Asuhan Keperawatan Anak Dengan Meningokel

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fcf48e3aef9f1ace4ad0a3ef3e97bdadbb7b5d6d6f9fa18ac9129294a7a7e7dbd0fd37d47f6cd5d7ec3
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d69fd9961227df44f2fe789ffd647279f1c9ff002cebf1bbe1e45a35fea22df47d3aebc29afdd192782
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eef56a2d6a189c8ff0076e787f79ad969afa3b249fae9e68fd5cf8e7ff06f67c30d7d6d750f851e21d5
fe14ebf647ceb0848fed9d16093fb9f6699f7a27f06c8e78ebf2ebc793e8ff00f0987882dfc51a7ff64
f8834abfb9f0e5f6aba541fda1a7ead1db5dbc1f3c3b3e783cc4dfb248ff77bff00d657d6ff00b07ffc
1537e2ff00c2ef1f7fc23bf11fc4fe1fbbf0a5a585c5ecd378fafbec98f2767eee0d6f6796fe647bdff
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2e269ddf4bdfb27fb25b79925d43e6bc9fbbf2f7c9e647e5d7762b26c267f8786332ff00ddc9377925a
b4f569d9d9abebaa7e56d4f9dc16371986a76c24142f2bca3522d6bd5e9669f9a767e67e70eb1f0abc0
fe30f107d9edfc61e0b1aaddff00a8f23ccfed0
ff8043be49ffe01e657b7fc1cff00825cf8e13c1b69602dadbe1a782f56d5acef75df1b78fbfe254756
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4fa8416f1bec8bec91c9ff3d248e493f795e860b82e115cb8baf2ab15f67451f2bd95ddba5ddafadb43
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1f39e0579afc20f80fac7847e28eabe38f10f8805e6bfe20d3edec2e2c74bb7fb2e8be5c323bc126c7f
3279ae63dfb3cf924ff0057ff002ce3af519ffd6b57d752a51a715082b25b23cb694524bfab22ed151d
14f98d4adaff008734ff001869874fd474fb5d574abb1fbf82f608e68a7ff7d1ebce3fe187fe13d87fc
83fc0fa5787bfec5c9e7d17ff0048de3af50a28e60b1e35e3cff8276fc2df8a3e1c3a478a349f14f887
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bc7f656a3addf5ce97aac7d3ca937c923c273fc6378e5f7c727f07df555eb831b9761b190f67898292f
c57a3dd3f35a8a8e36ad2973536d7f5db667e16fed4fff0004d4f891f00bc3d687c41e0fd2bfe1143cf
dba0be9355d2b49913ee46f66891a27fbf27eefff0045d783f85be15eafafebd743c51e17369e16bbfd
c58eabe7c92c3e24bcfe38e69bc98e3778e3d9e5411feefcbdf5fd2557c71ff05d0ff9308f13ff00d7d
5aff335f118ce00c3469cde16aca1eed96eed2baf793ba6f6d9bf34d3d4f730fc4555b4eac53b3d7a5d
76ea7e165a7c27b0fd987c25756fa85c28d5b56d763d52c3438267ba96c2ca1d492e7eff00df77f2d11
3feba7909ff002d2bb8f86ffb32e8fa87c50d57c61717169e21f0aead61e7d85f7dba48bec1fbcf9e3f
93ff0043ff0063cbff00ae9d8785ff00e49168bff63f6a7ffa64b8a4f0cffc95df0bff00dc03ff006de
be6de498ac452e65896a7514799db75535497bc9ae5e44af76e49b4f43d496614a9bd69dd2bd95ff96d
e5d6e627877e0b78bbc417eba7ebfe1836b7777379fa57da2c2ee5baf122799beca7fb1a429225cf97b
3f7f049ff00c6d3ecdf84dff0455f8b1f1434ed2ae3c51a7e81e08fb541febefb5c9f50d5742dff00dc
f252391dff00d8f3e3ff00ae95fb1355ebec68701e02351ceab9495f457714bff016af7f3d16c924787
53886bb8f2c128f77bb7f79f2af84ff00e08f9f043c3de1fd22db58f0feafe2bbcd2fecedfda9aa788a
fccf3dc27fcb7f92648d1f7fcff2257a6b7ec67f0fd948b883c57747fe78cde31d6658bfef87baaf5da
2becb0f429508f2518a8aec924bee48f2ead69b779b6fd59e61e10fd95be1bfc3fd78eafa37803c2d67
ab7fcfff00f6547f6bff00bfcff3ff00e3f5ddcfdaa3a2bba13e6192524ffeb5a99562a6abb58caabb5
8ffd9}}}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \par }\pard \plain \qc \li0 \ri0 \sa200 \sl480 \slmult1 \widctlpar
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Oleh
kelompok }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 H }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 1}{\b1 \fs24 \loch \af0 \hich
\plain \fi720 \li2160 \ri0 \sa200 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 MUTHIA SYADZA}{\b1
\langfenp1033 \par }\pard \plain \fi720 \li2160 \ri0 \sa200 \sl240 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin2160 \rin0 \itap0 \fs22 \loch
\af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\langfenp1033 TIARA YALITA}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \fi720 \li2160 \ri0 \sa200
\sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin2160 \rin0 \itap0
\langfe1033 \langfenp1033 ERNI CAHYA}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \fi720
\li2160 \ri0 \sa200 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin2160 \rin0 \itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 MEDHIA IQLIMA}{\b1 \fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \fi720 \li2160 \ri0 \sa200 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 RANTI ANGGASARI}{\b1
\langfenp1033 \par }\pard \plain \li0 \ri0 \sa200 \sl480 \slmult1 \widctlpar
\par }\pard \plain \qc \li0 \ri0 \sa200 \sl480 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qc
\li0 \ri0 \sa200 \sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \sa200
\langfenp1033 PROGRAM STUDI PROFESI NERS KEPERAWATAN ANAK }{\b1 \fs24 \loch \af0
\plain \qc \li0 \ri0 \sa200 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 FAKULTAS KEPERAWATAN }
UNIVERSITAS ANDALAS }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langfe1033 \langfenp1033 2018}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \sa200 \sl480
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 BAB I}
PENDAHULUAN}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-360 \li720 \ri0 \sa200
\sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \ls1
\langfenp1033 {\listtext \pard \plain \fs22 \loch \af11 \hich \af0 \dbch \af11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 A.\tab }{\b1 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Latar
Belakang}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi630 \li360 \ri0 \sa100
\saauto1 \sl360 \slmult1
\af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24
\loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Cacat bawaan adalah suatu kelainan/cacat yang dibawa sejak lahir baik fisik maupun
mental. Cacat bawaan dapat disebabkan akibat kejadian sebelum kehamilan, selama
kehamilan dan saat melahirkan atau masa perinatal. Cacat ini dapat akibat penyakit
genetik, pengaruh lingkungan baik sebelum pembuahan (bahan mutagenik) maupun
setelah terjadi pembuahan (bahan teratogenik).}{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain
\s32 \qj \fi630 \li360 \ri0 \sa100 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin360 \rin0 \itap0 \fs22 \loch \af11 \hich \af0 \dbch
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Bila cacat bawaan
terutama malformasi multipel disertai dengan retardasi mental dan kelainan rajah
tangan (dermataoglifi) memberikan kecurigaan kelainan genetik (kromosomal).
Penyakit genetik adalah penyakit yang terjadi akibat cacat bahan keturunan pada
saat sebelum dan sedang terjadi pembuahan. Penyakit genetik tidak selalu akibat
pewarisan dan diwariskan, dapat pula terjadi mutasi secara spontan yang dipengaruhi
oleh lingkungan. Penyakit infeksi dalam kandungan, pengaruh lingkungan seperti
radiasi sinar radioaktif dan kekurangan/kelebihan bahan nutrisi juga dapat
menyebabkan cacat bawaan.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi630 \li360
\ri0 \sa100 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin360 \rin0 \itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 {\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1035
\langnp1035 \langfe1033 \langfenp1033 Kelainan bawaan pada neonatus dapat terjadi
pada berbagai organ tubuh. }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Diantaranya meningokel dan ensefalokel. }
{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s32 \qj \fi630 \li360 \ri0 \sa100 \saauto1 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin360 \rin0 \itap0 \fs22 \loch
Meningokel dan ensefalokel merupakan kelainan bawaan di mana terjadi pemburutan
selaput otak dan isi kepala keluar melalui lubang pada tengkorak atau tulang
belakang.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin360 \rin0
\itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langnp1057 \langfe1033 \langfenp1033 Meningokel biasanya terdapat pada daerah
servikal atau daerah torakal sebelah atas. Kantong hanya berisi selaput otak,
sedangkan korda tetap dalam korda spinalis ( dalam durameter tidak terdapat saraf).
