd-1 \expndtw-1 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \
par }\pard \plain \s26 \fi-360 \li1005 \ri1290 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin1005 \rin1290 \itap0 \ls36 \ilvl1 \
listtext \pard \plain \rtlch \fcs1
\af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \
loch \af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f0 2.\tab }{\
\cf1 MORSE FALL SCALE}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li2160 \ri1290 \lisb0 \
rin1290 \itap0 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
alang1025 \cf1 (Pengkajian risiko jatuh pasien dewasa)}{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \
langfe1033 \langfenp1033 \alang1025 \par }\trowd \trql \trgaph0 \trrh542 \trleft-
100 \trautofit1 \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \
trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \
brdrs \brdrw20 \brdrcf1 \clbrdrb \brdrs \brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \
clpadb100 \clpadt100 \clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \
brdrs \brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \clpadb100 \clpadt100 \clpadr100 \
clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx6369 \
clpadl100 \clpadb100 \clpadt100 \clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \
clpadfr3 \clwWidth0 \clftsWidth1 \cellx6916 \clvertalt \clbrdrl \brdrs \brdrw20 \
clbrdrb \brdrs \brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \clpadb100 \clpadt100 \
clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \
cltxlrtb \clpadl100 \clpadb100 \clpadt100 \clpadr100 \clpadfl3 \clpadfb3 \
clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx9130 \pard \plain \li0 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \
alang1025 \cf1 NO}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \cell }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 RISIKO}{\
cell }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 YA}{\rtlch \fcs1 \
plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 TIDAK}{\rtlch \fcs1 \af0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qc \
langfe1033 \langfenp1033 \alang1025 \cf1 SKORING}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trrh542 \trleft-100 \trautofit1 \
trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw20 \
clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx447
clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx7863 \clvertalt \clbrdrl \brdrs \
brdrcf1 \clbrdrb \brdrs \brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \clpadb100 \
clpadt100 \clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \
clftsWidth1 \cellx9130 \row }\trowd \trql \trgaph0 \trrh810 \trleft-100 \trautofit1
\trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \
clftsWidth1 \cellx447 \clvertalt \clbrdrl \brdrs \brdrw20 \brdrcf1 \clbrdrr \
brdrs \brdrw20 \brdrcf1 \clbrdrt \brdrs \brdrw20 \brdrcf1 \clbrdrb \brdrs \
brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \clpadb100 \clpadt100 \clpadr100 \clpadfl3 \
clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx6369 \clvertalt \clbrdrl
\brdrs \brdrw20 \brdrcf1 \clbrdrr \brdrs \brdrw20 \brdrcf1 \clbrdrt \brdrs \brdrw20
\brdrcf1 \clbrdrb \brdrs \brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \clpadb100 \
brdrcf1 \cltxlrtb \clpadl100 \clpadb100 \clpadt100 \clpadr100 \clpadfl3 \clpadfb3 \
clftsWidth1 \cellx9130 \pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 1}{\
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 Riwayat jatuh yang
baru atau dalam 3 bulan terakhir}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \
alang1025 \cf1 25}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 0}{\rtlch \fcs1
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 25}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trrh810 \trleft-100 \
trautofit1 \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \
clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx9130 \row }\trowd \trql \trgaph0 \
trrh512 \trleft-100 \trautofit1 \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl15
\trpaddt15 \trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1
Diagnosis sekunder (\uc1 \u8805 ?2 diagnosis medis)}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 \cf1 15}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qc \li0 \ri0 \
langfe1033 \langfenp1033 \alang1025 \cf1 0}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qc \li0 \ri0 \lisb0 \
hich \af0 \loch \af8 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trrh512 \trleft-100 \trautofit1 \
trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw20 \
clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx447
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 Alat bantu jalan}{\
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u160 ?}{\rtlch
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \
plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u160 ?}{\rtlch \fcs1 \af0 \afs24 \
clvmgf \clvertalt \clbrdrl \brdrs \brdrw20 \brdrcf1 \clbrdrr \brdrs \brdrw20 \
intbl \itap1 \rtlch \fcs1 \af8 \afs22
plain \fi-360 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u183 ? \uc1 \u160 ? \uc1
\u160 ? \uc1 \u160 ? \uc1 \u160 ? Berpegangan pada benda-benda sekitar}{\rtlch \
pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvmgf \clvertalt
\clbrdrl \brdrs \brdrw20 \brdrcf1 \clbrdrr \brdrs \brdrw20 \brdrcf1 \clbrdrt \brdrs
\brdrw20 \brdrcf1 \clbrdrb \brdrs \brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \clpadb100
\clpadt100 \clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \
trpaddr15 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvmrg \clvertalc \clbrdrl \
pard \plain \fi-360 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u183 ? \uc1 \
u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? Kruk, tongkat, walker}{\rtlch \fcs1 \
trautofit1 \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \
trpaddfb3 \trpaddfr3 \clvmrg \clvertalc \clbrdrl \brdrs \brdrw20 \brdrcf1 \
brdrs \brdrw20 \brdrcf1 \cltxlrtb \clwWidth0 \clftsWidth1 \cellx447 \clvertalt \
cellx9130 \row }\trowd \trql \trgaph0 \trrh570 \trleft-100 \trautofit1 \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvmrg \clvertalc \clbrdrl \brdrs \
u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? Tidak ada/ kursi roda/ perawat/tirah
baring}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \cell }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvmrg \clvertalc
hich \af0 \loch \f0 \lang1033 \langnp1033
alang1025 \cf1 Pasien terpasang infus}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx9130 \row }\pard \plain \li0 \
langfe1033 \langfenp1033 \alang1025 \cf1 5}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 \cf1 Gaya berjalan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 \cf1 \uc1 \u160 ?}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 {\trowd \trql \trgaph0 \trrh485 \trleft-100 \trautofit1 \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15 \trpaddfl3 \
trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw20 \brdrcf1 \
clpadfl3 \clpadfb3 \clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx447 \clvertalt
clpadft3 \clpadfr3 \clwWidth0
\clftsWidth1 \cellx447 \clvertalt \clbrdrl \brdrs \brdrw20 \brdrcf1 \clbrdrr \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 \
uc1 \u160 ?}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \cell }\pard \plain \fi-360 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
\uc1 \u183 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? Terganggu/tidak
normal (pinjang/diseret)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\uc1 \u160 ?}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u160 ?}{\
clvmrg \clvertalc \clbrdrl \brdrs \brdrw20 \brdrcf1 \clbrdrr \brdrs \brdrw20 \
cltxlrtb \clwWidth0 \clftsWidth1 \cellx447 \clvertalt \clbrdrl \brdrs \brdrw20 \
alang1025 \cell }\pard \plain \fi-360 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
\uc1 \u183 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? Lemah (tidak
bertenaga)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
\ltrch \fcs0 \fs24 \rtlch \alang1025
langfenp1033 \alang1025 \cf1 \uc1 \u160 ?}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 {\trowd \trql \trgaph0 \trrh515 \trleft-100 \trautofit1 \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15 \trpaddfl3 \
trpaddft3 \trpaddfb3 \trpaddfr3 \clvmrg \clvertalc \clbrdrl \brdrs \brdrw20 \
u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? Normal/bedrest/imobilisasi (tidak
dapat bergerak sendiri)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\uc1 \u160 ?}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
\brdrs \brdrw20 \brdrcf1 \clbrdrr \brdrs \brdrw20 \brdrcf1 \clbrdrt \brdrs
\brdrw20 \brdrcf1 \clbrdrb \brdrs \brdrw20 \brdrcf1 \cltxlrtb \clpadl100 \
clpadfr3 \clwWidth0 \clftsWidth1 \cellx9130 \pard \plain \li0 \ri0 \lisb0 \sa0 \
Status mental}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
trql \trgaph0 \trrh485 \trleft-100 \trautofit1 \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \fi-360 \li0 \ri0 \lisb0 \
alang1025 \cf1 \uc1 \u183 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ?
Orientasi tidak baik/tidak menyadari kondisi dirinya}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 \cf1 15}{\rtlch \fcs1 \af0 \afs24 \ltrch \
ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\
pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u160 ?}{\rtlch \fcs1 \
trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvmgf \clvertalt
u160 ? \uc1 \u160 ? \uc1 \u160 ? \uc1 \u160 ? Orientasi baik/ menyadari kondisi
dirinya}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
clpadt100 \clpadr100 \clpadfl3 \clpadfb3 \clpadft3 \clpadfr3
\clwWidth0 \clftsWidth1 \cellx6916 \clvertalt \clbrdrl \brdrs \brdrw20 \brdrcf1 \
clpadfr3 \clwWidth0 \clftsWidth1 \cellx9130 \pard \plain \li0 \ri0 \lisb0 \sa0 \
alang1025 \cf1 TOTAL SCORE}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
trowd \trql \trgaph0 \trrh407 \trleft-100 \trautofit1 \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddl15 \trpaddt15 \trpaddb15 \trpaddr15 \trpaddfl3 \trpaddft3 \
clpadft3 \clpadfr3 \clwWidth0 \clftsWidth1 \cellx9130 \row }\pard \plain \qj \fi720
langfe1033 \langfenp1033 \alang1025 \cf1 Keterangan :}{\rtlch \fcs1 \af0 \afs24 \
fi720 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u167 ?\uc1 \u160 ? Tidak berisiko :
0-24}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \qj \fi720 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 \uc1 \u167 ?\uc1
\u160 ? Resiko rendah : 25-50}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qj \fi720 \li0 \ri0 \
alang1025 \cf1 \uc1 \u167 ?\uc1 \u160 ? Resiko tinggi : \uc1 \u8805 ?51}{\rtlch \
pard \plain \qj \fi720 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cf1 Keamanan : dipasang pengaman
tempat tidur/ bed rest}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \rtlch \
langnp1033 \langfe1033 \langfenp1033
\alang1025 {\listtext \pard \plain \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
langfe1033 \langfenp1033 \alang1025 \f2 3.3.10.\tab }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pemeriksaan Penunjang}{\
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 1. USG}{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 2. Laboratorium}{\rtlch \fcs1 \
plain \s26 \qj \fi-180 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin2160 \rin0 \itap0 \ls28 \ilvl2 \rtlch \fcs1 \af8
\afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \af8
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 {\listtext \pard \
alang1025 \f2 3.3.11.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \fs24 \
langfe1033 \langfenp1033 \alang1025 Therapy}{\rtlch \fcs1 \af0 \afs24 \ltrch \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 IUFD
RL 20 tetes/menit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Injeksi Omeprazole 40g/12
jam}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
langfe1033 \langfenp1033 \alang1025 Injeksi Ondansetron 4g/12jam}{\rtlch \fcs1 \af0
s26 \qj \fi-425 \li2552 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin2552 \rin0 \itap0 \ls37 \rtlch \fcs1 \af8 \
langfe1033 \langfenp1033 \alang1025 Paracetamo 3x500g}{\rtlch \fcs1 \af0 \afs24 \
Hemorid 3x1}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Antasida syrup }{\rtlch \fcs1 \
langfenp1033 \alang1025 Analisa Data}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \b1 \
\langfe1033 \langfenp1033 \alang1025 \par }\trowd \trql \trgaph0 \trleft851 \
trwWidth8788 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\clwWidth567 \clftsWidth3 \cellx1418 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \
brdrs \brdrw10 \clbrdrt \brdrs \brdrw10
\clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth1843 \clftsWidth3 \cellx7797 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 No}{\rtlch \fcs1 \af0 \
s26 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
\langfe1033 \langfenp1033 \alang1025 Data}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langfe1033 \langfenp1033 \alang1025 Etiologi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
langfe1033 \langfenp1033 \alang1025 Masalah}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trleft851 \trbrdrt \brdrs \
brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \
brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trwWidth8788 \
trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth567 \
clftsWidth3 \cellx1418 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10
\clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth4536 \
clftsWidth3 \cellx9639 \row }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \
alang1025 \cell }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 DS: }{\
langfenp1033 \alang1025 \f3 \'fc\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 Pasien mengeluh nyeri ulu hati}{\rtlch \
