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\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Pada trauma
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\langfenp2052 DEFINISI}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\aspnum \adjustright \lin480 \rin0 \itap0 \ls0 \fs24 \rtlch \ltrch \loch \af5 \hich
\langfenp2052 Trauma adalah luka atau cedera fisik lainnya atau cedera fisiologis
akibat gangguan emosional yang hebat (Nugroho, 2015). }{\fs24 \rtlch \ltrch
\par }\pard \plain \qj \fi480 \cufi200 \li480 \culi200 \ri0 \lisb0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin480 \rin0 \itap0 \ls0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Trauma dada adalah abnormalitas
rangka dada yang disebabkan oleh benturan pada dinding dada yang mengenai tulang
rangka dada, pleura paru-paru, diafragma ataupun isi mediastinal baik oleh benda
tajam maupun tumpul yang dapat menyebabkan gangguan sistem pernapasan (Rendy,
2012). }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
Trauma thoraks adalah luka atau cedera yang mengenai rongga thorax yang dapat
menyebabkan kerusakan pada dinding thorax ataupun isi dari cavum thorax yang
disebabkan oleh benda tajam atau benda tumpul dan dapat menyebabkan keadaan gawat
thorax akut.Trauma thoraks diklasifikasikan dengan tumpul dan tembus. Trauma tumpul
merupakan luka atau cedera yang mengenai rongga thorax yang disebabkan oleh benda
tumpul yang sulit diidentifikasi keluasan kerusakannya karena gejala-gejala umum
dan rancu (Sudoyo, 2010)}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe2052 \langfenp2052 .}{\fs24 \rtlch \ltrch \dbch \af2
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin480 \rin0 \itap0 \ls0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Dari berberapa definisi diatas
dapat didefinisikan trauma thoraks adalah trauma yang mengenai dinding toraks yang
secara langsung maupun tidak langsung berpengaruh pada pada organ didalamnya, baik
sebagai akibat dari suatu trauma tumpul maupun oleh sebab trauma tajam.}{\fs24
\langfe2052 \langfenp2052 \par }\pard \plain \qj \fi-425 \li425 \ri0 \lisb0
\lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin425 \rin0 \tql
\tx425 \itap0 \ls3 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2
\lang1033 \langnp1033 \langfe2052 \langfenp2052 {\listtext \pard \plain \fs24
\langfenp2052 \f2 B.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 ETIOLOGI}{\b1 \fs24 \rtlch
\langfenp2052 \par }\pard \plain \qj \fi480 \cufi200 \li480 \culi200 \ri0 \lisb0
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Trauma pada toraks dapat
dibagi 2 yaitu oleh karena trauma tumpul 65% dan trauma tajam 34.9 % (Ekpe & Eyo,
2014). Penyebab trauma toraks tersering adalah kecelakaan kendaraan bermotor (63-
78%) (Saaiq, et al., 2010). Dalam trauma akibat kecelakaan, ada lima jenis benturan
(impact) yang berbeda, yaitu depan, samping, belakang, berputar, dan terguling
(Sudoyo, 2010). }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
Oleh karena itu harus dipertimbangkan untuk mendapatkan riwayat yang lengkap karena
setiap orang memiliki pola trauma yang berbeda. Penyebab trauma toraks oleh karena
trauma tajam dibedakan menjadi 3 berdasarkan tingkat energinya, yaitu berenergi
rendah seperti trauma tusuk,berenergi sedang seperti tembakan pistol, dan berenergi
tinggi seperti pada tembakan senjata militer. Penyebab trauma toraks yang lain
adalah adanya tekanan yang berlebihan pada paru-paru yang bisa menyebabkan
Pneumotoraks seperti pada aktivitas menyelam (Hudak, 2011). }{\fs24 \rtlch
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Trauma toraks dapat
mengakibatkan kerusakan pada tulang kosta dan sternum, rongga pleura saluran nafas
intratoraks dan parenkim paru. Kerusakan ini dapat terjadi
tunggal ataupun kombinasi tergantung dari mekanisme cedera (Sudoyo, 2010).}
\langfenp2052 \f2 C.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 MANIFESTASI KLINIS}{\b1 \fs24
\langfenp2052 \f2 1.\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe2052 \langfenp2052 Nyeri pada tempat trauma,
bertambah pada saat inspirasi}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \par }\pard \plain \qj \fi-
425 \li960 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin960 \rin0 \tql \tx960 \itap0 \ls4 \fs24 \rtlch \ltrch \loch
\af5 \hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052
Pembengkakan lokal dan krepitasi yang sangat palpasi}{\fs24 \rtlch \ltrch \dbch
\langfe2052 \langfenp2052 Pasien menahan dadanya dan bernafas pendek}{\fs24
\lang14345 \langnp14345 \langfe2052 \langfenp2052 Dyspnea, takipnea}{\fs24
\lang14345 \langnp14345 \langfe2052 \langfenp2052 Takikardi}{\fs24 \rtlch \ltrch
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 6.\tab }
\langfe2052 \langfenp2052 TD menurun}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