Operasi akan mengoreksi kelainan, sehingga tidak terjadi gangguan sensorik dan
motorik dan bayi akan menjadi normal.}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj
\lin360 \rin0 \itap0 \ls0 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0
\fi720 \li720 \ri0 \sa200 \sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\langnp1057 \langfe1033 \langfenp1033 Berdasarkan laporan kasus di Ruangan Anak }
{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 RSUP M.Djamil}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Padang dari tanggal 1}{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 1}{\fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }
\langfenp1033 maret}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 sampai dengan }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 16}{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Maret 2018 }{\fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 terdapat
dua kasus anak dengan meningokel}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 . Kasus }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ini cukup sering }
\langfenp1033 ditemukan diruangan anak RSU}{\fs24 \dbch \af0 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 P}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }{\fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 M.Djamil
Padang}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 . Maka kelompok tertarik untuk mengangkat kasus asuhan keperawatan
pada klien dengan kejang spasme infantil di Ruangan Anak RSU}{\fs24 \dbch \af0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 P}{\fs24 \loch
M.Djamil}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Padang tahun 201}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 9}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 .}{\fs24 \loch
\par }\pard \plain \s32 \qj \fi-360 \li720 \ri0 \sa200 \sl480 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \ls1 \fs22 \loch
{\listtext \pard \plain \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \f0 B.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan }{\b1
\langfenp1033 \par }\pard \plain \s32 \qj \fi-360 \li1080 \ri0 \sa200 \sl480
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \itap0 \ls2 \fs22
\langnp1057 \langfe1033 \langfenp1033 \f0 a.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan Umum}{\b1
\langfenp1033 \par }\pard \plain \s32 \qj \li1080 \ri0 \sa200 \sl480 \slmult1
Untuk memberikan asuhan keperawatan pada klien dengan }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 meningokel}{\fs24
\loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 di
Ruangan Anak }{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 RSUP}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 M.Djamil}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Padang}{\fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 .}
\langnp1057 \langfe1033 \langfenp1033 \f0 b.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan Khusus}
\langnp1057 \langfe1033 \langfenp1033 \f0 1.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mampu melakukan
pengkajian pada klien dengan }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 meningokel}{\fs24 \loch \af0 \hich
\plain \s32 \qj \fi-360 \li1440 \ri0 \sa200 \sl480 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin1440 \rin0 \itap0 \ls3 \fs22 \loch \af11 \hich \af0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain
\langfenp1033 \f0 2.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Mampu merumuskan diagnosa keperawatan pada
pasien }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 meningokel}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-360
\langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \loch \af11
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 3.\tab }
\langfenp1033 Mampu memberikan intervensi pada pasien }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 meningokel}{\fs24
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mampu melakukan
implementasi pada pasien }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 meningokel}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj
\fi-360 \li1440 \ri0 \sa200 \sl480 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin1440 \rin0 \itap0 \ls3 \fs22 \loch \af11 \hich \af0 \dbch \af11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \loch
\af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0
5.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Mampu melakukan evaluasi pada pasien dengan }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 meningokel}
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 BAB II}
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 LANDASAN
TEORITIS}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \sa0 \sl480 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \loch \af11
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls4
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 A.\tab }{\b1 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Landasan
Teoritis dan Penyakit}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-360 \li786
\itap0 \ls5 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \loch \af11 \hich \af0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 1.\tab }{\b1
\langfenp1033 Definisi}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Meningokel adalah salah satu dari tiga jenis
kelainan bawaan spina bifida. Meningokel adalah meningens yang menonjol melalui
vertebra yang tidak utuh dan teraba sebagai suatu benjolan berisi cairan dibawah
kulit. Spina bifida (sumbing tulang belakang) adalah suatu celah pada tulang
belakang (vertebra), yang terjadi karena bagian dari satu atau beberapa vertebra
gagal menutup atau gagal terbentuk secara utuh (Wafi Nur, 2010).}{\fs24 \loch
\par }\pard \plain \s32 \qj \fi720 \li360 \ri0 \sa200 \sl360 \slmult1 \widctlpar
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Meningokel adalah
penonjolan dari pembungkus medulla spinalis melalui spina bifida dan terlihat
sebagai benjolan pada permukaan. Pembengkakan kistis ini ditutupi oleh kulit yang
sangat tipis. (Prinsip\uc1 \u160 ?Keperawatan Pediatric, Rosa M. Sachrin}{\fs24
\loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ,
2008}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 ).}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \li426 \ri0 \sa160 \sl480
\langfenp1033 {\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Meningokel terbentuk saat meninges berherniasi melalui
defek pada lengkung vertebra posterior. Medulla spinalis biasanya normal dan
menerima posisi normal pada medulla spinalis, meskipun mungkin terlambat, ada
siringomielia, atau diastematomielia. Massa linea mediana yang berfluktuasi yang
dapat bertransiluminasi terjadi sepanjang kolumna vertebralis, biasanya berada
dipunggung bawah. Sebagian meningokel tertutup dengan baik dengan kulit dan tidak
mengancam penderita (Behrman dkk, 20}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 ).}{\b1 \fs24 \loch
\par }\pard \plain \s32 \qj \fi567 \li284 \ri0 \sa200 \sl480 \slmult1 \widctlpar
\plain \s32 \qj \fi567 \li284 \ri0 \sa200 \sl480 \slmult1 \widctlpar \aspalpha
\langfenp1033 \f0 2.\tab }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Etiologi}{\b1 \fs24 \loch \af0 \hich \af0
\s32 \qj \fi720 \li360 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Penyebab spesifik dari
meningokel atau spina bifida belum diketahui.}{\fs22 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs22 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Banyak faktor
seperti keturunan dan lingkungan diduga terlibat dalam terjadinya defek ini. Tuba
neural umumnya lengkap empat minggu setelah konsepsi. Hal-hal berikut ini telah
ditetapkan sebagai faktor
penyebab; kadar vitamin maternalrendah, termasuk asam folat, mengonsumsi klomifen
dan asam valfroat, danhipertermia selama kehamilan. Diperkirakan hampir 50% defek
tuba neural dapatdicegah jika wanita bersangkutan meminum vitamin-vitamin
prakonsepsitermasuk asam folat.}{\fs22 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \li426 \ri0
\sa160 \sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \sa0
\sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql
\tx360 \itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s32 \qj \fi-425
\langfenp1033 Manifestasi Klinis}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0
\fi630 \li360 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\langnp1057 \langfe1033 \langfenp1033 Gejalanya bervariasi, tergantung kepada
beratnya kerusakan pada korda spinalis dan akar saraf yang terkena. Beberapa anak
memiliki gejala ringan atau tanpa gejala, sedangkan yang lainnya mengalami
kelumpuhan pada daerah yang dipersarafi oleh korda spinalis atau akar saraf yang
terkena.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Gejala pada umumnya berupa penonjolan seperti kantung
dipunggung tengah sampai bawah pada bayi baru lahir. Kelumpuhan/kelemahan pada
pinggul, tungkai atau kaki, penurunan sensasi, inkontinesia uri maupun
inkontinensia tinja. Korda spinalis yang tekena rentan terhadap infeksi
(meningitis). }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 1)\tab }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Gangguan persarafan}
\langfenp1033 }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Gangguan mental}{\b1
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Gangguan tingkat
kesadaran}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 4.\tab }{\b1 \fs24 \loch
Patofisiologi}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Ada dua jenis kegagalan penyatuan lamina vertebrata dan
kolumna spin}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 alis}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 yaitu spina bifida
okulta dan spina bifida sistika.Spina bifida okulta adalah defek penutupan dengan
meningen tidak\uc1 \u160 ?terpajan di permukaan kulit. Defek vertebralnya kecil,
umumnya pada daerah}{\cs16 \fs24 \loch \af0 \hich \af0 \dbch \f0 \uc1 \u160 ?}
\langfenp1033 lumbosakral.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1057 \langfe1033 \langfenp1033 Spina bifida sistika adalah defek penutupan
yang menyebabkan penonjolan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 medula spinalis dan pembungkusnya.
Meningokel adalah penonjolan yang terdiridari meninges dan sebuah kantong berisi
cairan serebrospinal (CSS): penonjolanini tertutup kulit biasa. Tidak ada kelainan
neurologi, dan medulla spinalis tidak\uc1 \u160 ?terkena. Hidrosefalus terdapat
pada 20% kasus spina bifida sistika. Meningokel}{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 umumnya terdapat
pada lumbosakral atau sacral. Hidrosefalus terdapat padahampir semua anak yang
menderita spina bifida (85% sampai 90%), kira-kira60% sampai 70% tersebut memiliki
IQ normal.Banyak ahli percaya bahwa defek primer pada NTD (neural tube
defect)merupakan kegagalan penutupan tuba neural selama perkembangan awal
embrio.Akan tetapi, ada bukti bahwa defek ini merupakan akibat dari pemisahan
tubaneural yang sudah menutup karena peningkatan abnormal tekanan
cairanserebrospinal selama trimester pertama.}{\fs24 \loch \af0 \hich \af0 \dbch
1.\tab }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \sect }\sectd \pgnrestart \pgnstarts0 \sbkpage
\pgwsxn11906 \pghsxn16838 \marglsxn2127 \margrsxn1701 \margtsxn1701
\margbsxn1701 \guttersxn0 \titlepg1 \headery708 \footery708 \pgbrdropt0
\sectlinegrid360 \sectdefaultcl \endnhere {\header \pard \plain \s33 \qr \li0
\langnp1057 \langfe1033 \langfenp1033 {\field {\*\fldinst {\fs22 \loch \af0
\hich \af0 \dbch \af0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }{\fs22 \loch
PAGE \'5c* MERGEFORMAT }}{\fldrslt {\fs22 \loch \af0 \hich \af0 \dbch \af0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 }{\fs22 \loch \af0 \hich \af0 \dbch
\f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 22}}}{\fs22 \loch \af0 \hich
\af0 \dbch \af0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 }{\fs22 \loch
\par }\pard \plain \s33 \li0 \ri0 \sa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tqc \tx4513 \tqr \tx9026 \itap0 \fs22 \loch \af11
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \loch
\af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }}{\headerf \pard \plain \s33 \qr
\rin0 \tqc \tx4513 \tqr \tx9026 \itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\field {\*\fldinst {\fs22 \loch
\af0 \hich \af0 \dbch \af0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }
\langfenp1033 PAGE \'5c* MERGEFORMAT }}{\fldrslt {\fs22 \loch \af0 \hich \af0
\dbch \af0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }{\fs22 \loch \af0 \hich
\af0 \dbch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 44}}}{\fs22 \loch
\langfenp1033 \par }\pard \plain \s33 \li0 \ri0 \sa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tqc \tx4513 \tqr \tx9026 \itap0
\langfe1033 \langfenp1033 \par }}\pard \plain \s32 \qj \fi567 \li851 \ri0 \sa200
Komplikasi}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Hedeosefalus}
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Meningitis}
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1
Hidrosiringomielia}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 4.\tab }{\fs24
\cf1 Intraspinal tumor}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Kiposkoliosis}
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Kelemahan
permanen atau paralisis pada ekstermitas bawah}{\fs24 \loch \af0 \hich \af0
\s32 \qj \fi-360 \li720 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
7.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \cf1 Serebral palsy disfungsi batang otak}{\fs24 \loch \af0 \hich
\langfenp1033 \f2 8.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 Infeksi pada sistem organ lain}{\fs24
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Sindroma Arnold-
Chiari}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 10.\tab }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 Gangguan
pertumbuhan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
Pemeriksaan Penunjang}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langfenp1033 \f2 1)\tab }{\fs26 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 Rontgen tulang belakang untuk menentukan luas
dan lokasi kelainan.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langfenp1033 \f2 2)\tab }{\fs26 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 USG tulang belakang bisa menunjukkan adanya
kelainan pda korda spinalis maupun vertebra}{\fs24 \loch \af0 \hich \af0 \dbch
\fi-360 \li720 \ri0 \sb100 \sa100 \sbauto1 \saauto1
\ls9 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 CT scan atau MRI
tulang belakang kadang dilakukan untuk menentukan lokasi dan luasnya kelainan.}
Penatalaksanaan }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 Tujuan dari pengobatan awal meningokel
adalah mengurangi kerusakan saraf, meminimalkan komplikasi (misalnya infeksi),
serta membantu keluarga dalam menghadapi kelainan ini.}{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 \par }\pard
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Pembedahan
dilakukan pada periode neonatal untuk mencegah rupture. Perbaikan dengan pembedahan
pada lesi spinal dan pirau CSS pada bayi hidrosefalus dilakukan pada saat
kelahiran. Pencangkokan kulit diperlakukan bila lesinya besar. Antibiotic
profilaktik diberikan untuk mencegah meningitis. Intervensi keperawatan yang
dilakukan tergantung ada tidaknya disfungsi dan berat ringannya disfungsi tersebut
pada berbagai system tubuh.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s32 \qj \fi720
\langnp1057 \langfe1057 \langfenp1057 \cf1 Terapi fisik dilakukan agar pergerakan
sendi tetap terjaga dan untuk memperkuat fungsi otot. Untuk mengobati dn mencegah
meningitis, infeksi saluran kemih dan lainnya diberikan antibiotic. Untuk membantu
memperlancar aliran kemih bias dilakukan penekanan lembut diatas kandung kemih.