pard \plain \s26 \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
\langfe1033 \langfenp1033 \alang1025 Pasien mengatakan dada terasa panas seperti
terbakar}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 DO:}{\
\langfe1033 \langfenp1033 \alang1025 Pasien tampak meringis}{\rtlch \fcs1 \af0 \
fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
\'fc\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
alang1025 Skala nyeri 5/10}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\rin0 \intbl \itap1 \ls39 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f3 \'fc\'00\tab }{\rtlch
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 TD :
110/90 mmHg}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s26 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 T :
36,8 }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s26 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin720 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 RR : 22X/menit}{\rtlch \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 HR : 96X/menit}{\rtlch \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 }{\rtlch \fcs1 \
langnp1057 \langfe1033 \langfenp1033 \alang1025 Inflamasi lapisan esofagus}{\
cell }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Nyeri Akut}{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trleft851 \
trwWidth8788 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\clwWidth567 \clftsWidth3 \cellx1418 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \
clwWidth1842 \clftsWidth3 \cellx9639 \row }\pard \plain \s26 \li0 \ri0 \lisb0 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DS:}{\
\langfe1033 \langfenp1033 \alang1025 Pasien mengatakan mual dan muntah}{\rtlch \
\langfe1033 \langfenp1033 \alang1025 Pasien mengatakan lemas dan pusing}{\rtlch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DO: }{\
\langfe1033 \langfenp1033 \alang1025 Terdapat tanda-tanda dehidrasi}{\rtlch \fcs1 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
\par }\pard \plain \s26 \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
\langfe1033 \langfenp1033 \alang1025 Mukosa bibir kering}{\rtlch \fcs1 \af0 \
alang1025 Konjungtiva anemis}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \li720 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Intake dan
Output yang kurang}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
alang1025 Defisit volume cairan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \
brdrw10 \trbrdrv \brdrs \brdrw10 \trwWidth8788 \trftsWidth3 \trftsWidthB3 \
row }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
s26 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 DS :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \f3 \'fc\'00\tab }{\rtlch \fcs1 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Pasien
mengatakan mual dan muntah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
mengatakan sulit menelan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0 \
alang1025 DO :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Pasien tampak
mual dan muntah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
tampak tidak menghabiskan makananya dengan alasan sulit menelan}{\rtlch \fcs1 \af0
s26 \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
alang1025 BB sebelum sakit 50 Kg}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
alang1025 BB saat sakit 48}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 TD : 110/90
mmHg}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \s26 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 T : 36,8 }{\rtlch \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 HR : 96X/menit}{\rtlch \
langfe1033 \langfenp1033 \alang1025 Intake menurun akibat mual dan muntah dan
kesulitan menelan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin70 \intbl \itap1
Ketidakseimbangan nutrisi kurang dari kebutuhan tubuh}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trleft851 \trbrdrt \
brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \
brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trwWidth8788 \
trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \
clftsWidth3 \cellx9639 \row }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0 \lisa0 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 DS :}{\
\langfe1033 \langfenp1033 \alang1025 Pasien mengatakan tidak mengetahui tentang
penyakitnya}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \intbl \itap1 \ls39
\rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f3 \'fc\'00\tab }{\
Pasien mengatakan tidak mengetahui tentang tindakan yang ditelah dilakukan}{\
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 DO :}{\rtlch \fcs1 \
plain \s26 \fi-360 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
alang1025 \f3 \'fc\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Pasien tidak mengetahui tentang penyakitnya}{\
\langfe1033 \langfenp1033 \alang1025 Pasien cemas dan khawatir tentang penyakitnya
\langfe1033 \langfenp1033 \alang1025 TD : 110/90 mmHg}{\rtlch \fcs1 \af0 \afs24 \
adjustright \lin720 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22
langfe1033 \langfenp1033 \alang1025 T : 36,8 }{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 RR : 22X/menit}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 HR : 96X/menit}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
alang1025 Kurangnya pengetahuan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \cell }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0 \lisa0 \
alang1025 Ansietas}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
trowd \trql \trgaph0 \trleft851 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \
trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \
trbrdrv \brdrs \brdrw10 \trwWidth8788 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \
trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \
clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \
clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth567 \clftsWidth3 \cellx1418 \clvertalt \
clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth4536 \clftsWidth3 \cellx5954 \
row }\pard \plain \s26 \li2160 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin2160 \rin0 \itap0 \rtlch \fcs1 \af8 \afs22 \
aspnum \adjustright \lin1440 \rin0 \itap0 \ls27 \ilvl1 \rtlch \fcs1 \af8 \afs22 \
rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch
langfe1033 \langfenp1033 \alang1025 Diagnosa Keperawatan}{\rtlch \fcs1 \af0 \
aspalpha \aspnum \adjustright \lin2160 \rin99 \tql \tx8789 \itap0 \ls45 \rtlch \
langfe1033 \langfenp1033 \alang1025 Nyeri Akut berhubungan dengan Inflamasi
lapisan esofagus}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
rin99 \tql \tx8789 \itap0 \ls45 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \
Devisit volume cairan berhubungan dengan intake dan output yang kurang}{\rtlch \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 }{\