Gelisah dan agitasi}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp1033 \langfe2052 \langfenp2052 \f2 8.\tab }{\fs24 \rtlch \ltrch \dbch
Kemungkinan cyanosis}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\af2 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 Batuk
mengeluarkan sputum bercak darah}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 10.\tab }{\fs24 \rtlch
\langfenp2052 Ada jejas pada thorax}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 11.\tab }{\fs24 \rtlch
\langfenp2052 Pulsus paradoksus( tekanan darah sistolik turun dan berfluktuasi
dengan pernapasan) dapat terjadi dini pada temponade jantung.}{\fs24 \rtlch
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 D.\tab }
\langfe2052 \langfenp2052 PATOFISIOLOGI}{\b1 \fs24 \rtlch \ltrch \dbch \af2
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Utuhnya suatu dinding Toraks sangat
diperlukan untuk sebuah ventilasipernapasan yang normal. Pengembangan dinding
toraks ke arah luar oleh otot -otot pernapasan diikuti dengan turunnya diafragma
menghasilkan tekanan negative dari intratoraks. Proses ini menyebabkan masuknya
udara pasif ke paru \uc1 \u8211 ? paru selama inspirasi. Trauma toraks mempengaruhi
strukur - struktur yang berbedadari dinding toraks dan rongga toraks. Toraks dibagi
kedalam 4 komponen, yaitudinding dada, rongga pleura, parenkim paru, dan
mediastinum.Dalam dindingdada termasuk tulang - tulang dada dan otot - otot yang
terkait (Sudoyo, 2009). }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\langfe2052 \langfenp2052 Rongga pleura berada diantara
pleura viseral dan parietal dan dapat terisi oleh darah ataupunudara yang
menyertai suatu trauma toraks. Parenkim paru termasuk paru \uc1 \u8211 ? parudan
jalan nafas yang berhubungan, dan mungkin dapat mengalami kontusio, laserasi,
hematoma dan pneumokel.Mediastinum termasuk jantung, aorta/pembuluh darah besar
dari toraks, cabang trakeobronkial dan esofagus. Secara normal toraks bertanggung
jawab untuk fungsi vital fisiologi kardiopulmonerdalam menghantarkan oksigenasi
darah untuk metabolisme jaringan pada tubuh. Gangguan pada aliran udara dan darah,
salah satunya maupun kombinasi keduanya dapat timbul akibat dari cedera toraks
(Sudoyo, 2009).}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfe2052 \langfenp2052 Secara klinis penyebab dari trauma toraks bergantung juga
pada beberapa faktor, antara lain mekanisme dari cedera, luas dan lokasi dari}
\langfe2052 \langfenp2052 }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 cedera, cedera lain yang terkait,
dan penyakit - penyakit komorbid yang mendasari. Pasien \uc1 \u8211 ? pasien trauma
toraks cenderung akan memburuk sebagai akibat dari efek pada fungsi respirasinya
dan secara sekunder akan berhubungan dengan disfungsi jantung (Sudoyo, 2009).}
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\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 E.\tab }
\langfe2052 \langfenp2052 PATHWAY}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0
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d6bf094c044650092230cda725054620b404446004952002d37c88c0086d0d2230824a1081693e44608
4b6061118412588c0341f2230425b83088ca0128d1558c78e1d616363439636b0e8eaea128111da1444
600495688cc09e3f7f0e0f0f0fb2b4a1e5eeddbbb24f8f40507f88c0082ad11881110804424b4204465
00922300281a06e1081115482088c4020a81b446004952002231008ea061118412588c0080482ba4104
46500922300281a06e1081115482088c4020a81b446004952002231008ea061118412588c0080482ba4
10446500922300281a06e1081115482088c4020a81b446004952002231008ea061118412588c0080482
ba410446500922300281a06e1081115482088c4020a81b446004952002231008ea061118412588c0080
482ba410446500922300281a06ea88dc03efbec332c5fbe9c2c6aba2c5cb810efbca3165f17028140a0
00fe3f09c2555b1847a4e30000000049454e44ae426082}}}{\fs24 \rtlch \ltrch \dbch \af2
\langfe2052 \langfenp2052 \par }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx480
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx480 \itap0 \ls0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \f2 F.\tab }{\b1 \fs24 \rtlch \ltrch \dbch
Pemeriksaan Diagnostik}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
Anamnesa dan pemeriksaan fisik}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\langfe2052 \langfenp2052 Anamnesa yang terpenting adalah mengetahui mekanisme dan
pola dari trauma, seperti jatuh dari ketinggian, kecelakaan lalu lintas, kerusakan
dari kendaraan yang ditumpangi, kerusakan stir mobil/air bag dan lain-lain.}
\lang14345 \langnp14345 \langfe2052 \langfenp2052 Radiologi: foto thorax(AP)}{\fs24
Pemeriksaan ini masih tetap mempunyai nilai diagnostik pada pasien dengan trauma
dada. Pemeriksaan klinis harus selalu dihubungkan dengan hasil pemeriksaan foto
thorax. Lebih dari 90% kelainan serius trauma toraks dapat terdeteksi hanya dari