Pada kasus yang berat kadang harus dilakukan pemasangan kateter. Diet kaya serat
dan program pelatihan buang air besar bisa membantu memperbaiki fungsi saluran
pencernaan.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s32 \qj \fi720 \li360 \ri0
\langnp1057 \langfe1057 \langfenp1057 \cf1 Untuk mengatasi gejala muskulo skeletal
(otot dan kerangka tubuh) perlu campur tangan dari ortopedi (bedah tulang) maupun
terapi fisik. Keleinan saraf lainnya diobati sesuai dengan jenis dan luasnya
gangguan fungsi yang terjadi. Kadang-kadang pembedahan shunting untuk memperbaiki
hidrosefalus.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s32 \qj \fi720 \li360 \ri0
\langnp1057 \langfe1057 \langfenp1057 \cf1 Seksio sesarae terencana, sebelum
melahirkan, dapat mengurangi kerusakan neurologis yang terjadi pada bayi dengan
defek korda spinalis.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi1069 \li-709
\ri0 \sa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin-709
\rin0 \cbpat17 \itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Penatalaksanaan:}{\fs21
\cf1 \par }\pard \plain \qj \fi-360 \li720 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin720 \rin0 \cbpat17 \itap0 \ls10 \fs22 \loch
\langnp1057 \langfe1033 \langfenp1033 \f2 1)\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Sebelum dioperasi,
bayi dimasukkan kedalam incubator dengan kondisi tanpa baju.}{\fs21 \loch \af0
\par }\pard \plain \qj \fi-360 \li720 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Bayi dalam posisi
telungkup atau tidurjika kantungnya besar untuk mencegah infeksi.}{\fs21 \loch \af0
\par }\pard \plain \qj \fi-360 \li720 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Berkolaborasi dengan
dokter anak, ahli bedah dan ahli ortopedi, dan ahli urologi, terutama untuk tidakan
pembedahan, dengan sebelumnya melakukan informed consent}{\fs21 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard
\plain \qj \fi720 \li360 \ri0 \sa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin360 \rin0 \cbpat17 \itap0 \fs22 \loch \af11 \hich \af0 \dbch \af11
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Lakukan pengamatan
dengan cermat terhadap adanya tanda-tanda hidrosefalus (dengan mengukur lingkar
kepala setiap hari) setelah dilakukan pembedahan atau juga kemungkinan terjadinya
meningitis (lemah, tidak mau minum, mudah terangsang, kejang dan ubun-ubun akan
besar menonjol). Selain itu, perhatikan pula banyak tidaknya gerakan tungkai dan
kaki, retensi urin dan kerusakan kulit akibat iritasi urin dan feses.}{\fs24
\cf1 \par }\pard \plain \s32 \qj \li1800 \ri0 \sa0 \sl480 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1800 \rin0 \itap0 \fs22 \loch \af11 \hich
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \loch
\par }\pard \plain \s32 \qj \li1800 \ri0 \sa0 \sl480 \slmult1 \widctlpar
\langnp1057 \langfe1033 \langfenp1033 \f0 B.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Landasan Teoritis
Asuhan Keperawatan}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 1)\tab }{\b1 \fs24 \loch
Pengkajian}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi567
\langnp1057 \langfe1033 \langfenp1033 Pengkajian yang sistematis meliputi
pengumpulan data, analisa data dan penentuan masalah. }{\b1 \fs24 \loch \af0
\langfenp1033 \f0 a.\tab }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Identitas Klien}{\b1 \fs24 \loch \af0
\plain \s32 \qj \li426 \ri0 \sa0 \sl480 \slmult1 \widctlpar \aspalpha \aspnum
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Meliputi nama, umur,
jenis kelamin, No. MR, diagnosa medis, identitas orangtua.}{\fs24 \loch \af0
\langfenp1033 \f0 b.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \uc1 \u160 ?}{\b1 \fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Keluhan Utama}{\b1
Biasanya pasien datang dengan keluhan adanya benjolan pada punggungnya.}{\fs24
\par }\pard \plain \s32 \qj \fi-360 \li426 \ri0 \sa0 \sl480 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls12 \fs22 \loch \af11
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\langnp1057 \langfe1033 \langfenp1033 \f0 c.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Riwayat Kesehatan
Sekarang}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Merupakan riwayat pasien saat ini meliputi keluhan, sifat
dan hebatnya keluhan. Biasanya ditandai dengan anak rewel, demam dan kelemahan}
\langnp1057 \langfe1033 \langfenp1033 \f0 d.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Riwayat Kesehatan
Dahulu}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langnp1057 \langfe1033 \langfenp1033 \f0 a)\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Riwayat Prenatal, Natal
dan Postnatal}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 a.\tab }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Prenatal}{\fs24
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kehamilan
yang keberapa, tanggal lahir, gestasi (fulterm, prematur, post matur), abortus atau
lahir hidup, kesehatan selama sebelumnya/kehamilan, dan obat-obat yang dimakan
serta imunisasi.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 b.\tab }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Natal}{\fs24
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Lamanya
proses persalinan, tempat melahirkan, obat-obatan, orang yang menolong persalinan,
penyulit persalinan.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 c.\tab }
\langfenp1033 Post Natal}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \li1276 \ri0 \sa0
\langfe1033 \langfenp1033 Berat badan nomal 2,5 Kg \uc1 \u8211 ? 4 Kg, Panjang
Badan normal 49 -52 cm, kondisi kesehatan baik atau tidak, apgar score, ada atau
tidak ada kelainan kongenital.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\rin0 \itap0 \ls13 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 b)\tab }
\langfenp1033 Feeding}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langfe1033 \langfenp1033 Air susu ibu atau formula, umur disapih (2 tahun), jadwal
makan/jumlahnya, pengenalan makanan lunak pada usia 4-6 bulan, peubahan berat-
badan, masalah-masalah feeding (vomiting, colic, diare), dan penggunaan vitamin dan
mineral atau suplemen lain.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 c)\tab }
\langfenp1033 Penyakit Sebelumnya}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lin851 \rin0 \itap0 \fs22 \loch \af11 \hich
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Penyebabnya,
gejala-gejalanya, perjalanan penyakit, penyembuhan, komplikasi, insiden penyakit
dalam keluarga atau masyarakat, respon emosi terhadap rawat inap sebelumnya.}{\fs24
\langnp1057 \langfe1033 \langfenp1033 \f0 d)\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Alergi}{\fs24 \loch
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Apakah anak memiliki
alergi terhadap obat-obatan tertentu, binatang, tumbuh-tumbuhan, debu rumah.}{\fs24
\langnp1057 \langfe1033 \langfenp1033 \f0 e)\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Obat-obatam Terakhir yang
Didapat}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Nama,
dosis, jadwal, lamanya, alasan pemberian.}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-360
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 f)\tab }
\langfenp1033 Imunisasi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langfe1033 \langfenp1033 Imunisasi Polio, Hepatitis, BCG, DPT, Campak sudah
lengkap atau belum.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 g)\tab }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Riwayat Pertumbuhan
dan Perkembangan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
Pertumbuhan dan perkembangan menjadi bahan pertimbangan yang penting karena setiap
individu mempunyai ciri-ciri\uc1 \u160 ?\uc1 \u160 ?struktur dan fungsi yang
berbeda, sehingga pendekatan pengkajian fisik dan tindakan harus disesuaikan dengan
pertumbuhan dan perkembangan. Anak dengan kejang spasme infantil dapat mengalami
gangguan pada pertumbuhan dan perkembangannya.}{\fs24 \loch \af0 \hich \af0
\s32 \qj \fi-360 \li426 \ri0 \sa0 \sl480 \slmult1 \widctlpar \aspalpha \aspnum
e.\tab }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Riwayat Kesehatan Keluarga}{\b1 \fs24 \loch \af0 \hich
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Merupakan gambaran
kesehatan keluarga, apakah ada kaitannya dengan penyakit yang didertita anak.}
\langnp1057 \langfe1033 \langfenp1033 \f0 f.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Riwayat Psikososial
Keluarga}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
Dirawat akan menjadi stressor bagi anak itu sendiri maupun bagi keluarga, kecemasan
meningkat jika orang tua tidak mengetahui prosedur dan pengobatan anak.}{\fs24
\langnp1057 \langfe1033 \langfenp1033 \f0 g.\tab }{\b1 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pemerikasaan Fisik}
\langnp1057 \langfe1033 \langfenp1033 \f0 a.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanda-tanda vital}
Pemeriksaan suhu badan, nadi, pernafasan , tekanan darah}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24
\par }\pard \plain \s32 \qj \fi-360 \li851 \ri0 \sb100 \sa360 \sbauto1 \sl480
\langnp1057 \langfe1033 \langfenp1033 \f0 b.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Antropometri}{\fs24 \loch
\par }\pard \plain \s32 \qj \li851 \ri0 \sb100 \sa360 \sbauto1 \sl480 \slmult1
Pemeriksaan antropometri meliputi berat badan, tinggi badan, lingkaran kepala,
lingkar lengan, dan lingkar perut.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\ri0 \sb100 \sa360 \sbauto1 \sl480 \slmult1 \widctlpar \aspalpha \aspnum
\af11 \hich \af0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 c.\tab }{\fs24
Pemeriksaan Head to toe}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\f6 \'b7\'00\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Keadaan Umum}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \li1080
\langnp1057 \langfe1033 \langfenp1033 Kaji keadaan umum pasien apakah baik, lemah
atau sedang.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-360 \li1080 \ri0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f6 \'b7\'00\tab }
\langfenp1033 Kepala\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ? }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langfe1033 \langfenp1033 {\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1
Biasanya tampak simetris dan tidak ada kelainan yang tampak}{\fs24 \loch \af0 \hich
\aspnum \adjustright \lin1080 \rin0 \itap0 \ls16 \fs22 \loch \af11 \hich \af0 \dbch
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22
\loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \f6 \'b7\'00\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Rambut\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfenp1033 \cf1 Dimulai warna, kelebatan, distribusi serat karakteristik}
\langfenp1033 \cf1 \line }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 rambut lain. Pasien dengan malnutrisi
energi protein}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \cf1 \line }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 mempunyai rambut yang
jarang,kemerahan seperti rambut}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 \line }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 jagung dan mudah
dicabut tanpa menyebabkan rasa sakit}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \line }{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 pada pasien}
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f6 \'b7\'00\tab }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mata\uc1 \u160
?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160
?\uc1 \u160 ?}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 Biasanya simetris kiri-kanan,
skelera tidak ikhterik, konjungtiva}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 tidak }{\cs26
\fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 anemis, kaji refleks cahaya dan pupil.}
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 \par }\pard \plain \s32 \qj
\langfe1033 \langfenp1033 Telinga\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ? }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
Biasanya bentuk simetris kiri-kanan, tidak keluar cairan, tidak terjadi gangguan
pendengaran,, nyeri tekan mastoid ada atau tidak}{\fs24 \loch \af0 \hich \af0 \dbch
\adjustright \lin1080 \rin0 \itap0 \ls16 \fs22 \loch \af11 \hich \af0 \dbch
\langnp1057 \langfe1033 \langfenp1033 Hidung\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ? }{\fs24 \loch \af0 \hich \af0 \dbch \f0
Biasanya penciuman baik, tidak ada pernafasan cuping hidung,}{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 }
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 bentuk simetris, mukosa hidung
berwarna merah muda}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-360 \li1080 \ri0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f6 \'b7\'00\tab }
\langfenp1033 Mulut\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 Biasanya mukosa bibir tampak
lembab, kaji kebersihan lidah, apakah lidah}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 }{\cs26 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \cf1 tampak kotor atau tidak.}{\fs24 \loch \af0 \hich
\langnp1057 \langfe1033 \langfenp1033 Leher\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ? }{\fs24
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\cs26 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \cf1 Biasanya tidak terjadi pembesaran KGB, tidak terjadi
pembesaran kelenjar tiroid.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi-425 \li1134
\langfe1033 \langfenp1033 Dada\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?\uc1 \u160 ?:}{\fs24 \loch \af0 \hich
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\cs26 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \cf1 a)}{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 Thoraks}{\fs24
\cf1 \par }\pard \plain \s32 \qj \li1134 \ri0 \sa200 \sl480 \slmult1 \widctlpar
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\cs26 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \cf1 (1) Inspeksi,biasanya}{\cs26 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1033 \langnp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0
\dbch \f0 \cf1 gerakan}{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 dada simetris,
tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1
penggunaan}{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \cf1
}{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 otot bantu}{\cs26 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \cf1 }{\cs26 \fs24 \loch \af0
\hich \af0 \dbch \f0 \cf1 pernapasan}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s32 \qj
\langnp1057 \langfe1033 \langfenp1033 {\cs26 \fs24 \loch \af0 \hich \af0 \dbch
\f0 \cf1 (2) Palpasi, biasanya vremitus kiri kanan sama}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \cf1 (3) Auskultasi, biasanya ditemukan bunyi napas tambahan}
\langfenp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 seperti}
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \cf1 }{\cs26
\fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 ronchi.}{\cs26 \fs24 \loch \af0 \hich