langfe1033 \langfenp1033 \alang1025 Nutrisi kurang dari kebutuhan tubuh berhubungan
dengan Intake }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 yang kurang.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
ri99 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin2160 \rin99 \tql \tx8789 \itap0 \ls45 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \
Ansietas berhubungan dengan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 kurangnya pengetahuan.}{\rtlch \fcs1 \af0 \
qj \fi-360 \li1440 \ri2196 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
langfe1033 \langfenp1033 \alang1025 Intervensi Keperawatan}{\rtlch \fcs1 \af0 \
f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\trowd \trql \
trgaph0 \trleft-142 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \
brdrw10 \trautofit1 \trwWidth9498 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 NO}{\rtlch \fcs1 \af0 \
s26 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
\langfe1033 \langfenp1033 \alang1025 DIAGNOSA}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 NOC}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langfe1033 \langfenp1033 \alang1025 NIC}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trwWidth9498 \trftsWidth3 \
cellx2694 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \
row }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
cell }\pard \plain \s26 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Nyeri Akut berhubungan
dengan Inflamasi lapisan esofagus}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qj \li0 \ri0 \lisb0 \
alang1025 Setelah dilakukan tindakan keperawatan pasien tidak mengalami nyeri.}{\
}\pard \plain \s26 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Kriteria hasil :}{\
langfe1033 \langfenp1033 \alang1025 Mampu mengenali nyeri}{\rtlch \fcs1 \af0 \afs24
alang1025 Pasien}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfe1033 \langfenp1033 \alang1025 mampu mengontrol nyeri}{\rtlch \fcs1 \af0 \
alang1025 Tanda vital dalam rentang normal}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Melaporkan bahwa nyerinya berkurang}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Kurangi faktor presipitasi nyeri}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Tingkatkan istirahat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Ajarkan teknik relaksasi}
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 }{\
hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 nafas}{\
dalam }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \par }\pard \plain \s26 \qj \fi-425 \li459 \ri0 \lisb0 \sa0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin459 \rin0 \intbl \itap1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Ajarkan teknik }{\rtlch \fcs1 \af0
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 distraksi }{\rtlch \
langfe1033 \langfenp1033 \alang1025 Ajarkan teknik }{\rtlch \fcs1 \af0 \afs24 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 kompres hangat dan
dingin}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langnp1057 \langfe1033 \langfenp1033 \alang1025 Kolaborasi dalam pemberian
analgetik untuk mengurangi nyeri}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
cellx9356 \row }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 2 }
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Devisit volume caieran
berhubungan dengan intake dan output yang kurang}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 Setelah dilakukan tindakan keperawatan
diharapkan pasien dapat memertahankan intake dan output yang seimbang.}{\rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Kriteria hasil :}{\
langfe1033 \langfenp1033 \alang1025 Tidak ada tanda-tanda dehidrasi}{\rtlch \fcs1 \
plain \s26 \qj \fi-535 \li535 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
langfe1033 \langfenp1033 \alang1025 Tidak ada penurunan BB}{\rtlch \fcs1 \af0 \
alang1025 Hematokrit menurun}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033
\alang1025 \par }\pard \plain \s26 \qj \fi-535 \li535 \ri0 \lisb0 \sa0 \lisa0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Tidak ada asites}{\rtlch \fcs1 \af0
s26 \qj \li535 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
425 \li426 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
Kaji tanda-tanda vital}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
monitor status dehidrasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Berikan cairan tambahan IV sesuai indikasi dari anjuran}{\rtlch \fcs1 \af0 \afs24 \
alang1025 Dorong masukan oral bila mampu}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \li426 \ri0 \lisb0
\sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0
cellx9356 \row }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 N}{\rtlch \fcs1 \af0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 utrisi kurang dari
kebutuhan tubuh berhubungan dengan Intake }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 yang kurang.}{\rtlch \fcs1 \af0 \afs24 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \li0 \ri0 \lisb0 \sa0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
alang1025 Setelah dilakukan tindakan keperawatan }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 status gizi dan asupan
makanan dan cairan adekuat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 .}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \li0 \ri0 \lisb0 \
intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
alang1025 Kriteria hasil :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Tidak ada tanda-tanda
malnutrisi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
langfe1033 \langfenp1033 \alang1025 Selera makan baik.}{\rtlch \fcs1 \af0 \afs24 \
alang1025 Tingkat kesesuaian berat badan baik.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
Mampu mencerna makanan dan cairan tampa alat bantu}{\rtlch \fcs1 \af0 \afs24 \ltrch
425 \li459 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
Kaji kebiasaan dan pola makan pasien}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Diskusikan dengan Pasien tentang makanan yang disukainya}{\rtlch \fcs1 \af0 \afs24
alang1025 Hitung output dan intake cairan setiap hari}{\rtlch \fcs1 \af0 \afs24 \
alang1025 anjurkan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 pasien }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 posisi fowler saat makan maupun minum}{\rtlch \
langfe1033 \langfenp1033 \alang1025 anjurkan pasien makan sedikit tapi sering.}{\
langfe1033 \langfenp1033 \alang1025 Timbang BB tiap hari}{\rtlch \fcs1 \af0 \
rtlch \fcs1 \af8 \afs22 \ltrch
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Kolaborasi dengan }{\
nutrisionis}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 untuk pemenuhan diet yang memenuhi kebutuhan nutrisi}{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trleft-142 \trbrdrt \
brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \
brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trwWidth9498