pemeriksaan foto thorax.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\af2 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 CT-
Scan}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langfe2052 \langfenp2052 Sangat membantu dalam membuat diagnosa pada trauma tumpul
toraks, seperti fraktur kosta, sternum, dan sterno clavikular dislokasi. adanya
retro sternal hematoma serta cedera pada vertebra torakalis dapat diketahui dari
pemeriksaan ini. Adanya pelebaran mediastinum pada pemeriksaan toraks foto dapat
dipertegas dengan pemeriksaan ini sebelum dilakukan aortografi.}{\fs24 \rtlch
\ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 \par }\pard \plain \s17 \qj \fi-425
\lin960 \rin0 \cbpat16 \tql \tx960 \itap0 \ls5 \fs24 \rtlch \ltrch \loch \af5 \hich
\af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\listtext \pard
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1
Ekhokardiografi}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s17 \qj \fi480
\aspnum \adjustright \lin960 \rin0 \cbpat16 \tql \tx960 \itap0 \ls0 \fs24 \rtlch
\langnp1057 \langfe1057 \langfenp1057 \cf1 Transtorasik dan transesofagus sangat
membantu dalam menegakkan diagnosa adanya kelainan pada jantung dan esophagus.
Hemoperikardium, cedera pada esophagus dan aspirasi, adanya cedera pada dinding
jantung ataupun sekat serta katub jantung dapat diketahui segera. Pemeriksaan ini
bila dilakukan oleh seseorang yang ahli, kepekaannya meliputi 90% dan spesifitasnya
hampir 96%.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s17 \qj \fi-425
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 EKG
(}{\i1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1057 \langfenp1057 \cf1 Elektrokardiografi}{\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 )}
\langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s17 \qj \fi480 \cufi200
\adjustright \lin960 \rin0 \cbpat16 \itap0 \fs24 \rtlch \ltrch \loch \af5 \hich
\langfenp1057 \cf1 Sangat membantu dalam menentukan adanya komplikasi yang terjadi
akibat trauma tumpul toraks, seperti kontusio jantung pada trauma. Adanya
abnormalitas gelombang EKG yang persisten, gangguan konduksi, tachiaritmia semuanya
dapat menunjukkan kemungkinan adanya kontusi jantung. Hati hati, keadaan tertentu
seperti hipoksia, gangguan elektrolit, hipotensi gangguan EKG menyerupai keadaan
seperti kontusi jantung.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s17 \qj
\fi-425 \li960 \ri0 \sb75 \lisb0 \sa75 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin960 \rin0 \cbpat16 \tql \tx960 \itap0 \ls5 \fs24
\langfenp1057 \cf1 Angiografi}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s17
\qj \fi480 \cufi200 \li960 \culi400 \ri0 \sb75 \lisb0 \sa75 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin960 \rin0 \cbpat16 \tql
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Gold
Standard\uc1 \u8217 ? untuk pemeriksaan aorta torakalis dengan dugaan adanya cedera
aorta pada trauma tumpul toraks.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard
\plain \s17 \qj \fi-425 \li960 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\langfenp1057 \cf1 Torasentesis\uc1 \u160 ?: menyatakan darah/cairan
serosanguinosa.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s17 \qj \fi-425
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 Hb
(Hemoglobin) : Mengukur status dan resiko pemenuhan kebutuhan oksigen jaringan
tubuh.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \s17 \qj \li535
\langfenp1057 \cf1 \par }\pard \plain \s17 \qj \li535 \ri0 \lisb0 \lisa0 \sl360
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1
\par }\pard \plain \s17 \qj \li535 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\lang1033 \langnp1033 \langfe2052 \langfenp2052 {\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1
\langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \qc \li0 \ri0
\langnp1033 \langfe2052 \langfenp2052 {\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe2052 \langfenp2052 BAB III}{\b1
\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe2052 \langfenp2052 \par }\pard \plain \qc \li0 \ri0 \lisb0 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs24
\langfenp2052 {\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe2052 \langfenp2052 ASUHAN KEPERAWATAN}{\b1 \fs24
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \ls0 \fs24
\langnp1033 \langfe2052 \langfenp2052 Tn. D (30 tahun) dibawa penolong dan
keluarganya ke rumah sakit M.Yunus bengkulu pada tanggal 01 Januari 2019 karena
mengalami kecelakaan bermobil. Dari pengkajian pasien mengalami penurunan
kesadaran. Penolong mengatakan dada korban membentur stir mobil, setelah kecelakaan
pasien muntah darah lalu kemudian pasien tidak sadar. Keaadaan pasien saat di IGD
klien mengalami penurunan kesadaran, napas cepat dan dangkal, auskultasi suara
napas ronchi, dan pasien ngorok. Terdapat bengkak dan jejas di dada sebelah kiri.