\af0 \dbch \f0 \cf1 \par }\pard \plain \s32 \li1134 \ri0 \sa200 \sl480 \slmult1
\af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\cs26
\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \cf1 }{\cs26 \fs24
\loch \af0 \hich \af0 \dbch \f0 \cf1 b) Jantung}{\fs24 \loch \af0 \hich \af0
\af0 \dbch \f0 \cf1 Biasanya terjadi penurunan atau peningkatan denyut jantung}
\langfenp1033 \cf1 \par }\pard \plain \s32 \qj \li1134 \ri0 \sa200 \sl480
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 I: Ictus cordis tidak terlihat}
\langfenp1033 \cf1 \par }\pard \plain \s32 \li1134 \ri0 \sa200 \sl480 \slmult1
\fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 P: Ictus cordis di SIC V teraba}
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 P: batas kiri jantung : SIC II
kiri di linea parastrenalis kiri}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 }{\cs26 \fs24 \loch \af0
\hich \af0 \dbch \f0 \cf1 (pinggang jantung), SIC V kiri agak ke mideal linea}
\langfenp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1
midclavicularis kiri.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0
\dbch \f0 \cf1 Batas bawah kanan jantung disekitar ruang intercostals III-IV}{\fs24
\cf1 }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 kanan, dilinea
parasternalis kanan, batas atasnya di ruang}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf1 }{\cs26 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \cf1 intercosta II kanan linea parasternalis kanan.}
{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 A: kaji bunyi jantung I dan II,
reguler atau ireguler, adakah bunyi jantung tambahan}{\fs24 \loch \af0 \hich
\langnp1057 \langfe1033 \langfenp1033 Abdomen\uc1 \u160 ?\uc1 \u160 ?\uc1
\u160 ?\uc1 \u160 ?: }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 inspeksi
apakah perut membuncit atau tidak, palpasi apakah hepar teraba atau tidak, perkusi
apakah timpani atau tidak, auskultasi apakah bising usus normal atau tidak.}
\langfenp1033 \par }\pard \plain \s32 \fi-360 \li1080 \ri0 \sa200 \sl480
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f6 \'b7\'00\tab }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Ekstremitas: }
\fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1 Kaji apakah tonus otot mengalami
kelemahan atau tidak, kaji CRT apakah <2detik atau tidak,}{\cs26 \fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \cf1 }{\cs26 \fs24 \loch \af0
\hich \af0 \dbch \f0 \cf1 kaji akral}{\cs26 \fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \cf1 }{\cs26 \fs24 \loch \af0 \hich \af0 \dbch \f0 \cf1
teraba hangat atau dingin.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \s32 \qj \li0 \ri0
\ls11 \fs22 \loch \af11 \hich \af0 \dbch
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain
\langfenp1033 \f0 2)\tab }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Diagnosa Keperawatan }{\b1 \fs24 \loch
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Risiko }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Infeksi}{\fs24
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kerusakan Integritas
Kulit}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \sect }\sectd
\pgnrestart \pgnstarts23 \sbkpage \pgwsxn11907 \pghsxn16840 \marglsxn1701
\margrsxn1701 \margtsxn1701 \margbsxn1701 \guttersxn0 \headery720 \footery720
\pgbrdropt0 \sectlinegrid360 \sectdefaultcl \endnhere {\header \pard \plain \s33
\qr \li0 \ri0 \sa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \tqc \tx4513 \tqr \tx9026 \itap0 \fs22 \loch \af11 \hich \af0 \dbch
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\field {\*\fldinst {\fs22
\loch \af0 \hich \af0 \dbch \af0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }
\langfenp1033 PAGE \'5c* MERGEFORMAT }}{\fldrslt {\fs22 \loch \af0 \hich \af0
\dbch \af0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 }{\fs22 \loch \af0 \hich
\af0 \dbch \f0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 43}}}{\fs22 \loch
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf8 \par }}{\footer
\pard \plain \s29 \qr \li0 \ri0 \sa0 \sl240 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \tqc \tx4513 \tqr \tx9026 \itap0 \fs22 \loch \af11
\af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cf8
H1\uc1 \u8217 ?19}{\fs22 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }}\pard \plain \qj \li0 \ri0 \sa0 \sl480 \slmult1
\aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \ls11 \fs22 \loch \af11 \hich
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext
\pard \plain \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \f0 3)\tab }{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Aplikasi NANDA, NOC, NIC}{\b1 \fs24
\par }\trowd \trql \trgaph0 \trleft-108 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs
\brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10
\trbrdrv \brdrs \brdrw10 \tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphpg
\tposx1367 \tposy522 \tabsnoovrlp1 \trautofit \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx460 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx2728 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx5563 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx9390
\pard \plain \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \fs22 \loch
\af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd
\trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit
\trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 {\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 NO}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \qc \li0 \ri0 \sa200 \sl276
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \phpg \pvpara
\posx1367 \posy522 \intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0
\tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1 \trftsWidthB3
\trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 NANDA}
\langfenp1033 \cell }\pard \plain \qc \li0 \ri0 \sa200 \sl276 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \phpg \pvpara \posx1367
\posy522 \intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 NOC}{\fs24
\cell }\pard \plain \qc \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \phpg \pvpara \posx1367 \posy522 \intbl \itap1
\langfenp1033 \trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180
\trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 {\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 NIC}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0
\sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft-108 \trbrdrt \brdrs
\brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10
\trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \tdfrmtxtLeft180
\tdfrmtxtRight180 \tpvpara \tphpg \tposx1367 \tposy522 \tabsnoovrlp1 \trautofit
\trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3
\trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr
\brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\cellx460 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx2728 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\cltxlrtb \cellx9390 \row }\pard \plain \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \phpg \pvpara \posx1367 \posy522
\intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180
\tdfrmtxtRight180 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddfl3
\trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \loch \af0 \hich \af0 \dbch \f0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain
\rin0 \phpg \pvpara \posx1367
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kerusakan
integritas kulit}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \cell }\pard \plain \s32 \li360 \ri0 \sa200 \pnrnot0
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin360 \rin0 \phpg
\pvpara \posx1367 \posy522 \intbl \itap1 \ls18 \fs22 \loch \af11 \hich \af0
\langfenp1033 \f1 1. }\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180
\trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Integritas jaringan: kulit dan
membran mukosa}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \li0 \ri0 \sa200 \pnrnot0
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \phpg \pvpara
\posx1367 \posy522 \intbl \itap1 \ls0 \fs22 \loch \af11 \hich \af0 \dbch \af11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql \trgaph0 \trleft0
\trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24 \dbch \af0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Kriteria
hasil:}{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s32 \fi-420 \cufi0 \li420 \culi0 \ri0 \sa200
\pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0
\jclisttab \tx420 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls19 \fs22
\langnp1057 \langfe1033 \langfenp1033 \f3 \'fc\'00\tab }\trowd \trql \trgaph0
\trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 {\fs24
\dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
Suhu kulit tidak terganggu}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi-420 \cufi0 \li420
\culi0 \ri0 \sa200 \pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin420 \rin0 \jclisttab \tx420 \phpg \pvpara \posx1367 \posy522
\intbl \itap1 \ls19 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\f3 \'fc\'00\tab }\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180
\trpaddfb3 \trpaddfr3 {\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Tekstur kulit tidak terganggu}{\fs24 \loch
\par }\pard \plain \s32 \fi-420 \cufi0 \li420 \culi0 \ri0 \sa200 \pnrnot0 \sl276
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \jclisttab
\tx420 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls19 \fs22 \loch \af11 \hich
\langfe1033 \langfenp1033 \f3 \'fc\'00\tab }\trowd \trql \trgaph0 \trleft0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Perfusi
jaringan tidak terganggu}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Integritas kulit tidak terganggu}{\fs24 \loch
\par }\pard \plain \s32 \fi-420 \cufi0 \li420 \culi0 \ri0 \sa200 \pnrnot0 \sl276
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \jclisttab
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pigmentasi
abnormal tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi-420 \cufi0 \li420 \culi0 \ri0
\sa200 \pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin420 \rin0 \jclisttab \tx420 \phpg \pvpara \posx1367 \posy522 \intbl \itap1
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f3 \'fc\'00\tab }\trowd \trql
\trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1
Lesi pada kulit tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Jaringan parut tidak ada}{\fs24 \loch \af0
\plain \s32 \li360 \ri0 \sa200 \pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin360 \rin0 \phpg \pvpara \posx1367 \posy522 \intbl
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f1 2. }\trowd \trql
Penyembuhan luka primer}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \li0 \ri0 \sa200
\phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls0 \fs22 \loch \af11 \hich \af0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql
Kriteria hasil:}{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033
\sa200 \pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin420 \rin0 \jclisttab \tx420 \phpg \pvpara \posx1367 \posy522 \intbl \itap1
Eritema di kulit sekitarnya tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi-420
\cufi0 \li420 \culi0 \ri0 \sa200 \pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin420 \rin0 \jclisttab \tx420 \phpg \pvpara \posx1367
\posy522 \intbl \itap1 \ls20 \fs22 \loch \af11 \hich \af0 \dbch \af11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22
\langfenp1033 \f3 \'fc\'00\tab }\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Lebam di kulit sekitarnya tidak
ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
Peningkatan suhu kulit tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\posy522 \intbl \itap1 \ls20 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\langnp1033 \langfe1033 \langfenp1033 Bau luka busuk tidak ada}{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\cell }\pard \plain \s32 \qj \li360 \ri0 \sa0 \pnrnot0 \sl360 \slmult1
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f1
1. }\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit
\trpaddfr3 {\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Memandikan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
Aktivitas:}{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0
Bantu memandikan pasien dengan menggunakan bak mandi}{\fs24 \loch \af0 \hich
\plain \s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \jclisttab \tx420 \phpg
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Mandi dengan air suhu nyaman}{\fs24
\par }\pard \plain \s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \pnrnot0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0
Cuci rambut sesuai kebutuhan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-420 \cufi0
\li420 \culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1033 \langfe1033 \langfenp1033 Gunakan teknik mandi yang menyenangkan pada
anak}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
Bantu dalam perawatan kebersihan}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls0 \fs22 \loch
\trpaddfr3 {\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s32 \qj \li360 \ri0 \sa0 \pnrnot0 \sl360 \slmult1
\langfenp1033 Perlindungan infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
Monitor tanda gejala infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Monitor kerentanan terhadap infeksi}{\fs24
Batasi jumlah pengunjung}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Pertahankan asepsik pada pasien beresiko}
Berikan perawatan kulit yang tepat}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Tingkatkan asupan nutrisi}{\fs24 \loch
\par }\pard \plain \s32 \qj \li0 \culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1
\plain \s32 \qj \li360 \ri0 \sa0 \pnrnot0 \sl360 \slmult1 \widctlpar \aspalpha
Perawatan luka}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \li0 \ri0 \sa0 \pnrnot0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Aktivitas:}
Buka perban/balutan pada luka}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Cek kondisi luka tiap melakukan perawatan}
Bersihkan luka dengan larutan NaCl 0,9%}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langnp1033 \langfe1033 \langfenp1033 Jaga teknik aseptik selama tindakan}{\fs24
\langnp1057 \langfe1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Bersihkan luka dengan kassa yang
telah dibasahi larutan NaCl 0,9%}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langnp1033 \langfe1033 \langfenp1033 Tutup luka dengan kassa lembab}{\fs24
\par }\pard \plain \s32 \qj \li0 \culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1
\cell }\pard \plain \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \loch \af11 \hich \af0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\trowd \trql
\trgaph0 \trleft-108 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl
\brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv
\brdrs \brdrw10 \tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphpg \tposx1367
\tposy522 \tabsnoovrlp1 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt
\brdrs \brdrw10 \cltxlrtb \cellx460 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr
\brdrs \brdrw10 \cltxlrtb \cellx9390 \row }\pard \plain \li0 \ri0 \sa200 \sl276
\langnp1033 \langfe1033 \langfenp1033 Resiko infeksi}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard
\plain \s32 \li360 \ri0 \sa200 \pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha
Keparahan infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfenp1033 \par }\pard \plain \s32 \fi420 \cufi0 \li0 \culi0 \ri0 \sa200
\phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls26 \fs22 \loch \af11 \hich
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 tidak ada
kemerahan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi420 \cufi0 \li0 \culi0 \ri0
\sa200 \pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls26 \fs22 \loch \af11
Tidak ada cairan pada luka}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi420 \cufi0 \li0
\adjustright \lin0 \rin0 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls26 \fs22
Tidak ada demam}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
Tidak ada nyeri}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
Tidak ada peningkatan sel darah putih}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\adjustright \lin420 \rin0 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls0
\pnrnot0 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f1 2. }\trowd \trql \trgaph0
Status imunitas}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Suhu tubuh
tidak terganggu}{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033
Integritas kulit tidak terganggu}{\fs24 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi420
Integritas mukosa tidak terganggu}{\fs24 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \fi420
Tidak ada infeksi berulang}{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033
\cell }\pard \plain \s32 \qj \li360 \ri0 \sa0 \pnrnot0 \sl360 \slmult1
\langfenp1033 Kontrol infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Bersihkan
ruangan rawatan dengan baik}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
Ganti peralatan perwatan per pasien}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033
\langnp1033 \langfe1033 \langfenp1033 Batasi jumlah pengunjung}{\fs24 \loch \af0
\plain \s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1
\langnp1033 \langfe1033 \langfenp1033 Anjurkan keluarga pasien mencuci tangan
dengan tepat}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \fi-420 \cufi0 \li420
\trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180
\langnp1033 \langfe1033 \langfenp1033 Cuci tangan sebelum dan sesudah tindakan pada
pasien}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Lakukan
tindakan pencegahan universal}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
Jaga lingkungan aseptik yang optimal}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langfenp1033 \par }\pard \plain \s32 \qj \fi0 \cufi0 \li360 \culi0 \ri0 \sa0
\langfe1033 \langfenp1033 \f1 2. }\trowd \trql \trgaph0 \trleft0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Pengecekan
Kulit}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s32 \qj \li360 \culi0 \ri0 \sa0 \pnrnot0
\pvpara \posx1367 \posy522 \intbl \itap1 \ls0 \fs22 \loch \af11 \hich \af0 \dbch
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql \trgaph0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Periksa kulit
terkait adanya kemerahan. Kehangatan ekstrim dan edema}{\fs24 \loch \af0 \hich \af0
\s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1 \widctlpar
\langnp1033 \langfe1033 \langfenp1033 Amati warna, kehangatan. Bengkak, pulsasi,
tekstur dan edema}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
Monitor warna dan suhu kulit}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
Monitor adanya tanda gejala infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langfenp1033 \par }\pard \plain \s32 \qj \fi0 \cufi0 \li360 \culi0 \ri0 \sa0
\langfe1033 \langfenp1033 \f1 3. }\trowd \trql \trgaph0 \trleft0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Manajemen
pengobatan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s32 \qj \li360 \culi0 \ri0 \sa0 \pnrnot0
\pvpara \posx1367 \posy522 \intbl \itap1 \ls0 \fs22 \loch \af11 \hich \af0 \dbch
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql \trgaph0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Cek order
pengobatan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\phpg \pvpara \posx1367 \posy522
\intbl \itap1 \ls31 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langnp1033 \langfe1033 \langfenp1033 Pastikan prinsip 6 benar obat dengan tepat}
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Berikan obat
pada pasien sesuai dengan order pengobatan}{\fs24 \loch \af0 \hich \af0 \dbch
\fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \pnrnot0 \sl360 \slmult1 \widctlpar
\langnp1033 \langfe1033 \langfenp1033 Monitor efektivitas pemberian obat pada
\langfenp1033 \cell }\pard \plain \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \loch \af11 \hich
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\trowd \trql
\brdrs \brdrw10 \cltxlrtb \cellx9390 \row }\pard \plain \s32 \qj \li-360 \ri0
\sa200 \sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin-360 \rin0
\langnp1057 \langfe1033 \langfenp1033 DAFTAR PUSTAKA}{\b1 \fs24 \loch \af0 \hich
\plain \li0 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx360 \itap0 \ls0 \fs22 \loch \af11 \hich \af0 \dbch
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Cecila L. Betz & Linda
A. Sowden.20}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1033 \langnp1033
\langfe1033 \langfenp1033 1}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 2. }{\b1 \i1 \fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Keperawatan Pediatri
Edisi 3}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 . EGC: Jakarta.}{\b1 \i1 \fs22 \loch \af11 \hich \af0
\qj \li0 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Muttaqin, arif. 2017. buku ajar
asuhan keperawatan pada klien dengan gangguan sistem persyarafan. Jakarta: salemba
medika.}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \qj \li0 \ri0 \sa200 \sl360 \slmult1 \widctlpar
\af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Behrman, kliegman &
arvin. 2010. ilmu kesehatan anak. Jakarta: buku kedokteran egc.}{\fs24 \loch
\par }\pard \plain \qj \li0 \ri0 \sa200 \sl480 \slmult1 \widctlpar \aspalpha
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \dbch \af0 \hich \af9
\loch \f9 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Wong, Donna L., et al.
2008}{\b1 \fs22 \dbch \af0 \hich \af9 \loch \f9 \lang1057 \langnp1057
\langfe1033 \langfenp1033 . }{\i1 \fs22 \dbch \af0 \hich \af9 \loch \f9
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Buku Ajar Keperawatan Pediatrik
Wong}{\fs22 \dbch \af0 \hich \af9 \loch \f9 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \ul1 . }{\fs22 \dbch \af0 \hich \af9 \loch \f9 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Volume 2. Alih bahasa Agus Sunarta, dkk.
EGC : Jakarta}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \sa0 \sl480 \slmult1
\par }\pard \plain \li0 \ri0 \sa0 \sl480 \slmult1 \widctlpar \aspalpha \aspnum
\langfe1033 \langfenp1033 {\b1 \fs24 \loch
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 PENGKAJIAN }{\b1 \fs24
NEONATUS}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfenp1033 \par }\trowd \trql \trgaph0 \trleft-108 \trautofit \trftsWidth1
\trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt
\brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4252 \clvertalt \clbrdrl \brdrnone
\clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx8931 \pard
\adjustright \lin0 \rin0 \tql \tx1985 \intbl \itap1 \fs22 \loch \af11 \hich \af0
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Nama Kelompok }
\langfenp1033 \tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 : }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 H1}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \sa200
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql
\tx1985 \intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 No. Tempat Praktek}{\fs24 \loch
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }
\langfenp1033 : Ruang Anak }{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 RSUP}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0
\tql \tx1985 \intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Tanggal Pengkajian}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \tab }{\fs24
\loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : }
\langfenp1033 11}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Maret 201}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\rin0 \intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanggal Masuk RS : }{\fs24
\loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 22}
\langfe1033 \langfenp1033 Februari}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 201}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 9}{\fs24 \loch \af0 \hich
\adjustright \lin0 \rin0 \intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 No. RM
: }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 01.04.14.37}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \sa200
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\langfenp1033 {\trowd \trql \trgaph0 \trleft-108 \trautofit \trftsWidth1
\trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt
\clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx8931
\row }\pard \plain \li0 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin0 \rin0 \tql \tx1985 \intbl \itap1 \fs22 \loch \af11 \hich \af0
\langnp1057 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft-108 \trautofit
\trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrnone \clbrdrr
\brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx4252 \clvertalt
\clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone
\par }\pard \plain
\fi-426 \li426 \ri0 \sa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 I.\tab }
\langfenp1033 IDENTITAS DATA}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0
\trleft-108 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl
\brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb
\cellx1985 \clvertalt \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone
\clbrdrb \brdrnone \cltxlrtb \cellx4253 \clvertalt \clbrdrl \brdrnone \clbrdrr
\brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx6237 \clvertalt
\cltxlrtb \cellx8896 \pard \plain \li0 \ri0 \sa200 \sl360 \slmult1 \widctlpar
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Nama
Anak}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 BB/TB}
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanggal
Lahir/Usia}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Jenis
Kelamin}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
Pendidikan Anak}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \loch
Anak ke}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : An. N}
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : }{\fs24
2,7kg}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 / }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 35}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 cm}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langfe1033 \langfenp1033 : 2}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 2}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 -}{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 02}{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 -1}{\fs24
\loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 9}
\langfenp1033 / }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 17hari}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langfe1033 \langfenp1033 : Perempuan}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langfe1033 \langfenp1033 : -}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1
\langfe1033 \langfenp1033 : }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 1}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langnp1057 \langfe1033 \langfenp1033 Nama Ibu}{\fs24 \loch \af0 \hich \af0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Pekerjaan}{\fs24 \loch \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pendidikan}{\fs24
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Agama}{\fs24 \loch
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Alamat}{\fs24 \loch
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Diagnosa Medis}{\fs24
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : Ny. N}{\fs24 \loch
\dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 : Ibu rumah tangga}{\fs24 \loch \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : SMA}{\fs24 \loch
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : Islam}{\fs24 \loch \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : Koto Tingga }{\fs24
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 : }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Meningokel}
\trgaph0 \trleft-108 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\cltxlrtb \cellx1985 \clvertalt \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt
\clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb \brdrnone \cltxlrtb \cellx6237
\clvertalt \clbrdrl \brdrnone \clbrdrr \brdrnone \clbrdrt \brdrnone \clbrdrb
\brdrnone \cltxlrtb \cellx8896 \row }\pard \plain \li1080 \ri0 \sa200 \sl360
\langfenp1033 \par }\pard \plain \fi-426 \li426 \ri0 \sa0 \sl360 \slmult1
\langnp1057 \langfe1033 \langfenp1033 \f0 II.\tab }{\b1 \fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 KELUHAN UTAMA (ALASAN
MASUK RUMAH SAKIT)}{\b1 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \qj \fi294 \li426 \ri0 \sa200
\langfe1033 \langfenp1033 Klien }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 datang melalu IGD, rujukan dari }
\langfenp1033 RSUP}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Solok dengan keluhan terdapat benjolan pada punggung,
benjolan mengeluarkan cairan berupa darah.}{\fs22 \loch \af11 \hich \af0 \dbch \f11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \fi-426
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 III.\tab
}{\fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033 \langfe1033
\langfenp1033 RIWAYAT KESEHATAN SEKARANG}{\fs22 \loch \af11 \hich \af0 \dbch
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \culi0
\rin0 \itap0 \ls0 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 {\fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Pada saat dilakukan pengkajian pada tanggal
11 maret 2019, dari hasil pengkajian didapatkan bahwa pada punggung pasien terdapat
benjolan dengan ukuran 3cmx3cmx2cm pada area lumbal. Benjolan tampak pecah sehingga
ada luka terbuka. Dari awal masuk sampai saat pengkajian, pasien selalu mendapatkan
tindakan perawatan luka pada benjolan di punggungnya. Setelah perawatan, darah
ataupun cairan yang keluar dari benjolan hanya sedikit. Kulit sekitaran benjolan
tampak memerah, pada badan pasien juga dapat kemerahan pada kulitnya. Pasien juga
mengalami kelainan bentuk pada ekstremitas bawah yaitu pada kakinya (CTEV). hasil