\trftsWidth3 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \
clftsWidth3 \cellx709 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \
brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \clwWidth1985 \
clftsWidth3 \cellx9356 \row }\pard \plain \s26 \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \
alang1025 \cell }\pard \plain \s26 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Ansietas
berhubungan dengan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 kurangnya pengetahuan.}{\rtlch \fcs1 \af0 \
s26 \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langfe1033 \langfenp1033 \alang1025 Setelah dilakukan tindakan keperawatan ansites
pada Pasien dapat teratasi.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \li0 \ri0 \lisb0 \
alang1025 Kriteria hasil :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Merencanakan strategi koping }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Pasien memahami tentang penyakitnya.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Pasien mampu mempraktekkan teknik nafas dalam.}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1057 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \
tingkat kecemasan pasien}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
rtlch \fcs1 \af0 \afs24
lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 Dorong pasien untuk
mengungkapkan pikiran dan perasaanya}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Berikan informasi yang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 akurat dan hasil pemerikasaan yang telah dan
akan dilakukan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Ciptakan lingkungan }{\
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \alang1025 rasa
tenang dan lingkungan yang tenang}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Informasikan tentang apa penyakitnya }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Beri
informasi yang akurat temtang terapy dan tindakan yang akan dilakukan}{\rtlch \fcs1
s26 \qj \fi-459 \li459 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin459 \rin0 \intbl \itap1 \ls53 \rtlch \fcs1 \af8 \afs22 \
alang1025 Jelaskan semua prosedur serta sensasi yang dialami selama prosedur.}{\
trleft-142 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \
brdrw10 \trautofit1 \trwWidth9498 \trftsWidth3 \trftsWidthB3 \trftsWidthA3 \
langfe1033 \langfenp1033 \alang1025 Implementasi dan Evaluasi Keperawatan}{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Nama : Ny. S}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 Umur : 57}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\trowd \trql \trgaph0 \
trrh416 \trleft-108 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \
brdrw10 \cltxlrtb \clwWidth3081 \clftsWidth3 \cellx9134 \pard \plain \li0 \ri0 \
lisb0
langfe1033 \langfenp1033 \alang1025 Hari / Tanggal /Jam}{\rtlch \fcs1 \af0 \afs22 \
langfe1033 \langfenp1033 \alang1025 Implementasi}{\rtlch \fcs1 \af0 \afs22 \ltrch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qc \li0 \ri0 \
langfe1033 \langfenp1033 \alang1025 Evaluasi }{\rtlch \fcs1 \af0 \afs22 \ltrch \
langfenp1033 \alang1025 {\trowd \trql \trgaph0 \trrh416 \trleft-108 \trbrdrt \brdrs
\brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10
\trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trftsWidth1 \
cellx9134 \row }\trowd \trql \trgaph0 \trleft-108 \trbrdrt \brdrs \brdrw10 \trbrdrb
\brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \
langfe1033 \langfenp1033 \alang1025 DX 1}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Rabu, 03
Oktober 2021}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \
alang1025 Jam 09.00-10.00}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \
Melakukan pengkajian skala }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Nyeri}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Meningkatkan pola istrahat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Mengajarkan teknik relaksasi nafas dalam}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin502 \rin0 \intbl \itap1 \ls54 \rtlch \fcs1 \af8 \afs22 \ltrch \
Mengajarkan teknik distraksi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Mengajarkan teknik kompres hangat dingin}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Memberikan posisi yang nyaman}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Melakukan Kolaborasi pemberian analgetik dengan dokter}{\rtlch \fcs1 \af0 \afs22 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qj \
langfe1033 \langfenp1033 \alang1025 S :}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
Pasien mengatakan nyeri ulu hati yang dia rasakan belum berkurang }{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Pasien mengatakan Nyeri yang dirasakan di dada
terasa terbakar}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \
alang1025 O : }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Skala Nyeri
5/10}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\langfe1033 \langfenp1033 \alang1025 Pasien meringis}{\rtlch \fcs1 \af0 \afs24 \
alang1025 TTV }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
alang1025 TD : 130/90mmhg}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langfe1033 \langfenp1033 \alang1025 HR : 90X/menit}{\rtlch \fcs1 \af0 \afs24
langfe1033 \langfenp1033 \alang1025 RR : 22X/menit}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 T : 36,8}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 A : Masalah Belum teratasi}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 P : Intervensi dilanjutkan}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 }{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22
row }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \
alang1025 \par }\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Jam
10.00-11.00}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
alang1025 \cell }\pard \plain \s26 \qj \li502 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
langfe1033 \langfenp1033 \alang1025 Mengkaji tanda-tanda vital}{\rtlch \fcs1 \af0 \
alang1025 Memonitor status dehidrasi}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \
af8 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1025 \f2 3.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 Memberikan cairan sesuai indikasi dan anjuran}
langfe1033 \langfenp1033 \alang1025 Mendorong masukan oral bila mampu}{\rtlch \fcs1
s26 \qj \li502 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qj \li0 \ri0 \
Pasien mengatakan mual dan muntah berkurang}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfe1033 \langfenp1033 \alang1025 O : }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Intake cairan normal }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Terpasang infus gandeng : Asering 20tts/menit (8 jam) Amino fluid 10tts/menit .}{\
\langfe1033 \langfenp1033 \alang1025 Pasien masih lemas}{\rtlch \fcs1 \af0 \afs24 \
alang1025 TD : 132/80mmHg}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 HR : 85X/menit}{\rtlch \fcs1 \af0 \afs24 \ltrch
langfe1033 \langfenp1033 \alang1025 T : 36,6}{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \
langfe1033 \langfenp1033 \alang1025 A : Masalah belum teratasi}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 P : Intervensi dilanjutkan }{\rtlch \fcs1 \
plain \qj \li360 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin360 \rin0 \intbl \itap1 \rtlch \fcs1 \af8 \afs22 \ltrch \
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit1 \trftsWidth1 \trftsWidthB3 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DX 3}{\
}\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
langnp1033 \langfe1033 \langfenp1033 \alang1025 Jam 11.00-12.00 }{\rtlch \fcs1 \af0
alang1025 Mengkaji kebiasaan pola makan pasien}{\rtlch \fcs1 \af0 \afs24 \ltrch \
Mendiskusikan tentang makanan yang disukai pasien }{\rtlch \fcs1 \af0 \afs24 \
alang1025 Menghitung output dan intake cairan setiap hari}{\rtlch \fcs1 \af0 \afs24
alang1025 Menganjurkan pasien posos fowler saat makan maupun minum}{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Menganjurkan pasien makan sedikit tapi sering}
langfe1033 \langfenp1033 \alang1025 Melakuakn penimbangan BB}{\rtlch \fcs1 \af0 \
alang1025 Kolaborasi dengan nutrisionist}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \
alang1025 S : }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien masih
mual dan muntah}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien makan \
uc1 \u188 ? dari porsinya }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \
alang1025 O: }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
langfe1033 \langfenp1033 \alang1025 \f3 \'fc\'00\tab }{\rtlch \fcs1 \af0 \afs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 K/U : Lemas}{\rtlch \fcs1
alang1025 Makanan tidak habis }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 HB :
8}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\langfe1033 \langfenp1033 \alang1025 TTV}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langfe1033 \langfenp1033 \alang1025 TD : 128/80mmHg}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 HR : 78X/menit}{\rtlch \fcs1 \af0 \afs24 \ltrch
langfe1033 \langfenp1033 \alang1025 RR : 20X/menit}{\rtlch \fcs1 \af0 \afs24 \ltrch
\rtlch \alang1025 \ltrch
alang1025 T : 36,6}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 A : Masalah belum teratasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
alang1025 P : Intervensi dilanjutkan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \li0 \ri0 \lisb0
}\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
langnp1033 \langfe1033 \langfenp1033 \alang1025 Jam 12.00-13.00}{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Mengkaji tingkat kecemasan pasien}{\rtlch \fcs1
alang1025 Mendorong pasien untuk mengungkapkan pikiran dan perasaan }{\rtlch \
langfe1033 \langfenp1033 \alang1025 Memberikan informasi yang akurat dan hasil
pemeriksaan tentang penyakitnya dan jelaskan tindakan yang dilakukan}{\rtlch \
langfe1033 \langfenp1033 \alang1025 Menciptakan lingkungan yang tenang }{\rtlch \
langfe1033 \langfenp1033 \alang1025 Memberikan informasi yang akurat tentang
terapy dan tindakan yang akan dilakukan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \dbch
langfe1033 \langfenp1033 \alang1025 Menjelaskan semua prosedur serta sensasi yang
dialami selama prosedur }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \
alang1025 S :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien mengatakan belum
paham tentang penyakitnya}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Pasien mengatakan masih merasa cemas }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \
alang1025 O :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien terlihat cemas}{\
\langfe1033 \langfenp1033 \alang1025 pasien menyanyakan pertanyaan yang
berulang . }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
(menanyakan pertanyaan yang sudah ditanyakan)}{\rtlch \fcs1 \af0 \afs24 \ltrch \
alang1025 A : Masalah belum teratasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
row }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0
\lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \
alang1025 Kamis, 04 Oktober 2021}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \
Melakukan pengkajian skala }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Meningkatkan pola istrahat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Mengajarkan teknik distraksi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Mengajarkan teknik kompres hangat dingin}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Memberikan posisi yang nyaman}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Melakukan Kolaborasi pemberian analgetik dengan
dokter}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl240 \slmult1 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 S :}{\
\langfe1033 \langfenp1033 \alang1025 Pasien mengatakan nyeri ulu hati yang dia
rasakan belum berkurang skala nyeri 5/10}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
alang1025 Pasien mengatakan rasa terbakar pada dada sudah berkurang. }{\rtlch \
pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 O : }{\rtlch \fcs1 \af0 \afs24 \
alang1025 Skala Nyeri 5/10}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Pasien tampak meringis dan lemas }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
TTV }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 TD :
115/70mmhg}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
HR : 69X/menit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
alang1025 RR : 20X/menit}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \li720 \ri0 \lisb0 \sa0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \intbl \
alang1025 T : 36,6}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 A : Masalah belum teratasi }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
row }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
langfe1033 \langfenp1033 \alang1025
\par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
\langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa0 \
Mengkaji tanda-tanda vital}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Memonitor status dehidrasi}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \
Memberikan cairan sesuai indikasi dan anjuran}{\rtlch \fcs1 \af0 \afs22 \ltrch \
Mendorong masukan oral bila mampu}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \
alang1025 S :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien mengatakan masih
mual }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 O : }{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 k/u sedang}{\rtlch \fcs1 \af0 \afs24 \ltrch \
f3 \'fc\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 Intake cairan normal }{\rtlch \fcs1 \af0 \afs24 \ltrch \
fcs1 \af8 \afs22 \ltrch \fcs0