monitor TTV menunjukkan S: 37,3 P: 27x/I, N: 140x/I. saat ini pasien mendapatkan
terapi farmakologi berupa ampicilin surbaktan (4x135cc) dan gentamicin (1x14mg).}
\langnp1057 \langfe1033 \langfenp1033 \f0 IV.\tab }{\b1 \fs22 \loch \af11 \hich
\af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 PENGKAJIAN
NEONATUS}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Reflek}{\fs22 \loch
\af11 \hich \af0 \dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 :
reflek moro }{\fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033
\langfe1033 \langfenp1033 pasien }{\fs22 \loch \af11 \hich \af0 \dbch \f11
\lang1033 \langnp1033 \langfe1033 \langfenp1033 baik, }{\fs22 \dbch \af11 \hich
\af0 \loch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 pasien juga dapat
menggenggam dan menghisap dengan baik}{\fs22 \loch \af11 \hich \af0 \dbch \f11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \fi-360
\langfenp1033 Tonus otot/Aktivitas}{\fs22 \loch \af11 \hich \af0 \dbch \f11
\lang1033 \langnp1033 \langfe1033 \langfenp1033 : pasien }{\fs22 \dbch \af11
\hich \af0 \loch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 dapat
menggerakkan tangannya dengan aktif namun sulit untuk menggerakkan kakinya karena
kelainan CTEV, saat merasa tidak nyaman pasien akan menangis dan suara tangisan
pasien cukup keras.}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \fi-360 \li786 \ri0 \sa200
\hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kepala/ Leher
}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033
\widctlpar \aspalpha \aspnum \adjustright \lin1146 \rin0 \itap0 \ls34 \fs22
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Fontanel anterior : }
\langfenp1033 masih lunak karena bayi baru berusia 17hari}{\fs22 \loch \af11
\par }\pard \plain \s28 \fi-360 \li1146 \ri0 \lisb0 \sa169 \lisa0 \sl360
\slmult1 \widctlpar \lin1146 \rin0 \itap0 \ls34 \fs24 \loch \af11 \hich \af11 \dbch
\af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 {\listtext \pard
\plain \fs24 \loch \af11
\hich \af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2
b.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057
\langfenp1057 \cf1 Sutura Sagitalis : }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 tepat}{\fs24 \dbch \af0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 berada
antara dua os.parletal}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s28 \fi-360 \li1146 \ri0
\lisb0 \sa169 \lisa0 \sl360 \slmult1 \widctlpar \lin1146 \rin0 \itap0 \ls34
\langfenp1057 \cf1 {\listtext \pard \plain \fs24 \loch \af11 \hich \af11 \dbch
\af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 c.\tab }{\fs24 \loch
Gambaran wajah : }{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cf1 wajah pasien tampak simetris}{\fs24 \loch \af0 \hich
\plain \s28 \fi-360 \li1146 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\langnp1057 \langfe1057 \langfenp1057 \cf1 {\listtext \pard \plain \fs24 \loch
\cf1 \f2 d.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Molding : }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 normal}{\fs24 \loch \af0 \hich
\plain \s28 \fi-360 \li786 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin786
\cf1 \f2 4.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Mata : Bersih}{\fs24 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 , sklera non ikterik,
konjungtiva non anemis, tidak ada pembengkakan pada palpebra}{\fs24 \loch \af0
\par }\pard \plain \s28 \fi-360 \li786 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\widctlpar \lin786 \rin0 \itap0 \ls33 \fs24 \loch \af11 \hich \af11 \dbch \af11
\lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 {\listtext \pard \plain
\langfenp1057 \cf1 \f2 5.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 THT }{\fs24 \loch \af0 \hich \af0
\cf1 \f2 a.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Telinga :}{\fs24 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 bentuk telinga simetris kiri
dan kanan, tidak ada serumen berlebihan pada telinga}{\fs24 \loch \af0 \hich
\cf1 \f2 b.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Hidung :}{\fs24 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 bentuk simetris, tidak ada
polip, tidak ada sekret, tidak ada pernapasan cuping hidung}{\fs24 \loch \af0 \hich
\plain \s28 \fi-360 \li786 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin786
\cf1 \f2 6.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Abdomen}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 : tegas dan lunak, lingkar
perut 31cm, ukuran liver kurang dari 2cm}{\fs24 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 , tidak ada distensi, tidak
ada lesi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin786 \rin0 \itap0 \ls33 \fs24 \loch
\af11 \hich \af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1
\langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 7.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Toraks}{\fs24
\cf1 : simetris, klavikula normal}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s28 \fi-
360 \li786 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin786 \rin0 \itap0 \ls33
\langfenp1057 \cf1 {\listtext \pard \plain \fs24 \loch \af11 \hich \af11 \dbch
\af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 8.\tab }{\fs24 \loch
Paru- paru }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s28 \li786 \culi0 \ri0 \lisb0
\lisa0 \sl360 \slmult1 \widctlpar \lin786 \rin0 \itap0 \ls0 \fs24 \loch \af11 \hich
\af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 {\fs24 \dbch
\af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 I:
pergerakan dinding dada simetris kiri dan kanan, tidak ada penggunaan otot bantu
napas, respirasi spontan}{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s28 \li786 \culi0
\ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin786 \rin0 \itap0 \ls0 \fs24 \loch
\langfenp1057 \cf1 P: -}{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033
\langfenp1057 \cf1 P: sonor}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langfenp1057 \cf1 A: }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Suara nafas kanan dan kiri}{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 sama}
\langfenp1057 \cf1 , }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 Buny}{\fs24 \dbch \af0 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 i}{\fs24 \loch
nafas disemua lapang paru}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cf1 terdengar}{\fs24 \dbch \af0 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 , }{\fs24 \loch
Suara Nafas Bersih}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin786 \rin0 \itap0 \ls33 \fs24 \loch
\langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 9.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Jantung }{\fs24
\cf1 \par }\pard \plain \s28 \fi-360 \li1146 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\fs24 \loch \af11 \hich \af11 \dbch \af11
\lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 a.\tab }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Bunyi :
Normal}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057
\langfenp1057 \cf1 \par }\pard \plain \s28 \fi-360 \li1146 \ri0 \lisb0 \lisa0
\sl360 \slmult1 \widctlpar \lin1146 \rin0 \itap0 \ls36 \fs24 \loch \af11 \hich
\af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1
\langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 b.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Frekuensi}{\fs24
\cf1 : 130}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057
\langfenp1057 \cf1 X/ menit }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s28 \fi-360
\li1146 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin1146 \rin0 \itap0
\ls36 \fs24 \loch \af11 \hich \af11 \dbch \af11 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 {\listtext \pard \plain \fs24 \loch \af11 \hich
\af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 c.\tab }
\langfenp1057 \cf1 Waktu Pengisisan Kapiler}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 <2 }{\fs24 \loch \af0
\hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Detik }
\langfenp1057 \cf1 \par }\pard \plain \s28 \fi-360 \li786 \ri0 \lisb0 \lisa0 \sl360
\slmult1 \widctlpar \lin786 \rin0 \itap0 \ls33 \fs24 \loch \af11 \hich \af11
\dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 {\listtext
\langfe1057 \langfenp1057 \cf1 \f2 10.\tab }{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Ekstremitas }{\fs24
\cf1 \par }\pard \plain \s28 \fi-360 \li1146 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\langfenp1057 \cf1 \f2 a.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 Gerakan : Bebas}{\fs24 \dbch \af0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 untuk
ekstremitas atas, terbatas untuk ekstremitas bawah.}{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\trowd
\trql \trgaph0 \trleft1038 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10
\trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv
\brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \pard \plain \qc \li0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Nadi Perifer}{\fs22 \loch \af11
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \loch \af11
\hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Keras}
Lemas}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033
Tidak Ada}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \sa200 \sl276 \slmult1
{\trowd \trql \trgaph0 \trleft1038 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs
\brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10
\trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \row }\pard \plain \li0 \ri0
\langnp1057 \langfe1033 \langfenp1033 Brakial Kanan}{\fs22 \loch \af11 \hich
\af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain
\qc \li0 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin0 \rin0 \intbl \itap1 \fs22 \loch \af11 \hich \af0 \dbch \af11 \lang1057
\lang1033 \langnp1033 \langfe1033 \langfenp1033 v}{\fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0
\langfenp1033 {\trowd \trql \trgaph0 \trleft1038 \trbrdrt \brdrs \brdrw10
\trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \loch \af11 \hich \af0 \dbch
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Brakial Kiri}{\fs22 \loch
\hich \af0 \dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 v}{\fs22
\loch \af11 \hich \af0 \dbch \f11 \lang1033 \langnp1033 \langfe1033
\trgaph0 \trleft1038 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \row }\pard \plain \li0 \ri0
\langnp1057 \langfe1033 \langfenp1033 Femoral Kanan}{\fs22 \loch \af11 \hich
\lang1033 \langnp1033 \langfe1033 \langfenp1033 v}{\fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \li0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \loch \af11 \hich \af0 \dbch
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Femoral Kiri}{\fs22 \loch
\hich \af0 \dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 v}{\fs22
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs22 \loch \af11
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \row }\pard \plain \s28 \fi-
360 \li1146 \ri0 \lisb0 \sa608 \lisa0 \sl360 \slmult1 \widctlpar \lin1146 \rin0
\af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 b.\tab }
\langfenp1057 \cf1 Ekstremitas Atas : Normal}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 , tidak ada lesi}{\fs24
\cf1 , tidak ada deformitas}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \s28 \fi-360
\li1146 \ri0 \lisb0 \sa608 \lisa0 \sl360 \slmult1 \widctlpar \lin1146 \rin0
\af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 c.\tab }
\langfenp1057 \cf1 Ekstremitas Bawah : }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1033 \langnp1033 \langfe1057 \langfenp1057 \cf1 abnormal, kaki pasien CTEV}
\langfenp1057 \cf1 (adanya kelainan bentuk pada kaki)}{\fs24 \loch \af0 \hich \af0
\plain \s28 \fi-360 \li1146 \ri0 \lisb0 \sa608 \lisa0 \sl360 \slmult1 \widctlpar
\cf1 \f2 d.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Panggul : Normal}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \s28
\fi-360 \li786 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin786 \rin0
\af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \f2
11.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Umbilikus }{\fs24 \loch \af0 \hich \af0 \dbch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf0 \par }\pard \plain \li786 \ri0
\langnp1057 \langfe1033 \langfenp1033 Normal}{\fs22 \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 , tidak ada kelainan}{\fs22
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Genital }{\fs22
\hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Perempuan :
Normal}{\fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033
\langfe1033 \langfenp1033 , tidak ada kelainan. Pasien dapat BAK dengan baik dan
lancar}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \fi-360 \li786 \ri0 \sa200 \sl360
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Anus : Paten}{\fs22
\dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 ,
tidak ada kelainan. Pasien dapat BAB dengan baik dan lancar}{\fs22 \loch \af11
\par }\pard \plain \fi-360 \li786 \ri0 \sa200 \sl360 \slmult1 \widctlpar
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kulit }{\fs22 \loch
\par }\pard \plain \fi-360 \li1146 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha
\langfenp1033 \f2 a.\tab }{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Warna : Pink}{\fs22 \dbch \af11 \hich \af0
\loch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }{\fs22 \loch \af11
\par }\pard \plain \fi-360 \li1146 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha
\langfenp1033 \f2 b.\tab }{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Sianosis : }{\fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 tidak ada}{\fs22
\langnp1057 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Tampak kemerahan pada
kulit pasien}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \fi-360 \li1146 \ri0 \sa200 \sl360
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 d.\tab }{\fs22 \loch \af11
\hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanda lahir}
\langfenp1033 tidak ada}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Suhu }
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Lingkungan :}{\fs22
boks terbuka}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s28 \fi-360 \li1146 \ri0 \lisb0
\lisa0 \sl360 \slmult1 \widctlpar \lin1146 \rin0 \itap0 \ls39 \fs24 \loch \af11
\hich \af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1
\langnp1057 \langfe1057 \langfenp1057 \cf1 \f2 b.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Suhu Kulit : }{\fs24
\cf1 37}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057
\langfenp1057 \cf1 \par }\pard \plain \li786 \ri0 \sa200 \sl360 \slmult1 \widctlpar
\langnp1057 \langfe1033 \langfenp1033 \f0 V.\tab }{\b1 \fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 PEMERIKSAAN PRENATAL
(PNC)}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \li0 \culi0 \ri0 \sa200 \sl360
{\b0 \fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Saat pengkajian, ibu pasien mengatakan merasakan mual muntah pada 2
bulan pertama kehamilan. Ibu pasien rutin memeriksakan kandungannya ke puskesmas.