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Terpasang infus
gandeng : Asering 20tts/menit (8 jam) Amino fluid 10tts/menit}{\rtlch \fcs1 \af0 \
alang1025 TD : 115/70mmHg}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 HR : 70 X/menit}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 A : Masalah teratasi sebagian}{\rtlch \fcs1 \
plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
langnp1033 \langfe1033 \langfenp1033 \alang1025 P : Intervensi dilanjutkan }{\rtlch
alang1025 \par }\pard \plain \s26 \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
}\pard \plain \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Jam 12.00-13.00}{\rtlch \fcs1
\alang1025 \par }\pard \plain \s26 \qc \li720 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
cell }\pard \plain \s26 \qj \fi-360 \li502 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
langfe1033 \langfenp1033 \alang1025 Mengkaji kebiasaan pola makan pasien}{\rtlch \
langfe1033 \langfenp1033 \alang1025 Menganjurkan pasien posisi fowler saat makan
maupun minum}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Menganjurkan pasien makan
sedikit tapi sering}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 \f2 11.\tab }{\rtlch
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Menganjurkan
pasien makan selagi hangat}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Melakuakn
penimbangan BB}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
alang1025 Kolaborasi dengan nutrisionist}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \
mengatakan mual dan muntah berkurang karena dalam asupan makan pasien ditambah
buah-buahan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien makan
sudah menghabiskan setengah dari porsinya }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 O: }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 K/U : Sedang }{\rtlch \
\langfe1033 \langfenp1033 \alang1025 Paien makan sdikit tapi sering }{\rtlch \
\langfe1033 \langfenp1033 \alang1025 Pasien tampak segar dari hari sebelumnya }{\
}\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
langnp1033 \langfe1033 \langfenp1033 \alang1025 A : Masalah teratasi sebagian }{\
langnp1033 \langfe1033 \langfenp1033 \alang1025 P : Intervensi dilanjutkam}{\
brdrw10 \cltxlrtb \clwWidth3081 \clftsWidth3 \cellx9134 \row }\pard \plain \s26 \
langfe1033 \langfenp1033 \alang1025 Dx 4}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
\langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \s26 \qj \fi-360 \li360 \
Mengkaji tingkat kecemasan pasien}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
Mengajarkan therapy distraksi ( pengalihan pikiran)}{\rtlch \fcs1 \af0 \afs24 \
alang1025 Mendorong pasien untuk mengungkapkan pikiran dan perasaan }{\rtlch \
langfe1033 \langfenp1033 \alang1025 Memberikan informasi yang akurat dan hasil
pemeriksaan tentang penyakitnya dan jelaskan tindakan yang dilakukan}{\rtlch \
langfe1033 \langfenp1033 \alang1025 Menciptakan lingkungan yang tenang }{\rtlch \
langfe1033 \langfenp1033 \alang1025 Memberikan informasi yang akurat tentang
terapy dan tindakan yang akan dilakukan }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Menjelaskan
semua prosedur serta sensasi yang dialami selama prosedur}{\rtlch \fcs1 \af0 \afs24
Pasien mengerti}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
mengatakan tidak merasa cemas lagi setelah mengungkapkan persaannya dan mengetahui
tentang penyakitnya}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
alang1025 O :}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien terlihat tenang}{\
\langfe1033 \langfenp1033 \alang1025 Pasien sudah paham tentang penyakit yang
dideritanya.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A :
Masalah teratasi}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
langfenp1033 \alang1025 \par }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \
alang1025 P : Intervensi dihentikan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DX.1}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 Jumat, 05 november 2021}{\rtlch \fcs1 \af0 \
rtlch
langfe1033 \langfenp1033 \alang1025 Jam 09.00 WIB}{\rtlch \fcs1 \af0 \afs22 \
alang1025 Melakukan pengkajian skala }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
Mengajarkan teknik distraksi (menberikan lingkungan yang nyaman)}{\rtlch \fcs1 \af0
alang1025 Memberikan posisi yang nyaman}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Melakukan Kolaborasi pemberian analgetik dengan dokter}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 S: }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Pasien mengatakan nyeri pada ulu hati sedikit berkurang skala 4/10.}{\rtlch \fcs1
alang1025 Pasien mengatakan nyeri terbakar pada dada sudah berkurang}{\rtlch \
langnp1033 \langfe1033 \langfenp1033 \alang1025 O:}{\rtlch \fcs1 \af0 \afs24 \ltrch
langfenp1033 \alang1025 K/U sedang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\alang1025 \f3 \'fc\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Nyeri ulu hati sedikit berkurang Skala Nyeri
4/10}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
\langfe1033 \langfenp1033 \alang1025 Keadaan Pasien sudah mengalami perubahan dari
hari sebelumnya }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 TTV }{\rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 TD : 120/80mmHg}{\rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 HR : 79 X/menit}{\rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 T : 36,6}{\rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DX. 2}{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Jam 10.00 WIB}{\rtlch \fcs1 \af0 \
alang1025 Mengkaji tanda-tanda vital}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
lin502 \rin0 \intbl \itap1 \ls69 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22
Memonitor status dehidrasi}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \
Manajemen cairan}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Memberikan cairan sesuai
indikasi dan anjuran}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Mendorong masukan oral
bila mampu}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch \
cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 S:}{\rtlch \fcs1 \af0 \
alang1025 Pasien mengatakan tidak mual lagi.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
langfenp1033 \alang1025 Pasien mengatakan keadaannya sudah membaik}{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 O : }{\rtlch \fcs1 \af0 \afs24 \
alang1025 Intake cairan normal }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch
\langfenp1033 \alang1025 \par }\pard \plain \s26 \qj \fi-360 \li720 \ri0 \lisb0 \
rin0 \intbl \itap1 \ls58 \rtlch \fcs1 \af8 \afs22 \ltrch \fcs0 \fs22 \rtlch \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Terpasang infus
gandeng : Asering 20tts/menit (8 jam) Amino fluid 10tts/menit.}{\rtlch \fcs1 \af0 \
alang1025 Mukosa bibir baik}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
af8 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\alang1025 \f3 \'fc\'00\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
langfe1033 \langfenp1033 \alang1025 Konjungtiva normal}{\rtlch \fcs1 \af0 \afs24 \
alang1025 CRT <3 detik}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
TTV }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A : Masalah teratasi
sebagian}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 P :
Intervensi dilanjutkan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 DX. 3}{\rtlch \fcs1 \
Menganjurkan pasien posisi fowler saat makan maupun minum}{\rtlch \fcs1 \af0 \
alang1025 Menganjurkan pasien makan sedikit tapi sering}{\rtlch \fcs1 \af0 \afs24 \
alang1025 Menganjurkan pasien makan selagi hangat}{\rtlch \fcs1 \af0 \afs24 \
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \alang1025 Melakuakn penimbangan BB}{\rtlch \fcs1 \af0 \afs24 \ltrch
Kolaborasi dengan nutrisionist}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
mengatakan mual dan muntah berkurang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
Pasien mengatakan sudah menghabiskan porsi makananya }{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 O: }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
K/U : Sedang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Paien makan sdikit tapi
sering }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien sudah menghabiskan
porsi makanannya dengan tambahan buaha buahan (pisang dan pepaya)}{\rtlch \fcs1 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 P : Intervensi dilanjutkan}{\
brdrw10 \cltxlrtb \clwWidth3081 \clftsWidth3 \cellx9134 \row }\pard \plain \s26 \
langfe1033 \langfenp1033 \alang1025 Dx. 1}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
langfe1033 \langfenp1033 \alang1025 Sabtu, 6 november 2021}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 Jam 09. 00 WIB}{\rtlch \fcs1 \af0 \afs22 \
alang1025 Melakukan pengkajian skala }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
Mengajarkan teknik distraksi (menberikan lingkungan yang nyaman)}{\rtlch \fcs1 \af0
alang1025 Memberikan posisi yang nyaman}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
\loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Melakukan
Kolaborasi pemberian analgetik dengan dokter}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0
langnp1033 \langfe1033 \langfenp1033 \alang1025 \cell }\pard \plain \qj \li0 \ri0 \
langfe1033 \langfenp1033 \alang1025 S: }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
Pasien mengatakan nyeri ulu hati sudah berkurang skala 3/10}{\rtlch \fcs1 \af0 \
langfe1033 \langfenp1033 \alang1025 O:}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24
hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 K/U
sedang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025
Nyeri ulu hati sudah berkurang Skala Nyeri 3/10}{\rtlch \fcs1 \af0 \afs24 \ltrch \
langfenp1033 \alang1025 Pasien sudah membaik dan sudah bisa tersemyum }{\rtlch \
\langfe1033 \langfenp1033 \alang1025 TTV }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
langfe1033 \langfenp1033 \alang1025 TD : 120/80mmHg}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 HR : 79 X/menit}{\rtlch \fcs1 \af0 \afs24 \
langfe1033 \langfenp1033 \alang1025 A : Masalah teratasi sebagian }{\rtlch \fcs1 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Dx. 2}{\rtlch \fcs1 \
alang1025 Mengkaji tanda-tanda vital}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
afs22 \ltrch \fcs0 \fs22 \rtlch \alang1025 \ltrch
langfe1033 \langfenp1033 \alang1025 Memonitor status dehidrasi}{\rtlch \fcs1 \af0 \
alang1025 Manajemen cairan}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \rtlch \
Memberikan cairan sesuai indikasi dan anjuran}{\rtlch \fcs1 \af0 \afs22 \ltrch \
Mendorong masukan oral bila mampu}{\rtlch \fcs1 \af0 \afs22 \ltrch \fcs0 \fs22 \
alang1025 S:}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
mengatakan tidak mual lagi.}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Pasien mengatakan keadaannya sudah membaik}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 O : }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \
loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Intake cairan
normal }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Terpasang infus gandeng :
Asering 20tts/menit (8 jam) Amino fluid 10tts/menit.}{\rtlch \fcs1 \af0 \afs24 \
alang1025 Mukosa bibir baik}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
Konjungtiva
normal}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 CRT <3 detik}{\rtlch \
\langfe1033 \langfenp1033 \alang1025 TTV }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
alang1025 A : Masalah teratasi sebagian}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Dx. 3}{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Jam 11.00 WIB}{\rtlch \fcs1 \af0 \afs22 \
Menganjurkan pasien posisi fowler saat makan maupun minum}{\rtlch \fcs1 \af0 \
alang1025 Menganjurkan pasien makan sedikit tapi sering}{\rtlch \fcs1 \af0 \afs24 \
10.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 Menganjurkan pasien makan selagi hangat}{\rtlch \fcs1 \af0 \afs24 \
11.\tab }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
alang1025 Melakuakn penimbangan BB}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \
\alang1025 \par }\pard \plain \s26 \qj \fi-360 \li502 \ri0 \lisb0 \sa0 \lisa0 \
langnp1033 \langfe1033 \langfenp1033 \alang1025 Kolaborasi dengan nutrisionist}{\
cell }\pard \plain \qj \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 S : }{\rtlch \fcs1 \af0 \
alang1025 Pasien mengatakan mual dan muntah berkurang }{\rtlch \fcs1 \af0 \afs24 \
alang1025 Pasien mengatakan sudah menghabiskan porsi makananya }{\rtlch \fcs1 \af0
langfe1033 \langfenp1033 \alang1025 O: }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \
K/U : Sedang }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Paien makan sdikit tapi
sering }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 Pasien sudah menghabiskan
porsi makanannya dengan tambahan buaha buahan (pisang dan pepaya) }{\rtlch \fcs1 \
langfe1033 \langfenp1033 \alang1025 Berat badan meningkat dari sebelumnya ( naik 1
kg)}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \dbch \
lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 A : Masalah teratasi
sebagian }{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \alang1025 \ltrch \
af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \alang1025 P :
Intervensi dilanjutkan}{\rtlch \fcs1 \af0 \afs24 \ltrch \fcs0 \fs24 \rtlch \
row }\pard \plain \qj \li0 \ri0 \lisb0
langfe1033 \langfenp1033 \alang1025 \par }\pard \plain \qc \li0 \ri0 \lisb0 \
alang1025 \par }}

ASKEP MIinggu Ke 3 Rosanty Simamora (KMB 1)

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deflangfe1033 {\fonttbl {\f0 \froman \fcharset0 \fprq2 {\*\panose

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