Terdapat kenaikan berat badan ibu selama kehamilan yakni sebesar 8kg. Komplikasi
saat kehamilan tidak ada, namun ibu hamil saat usianya menginjak 36}{\b0 \fs22
\dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \super1 th}{\b0 \fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033
\langnp1033 \langfe1033 \langfenp1033 . Selama kehamilan ibu tidak menderita sakit
serius dan tidak pernah dirawat di RS. Ibu mengatakan kehamilannya direncanakan,
dan pasien merupakan anak pertamanya. }{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li426 \ri0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 VI.\tab }{\b1 \fs22 \loch \af11
\hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 RIWAYAT
PERSALINAN (INTRANATAL)}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li-11 \culi0 \ri0
\sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin-11 \rin0
\langfe1033 \langfenp1033 {\b0 \fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033
\langnp1033 \langfe1033 \langfenp1033 ibu pasien mengatakan ibu melahirkan secara
SC (sectio cesaria) pada usia kehamilan 38minggu di RSUP Solok karena adanya
kelainan pada bayinya. Saat dilahirkan bayi langsung menangis keras. Bayi lahir
dengan kelainan pada punggungnya berupa benjolan dengan luka terbuka dan
mengeluarkan darah. Sesaat setelah dilahirkan, bayi dapat bernafas tanpa bantuan.
Tidak ada trauma selama proses kelahiran. Pasien lahir dengan BB 2500gr dan TB
33cm. Anastesi yang diberikan saat persalinan berupa anestesi lokal.}{\b0 \fs22
\widctlpar \aspalpha \aspnum \adjustright
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 VII.\tab
}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057 \langfe1033
\langfenp1033 RIWAYAT }{\b1 \fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033
\langnp1033 \langfe1033 \langfenp1033 P}{\b1 \fs22 \dbch \af11 \hich \af0 \loch
\f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 OSTNATAL}{\b1 \fs22 \loch
\par }\pard \plain \li0 \culi0 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b0 \fs22 \dbch \af11
\hich \af0 \loch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 9 jam setelah
dilahirkan, pasien di rujuk ke RSUP M.Djamil Padang.}{\fs22 \loch \af11 \hich
\plain \fi-426 \li426 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
VIII.\tab }{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 RIWAYAT KESEHATAN KELUARGA}{\b1 \fs22 \loch \af11
\par }\pard \plain \s28 \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \lin0
\langfe1057 \langfenp1057 \cf1 {\b0 \fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s28 \li0 \ri0 \lisb0
\lisa0 \sl360 \slmult1 \widctlpar \lin0 \rin0 \itap0 \fs24 \loch \af11 \hich
\af11 \dbch \af11 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 {\b1
\langfenp1057 \cf1 \par }\pard \plain \s28 \li0 \ri0 \lisb0 \lisa0 \sl360
\slmult1 \widctlpar \lin0 \rin0 \itap0 \fs24 \loch \af11 \hich \af11 \dbch \af11
\lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 {\b1 \fs24 \loch \af0 \hich
\plain \fi-426 \li426 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
IX.\tab }{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 RIWAYAT SOSIAL}{\b1 \fs22 \loch \af11 \hich \af0 \dbch
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \fi-360
\langfenp1033 Struktur keluarga }{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11
\langfe1033 \langfenp1033 {\i1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 Genogram}{\i1 \fs22 \loch \af11 \hich \af0
\langfe1033 \langfenp1033 {\i1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li786 \ri0 \sa200
\langfenp1033 {\i1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\i1
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\i1 \fs22 \loch
\par }\pard \plain \li786 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\i1 \fs22 \loch \af11
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\i1 \fs22 \loch \af11
\af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \i1 \fs22 \loch \af11
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Perencanaan makanan bayi
: }{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1033 \langnp1033 \langfe1033
\langfenp1033 makanan bayi selama perawatan adalah ASI/SF 8x75cc}{\b1 \fs22
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Hubungan Orang tua
bayi }{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0 \trleft678 \trbrdrt \brdrs
\trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1
\trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx5670 \clvertalt \clbrdrl
\brdrs \brdrw10 \cltxlrtb \cellx8613 \pard \plain \qc \li0 \ri0 \sa200 \sl276
\langfe1033 \langfenp1033 Ibu}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \qc \li0
\langnp1057 \langfe1033 \langfenp1033 {\b1 \fs22 \loch \af11 \hich \af0 \dbch
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tingkah Laku}{\b1 \fs22
\langfenp1033 Ayah}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\cellx3544 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10
\clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx5670
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \row }\pard \plain \qc
\f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 v}{\b1 \fs22 \loch \af11 \hich
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Menyentuh}{\fs22 \loch \af11
\af11 \hich \af0 \dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 v}
\row }\pard \plain \qc \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha
Memeluk}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
{\trowd \trql \trgaph0 \trleft678 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10
Berbicara}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
{\trowd \trql \trgaph0 \trleft678 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10
Berkunjung}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 v}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft678 \trbrdrt \brdrs
\brdrs \brdrw10 \cltxlrtb \cellx8613 \row }\pard \plain \qc \li0 \ri0 \sa200 \sl276
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Memanggil}{\fs22 \loch \af11
\trgaph0 \trleft678 \trbrdrt
\brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr
\brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit
\lang1057 \langnp1057 \langfe1033 \langfenp1033 Kontak Mata}{\fs22 \loch \af11
\row }\pard \plain \s28 \fi-360 \li786 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\langfenp1057 \cf1 \f2 4.\tab }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 Orang tua berespon terhadap
sosialisasi : }{\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1057 \langfenp1057 \cf1 orang tua bayi dapat berkomunikasi dengan bayi
melalui tatapan mata dan sentuhan tangan saat berinteraksi ataupun memberi ASI pada
bayi. }{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1057
\langfenp1057 \cf1 \par }\pard \plain \fi-360 \li786 \ri0 \sa200 \sl360 \slmult1
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Anak lain :}{\fs22 \loch
\af11 \hich \af0 \dbch \f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 }
\langfenp1033 pasien merupakan anak pertama dan tidak mempunyai adik ataupun
kakak.}{\fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langnp1057 \langfe1033 \langfenp1033 \f0 X.\tab }{\b1 \fs22 \loch \af11 \hich \af0
\dbch \f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 PEMERIKSAAN PENUNJANG}
\langfenp1033 \par }\trowd \trql \trgaph0 \trleft-108 \trbrdrt \brdrs \brdrw10
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \pard \plain \qc \li0
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pemeriksaan Diagnostik}{\b1
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \fs22
\langfe1033 \langfenp1033 Data Laboratorium}{\b1 \fs22 \loch \af11 \hich \af0 \dbch
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \li0
\langnp1057 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft-108
\trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr
\cellx8613 \row }\trowd \trql \trgaph0 \trleft-108 \trbrdrt \brdrs \brdrw10
\trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \pard \plain \li0
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li0
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx8613 \row }\pard \plain
XI.\tab }{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 ANALISA DATA}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0
\trleft-709 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs
\brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10
\trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10
\cltxlrtb \cellx-139 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrs \brdrw10 \cltxlrtb \cellx9498 \pard \plain \qc \li0 \ri0 \sa200 \sl360
\langfe1033 \langfenp1033 No.}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11
\f11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Data}{\b1 \fs22 \loch \af11
Patofisiologi}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Masalah}{\b1 \fs22 \loch \af11 \hich \af0 \dbch \f11
\langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft-709 \trbrdrt \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx-139
\loch \af11 \hich \af0 \dbch
\brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx-
139 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\cltxlrtb \cellx9498 \row }\pard \plain \fi-567 \li567 \ri0 \sa200 \pnrnot0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 XII.\tab }{\b1 \fs22 \loch
DIAGNOSA KEPERAWATAN BERDASARKAN PRIORITAS}{\b0 \fs22 \loch \af11 \hich \af0
\af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f1 a.
}{\b0 \fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033 \langfe1033
\langfenp1033 Kerusakan integritas kulit}{\b0 \fs22 \loch \af11 \hich \af0 \dbch
\f11 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \culi0
\ri0 \sa200 \pnrnot0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f1 b. }{\b0
\fs22 \dbch \af11 \hich \af0 \loch \f11 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Resiko infeksi}{\b0 \fs22 \loch \af11 \hich \af0
\qj \li0 \ri0 \sa200 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\langfe1033 \langfenp1033 RENCANA ASUHAN KEPERAWATAN}{\fs24 \loch \af0 \hich
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\trowd
\trql \trgaph0 \trleft-108 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10
\brdrs \brdrw10 \cltxlrtb \cellx9390 \pard \plain \li0 \ri0 \sa200 \sl276
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 NO}{\fs24
\langnp1033 \langfe1033 \langfenp1033 NANDA}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \cell }\pard \plain \qc \li0
\rin0 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \fs22 \loch \af11 \hich
\af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql
NOC}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 NIC}{\fs24
\langnp1033 \langfe1033 \langfenp1033 Kerusakan integritas kulit}{\fs24 \loch
\cell }\pard \plain \s32 \li360 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha
Integritas jaringan: kulit dan membran mukosa}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \li0
\hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \trowd \trql
\sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \tql
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Suhu kulit
tidak terganggu}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Tekstur kulit
tidak terganggu}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\trftsWidthA3 \trpaddfl3 \trpaddft3
\trpaddfb3 \trpaddfr3 {\fs24 \dbch \af0 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 Perfusi jaringan tidak terganggu}{\fs24 \loch \af0
\plain \s32 \fi-420 \cufi0 \li420 \culi0 \ri0 \sa200 \sl276 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin420 \rin0 \tql \tx420 \phpg \pvpara \posx1367
\langnp1033 \langfe1033 \langfenp1033 Integritas kulit tidak terganggu}{\fs24 \loch
\par }\pard \plain \s32 \fi-420 \cufi0 \li420 \culi0 \ri0 \sa200 \sl276 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \tql \tx420 \phpg
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Pigmentasi abnormal tidak ada}
\sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \tql \tx420
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Lesi pada
kulit tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Jaringan parut
tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \li360 \ri0 \sa200 \sl276
\af11 \hich \af0 \dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f1 4.
}\trowd \trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit
\langfenp1033 Penyembuhan luka primer}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Eritema di
kulit sekitarnya tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\culi0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lin420 \rin0 \tql \tx420 \phpg \pvpara \posx1367 \posy522 \intbl \itap1 \ls20
Lebam di kulit sekitarnya tidak ada}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\cufi0 \li420 \culi0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin420 \rin0 \tql \tx420 \phpg \pvpara \posx1367 \posy522 \intbl
\langnp1033 \langfe1033 \langfenp1033 Peningkatan suhu kulit tidak ada}{\fs24 \loch
\par }\pard \plain \s32 \fi-420 \cufi0 \li420 \culi0 \ri0 \sa200 \sl276 \slmult1
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Bau luka busuk tidak ada}{\fs24
\cell }\pard \plain \s32 \qj \li360 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\langfenp1033 Memandikan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Bantu
memandikan
pasien dengan menggunakan bak mandi}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langnp1033 \langfe1033 \langfenp1033 Mandi dengan air suhu nyaman}{\fs24 \loch
\par }\pard \plain \s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \tql \tx420
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Cuci rambut
sesuai kebutuhan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
Gunakan teknik mandi yang menyenangkan pada anak}{\fs24 \loch \af0 \hich \af0 \dbch
\fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1033 \langfe1033 \langfenp1033 Bantu dalam perawatan kebersihan}{\fs24 \loch
\par }\pard \plain \s32 \qj \li0 \culi0 \ri0 \sa0 \sl360 \slmult1 \widctlpar
Perlindungan infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Monitor tanda
gejala infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
Monitor kerentanan terhadap infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\langnp1033 \langfe1033 \langfenp1033 Batasi jumlah pengunjung}{\fs24 \loch \af0
\plain \s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \sl360 \slmult1
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Pertahankan asepsik pada pasien
beresiko}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
Berikan perawatan kulit yang tepat}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\li420 \culi0 \ri0 \sa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1033 \langfe1033 \langfenp1033 Tingkatkan asupan nutrisi}{\fs24 \loch
Perawatan luka}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Buka
perban/balutan pada luka}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Cek kondisi luka tiap melakukan perawatan}
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Bersihkan luka
dengan larutan NaCl 0,9%}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 Jaga teknik aseptik selama tindakan}{\fs24
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin420 \rin0 \tql \tx420
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Bersihkan luka
dengan kassa yang telah dibasahi larutan NaCl 0,9%}{\fs24 \loch \af0 \hich \af0
\s32 \qj \fi-420 \cufi0 \li420 \culi0 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin420 \rin0 \tql \tx420 \phpg \pvpara \posx1367
\langnp1033 \langfe1033 \langfenp1033 Tutup luka dengan kassa lembab}{\fs24
\langnp1033 \langfe1033 \langfenp1033 Resiko infeksi}{\fs24 \loch \af0 \hich
\plain \s32 \li360 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha \aspnum
\trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180
\langnp1033 \langfe1033 \langfenp1033 Keparahan infeksi}{\fs24 \loch \af0 \hich
\langnp1033 \langfe1033 \langfenp1033 Kriteria hasil:}{\fs24 \dbch \af0 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s32 \fi420 \cufi0 \li0 \culi0 \ri0 \sa200 \sl276 \slmult1 \widctlpar
\langnp1033 \langfe1033 \langfenp1033 tidak ada kemerahan}{\fs24 \loch \af0
\langnp1033 \langfe1033 \langfenp1033 Tidak ada cairan pada luka}{\fs24 \loch
\par }\pard \plain \s32 \fi420 \cufi0 \li0 \culi0 \ri0 \sa200 \sl276 \slmult1
\langnp1033 \langfe1033 \langfenp1033 Tidak ada demam}{\fs24 \loch \af0 \hich
\langnp1033 \langfe1033 \langfenp1033 Tidak ada nyeri}{\fs24 \loch \af0 \hich
\langnp1033 \langfe1033 \langfenp1033 Tidak ada peningkatan sel darah putih}
\langfenp1033 \par }\pard \plain \s32 \li420 \culi0 \ri0 \sa200 \sl276 \slmult1
Status imunitas}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
\langfe1033 \langfenp1033 \par }\pard \plain \s32 \li0 \ri0 \sa200 \sl276
\langnp1033 \langfe1033 \langfenp1033 Suhu tubuh tidak terganggu}{\fs24 \dbch
\af0 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033
\langnp1033 \langfe1033 \langfenp1033 Integritas kulit tidak terganggu}{\fs24 \dbch
\langnp1033 \langfe1033 \langfenp1033 Integritas mukosa tidak terganggu}{\fs24
\langnp1033 \langfe1033 \langfenp1033 Tidak ada infeksi berulang}{\fs24 \dbch
\par }\pard \plain \s32 \li0 \ri0 \sa200 \sl276 \slmult1 \widctlpar \aspalpha
\langfenp1033 \trowd
\trql \trgaph0 \trleft0 \tdfrmtxtLeft180 \tdfrmtxtRight180 \trautofit \trftsWidth1
\cell }\pard \plain \s32 \qj \li360 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\langfenp1033 Kontrol infeksi}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Bersihkan ruangan rawatan dengan
baik}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Ganti peralatan perwatan per
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Batasi jumlah pengunjung}{\fs24
\langnp1033 \langfe1033 \langfenp1033 Anjurkan keluarga pasien mencuci tangan
dengan tepat}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033
Cuci tangan sebelum dan sesudah tindakan pada pasien}{\fs24 \loch \af0 \hich
\langnp1033 \langfe1033 \langfenp1033 Lakukan tindakan pencegahan universal}
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Jaga lingkungan aseptik yang
optimal}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033 \langnp1033 \langfe1033
\langfenp1033 \par }\pard \plain \s32 \qj \li0 \culi0 \ri0 \sa0 \sl360 \slmult1
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s32 \qj \fi0 \cufi0 \li360 \culi0 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\langfenp1033 Pengecekan Kulit}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \li360 \culi0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Periksa kulit terkait adanya
kemerahan. Kehangatan ekstrim dan edema}{\fs24 \loch \af0 \hich \af0 \dbch \f0
\adjustright
Amati warna, kehangatan. Bengkak, pulsasi, tekstur dan edema}{\fs24 \loch \af0
\langnp1033 \langfe1033 \langfenp1033 Monitor warna dan suhu kulit}{\fs24 \loch
\langnp1033 \langfe1033 \langfenp1033 Monitor adanya tanda gejala infeksi}{\fs24
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 \par }\pard
\plain \s32 \qj \fi0 \cufi0 \li360 \culi0 \ri0 \sa0 \sl360 \slmult1 \widctlpar
\langfenp1033 Manajemen pengobatan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
\langnp1033 \langfe1033 \langfenp1033 \par }\pard \plain \s32 \qj \li360 \culi0
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Cek order pengobatan}{\fs24
\langnp1033 \langfe1033 \langfenp1033 Pastikan prinsip 6 benar obat dengan tepat}
\lang1033 \langnp1033 \langfe1033 \langfenp1033 Berikan obat pada pasien sesuai
dengan order pengobatan}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1033
Monitor efektivitas pemberian obat pada pasien}{\fs24 \loch \af0 \hich \af0
\brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10
\tdfrmtxtLeft180 \tdfrmtxtRight180 \tpvpara \tphpg \tposx1367 \tposy522
\tabsnoovrlp1 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108
\af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \sect }\sectd
\pgnrestart \pgnstarts44 \sbkpage \pgwsxn16838 \pghsxn11906 \marglsxn1701
\margrsxn1701 \margtsxn1701 \margbsxn2126 \guttersxn0 \lndscpsxn \titlepg1
\headery709 \footery709 \pgbrdropt0 \sectlinegrid360 \sectdefaultcl \endnhere
{\header \pard \plain \s33 \qr \li0 \ri0 \sa0 \sl240 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tqc \tx4513 \tqr \tx9026 \itap0
\langfenp1033 {\field {\*\fldinst {\fs22 \loch \af0 \hich \af0 \dbch \af0 \lang1057
\lang1057 \langnp1057 \langfe1033 \langfenp1033 PAGE \'5c* MERGEFORMAT }}
{\fldrslt {\fs22 \loch \af0 \hich \af0 \dbch \af0 \lang1057 \langnp1057 \langfe1033
\langfe1024 \langfenp1024 60}}}{\fs22 \loch \af0
\hich \af0 \dbch \af0 \lang1024 \langnp1024 \langfe1024 \langfenp1024 }{\fs22
\par }\pard \plain \s33 \li0 \ri0 \sa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }}{\footerf \pard
\plain \s29 \qc \li0 \ri0 \sa0 \sl240 \slmult1 \widctlpar \aspalpha \aspnum
\af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 4}
\langfenp1033 \par }}\pard \plain \li0 \ri0 \sa0 \sl480 \slmult1 \widctlpar
\plain \li0 \ri0 \sa0 \sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\plain \li0 \ri0 \sa0 \sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\langnp1057 \langfe1033 \langfenp1033 \sect }\sectd \sbkpage \pgwsxn12240
\pghsxn15840 \marglsxn2268 \margrsxn1701 \margtsxn1701 \margbsxn1701 \guttersxn0
\headery720 \footery720 \pgbrdropt0 \sectlinegrid360 \sectdefaultcl \endnhere \pard
\plain \qc \li0 \ri0 \sa0 \sl480 \slmult1 \widctlpar \aspalpha \aspnum \adjustright
\lang1057 \langnp1057 \langfe1033 \langfenp1033 BAB IV}{\fs24 \loch \af0 \hich \af0
\langnp1057 \langfe1033 \langfenp1033 PEMBAHASAN}{\fs24 \loch \af0 \hich \af0 \dbch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0
\dbch \af11 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f0 A.\tab }{\fs24
Pengkajian}{\fs24 \loch \af0 \hich \af0 \dbch \f0 \lang1057 \langnp1057 \langfe1033
\langnp1057 \langfe1033 \langfenp1033 \f0 B.\tab }{\fs24 \loch \af0 \hich \af0
\dbch \f0 \lang1033 \langnp1033 \langfe1033 \langfenp1033 Diagnosa}{\fs24 \loch
\dbch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }}

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{\rtf1 \ansi \ansicpg1252 \deff0 \stshfdbch2 \stshfloch0 \stshfhich0

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