Hasil pemeriksaan GCS 8(E2V2M4) kesadaran sopor, hasil pemeriksaan TTV, TD : 120/80
mmHg, nadi : 110x/menit, RR : 35x/menit, suhu : 38,7oC, akral teraba dingin, tampak
sianosis, penggunaan otot-otot pernapasan, dan napas cuping hidung.}{\fs24
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 A.\tab }
\langfe2052 \langfenp2052 PENGKAJIAN}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0
Pengkajian Primer}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\listtext
\pard \plain \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \f2 a.\tab }{\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Airway :
Pernapasan ada , napas ronchi, cepat dan dangkal dengan RR 35x/menit, tampak gelisa
dan sesak, ketidakefektifan bersihan jalan napas.}{\fs24 \rtlch \ltrch \dbch
\par }\pard \plain \qj \fi-425 \li1440 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin1440 \rin0 \tql \tx1440 \itap0
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 b.\tab }
\langfe2052 \langfenp2052 Breathing : Pernapasan cuping hidung, pasien ngorok,
penggunaan otot \uc1 \u8211 ? otot pernapasan, pasien sesak dengan RR 35x/menit,
gangguan pola napas.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 c.\tab }{\fs24 \rtlch \ltrch
Circulation : Ada nadi, nadi 110x/menit, TD : 120/80 mmHg, akral teraba dingin dan
tampak sianosis, gangguan perfusi jaringan}{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 .}{\fs24 \rtlch
\langnp1033 \langfe2052 \langfenp2052 {\listtext \pard \plain \fs24 \rtlch
\langfenp2052 \f2 d.\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Disability : Penurunan kesadaran,
kesadaran sopor GCS 8 (E2V2M4) }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \par }\pard \plain \qj \fi-
425 \li1440 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\langnp1033 \langfe2052 \langfenp2052 \f2 e.\tab }{\fs24 \rtlch \ltrch \dbch
Exposure : Terdapat bengkak dan jejas di bagian dada sebelah kiri, akral teraba
dingin, tampak sianosis dan bagian tubuh lain nya baik.}{\fs24 \rtlch \ltrch
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 2.\tab }
\langfe2052 \langfenp2052 Pengkajian Sekunder}{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard
\plain \qj \fi-425 \li1440 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1440 \rin0 \tql \tx1440 \itap0 \ls9 \fs24 \rtlch
\dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 a.\tab }{\fs24
\langfe2052 \langfenp2052 Anamnesis }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard
\dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 1)\tab }{\fs24
\langfe2052 \langfenp2052 Identitas klien}{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard
\plain \qj \li1495 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\langfe2052 \langfenp2052 \tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Nama : Tn. D }{\fs24 \rtlch
\lang14345 \langnp14345 \langfe2052 \langfenp2052 \tab }{\fs24 \rtlch \ltrch
Jenis kelamin : Laki-laki }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1495
\rin0 \tql \tx1920 \itap0 \ls0 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \tab }{\fs24
\langfenp2052 Umur : 30 tahun }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\langfenp2052 Alamat : Pagar dewa }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qj
\langfenp2052 \tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Agama : Islam }{\fs24 \rtlch \ltrch
\par }\pard \plain \qj \li1495 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\langnp14345 \langfe2052 \langfenp2052 \tab }{\fs24 \rtlch \ltrch \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Bahasa :
Melayu }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp2052 Status perkawinan : Menikah }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Pendidikan : SMA }{\fs24 \rtlch
\dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Pekerjaan : Sopir travel }
\langfe2052 \langfenp2052 \par }\pard \plain \qj \li1495 \ri0 \lisb0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1495 \rin0 \tql
\langfenp2052 Golongan darah : B }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 No. register : }{\fs24 \rtlch
Tanggal MRS : 21 Mei 2018 }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\langfenp2052 Diagnosa medis: Pulmonalis embolus }{\fs24 \rtlch \ltrch \dbch
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 2)\tab }
\langfe2052 \langfenp2052 Identitas penanggung jawab : }{\fs24 \rtlch \ltrch
\cf1 \par }\pard \plain \qj \li1495 \ri0 \lisb0 \lisa0 \sl360 \slmult1
Nama : Ny. D }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp2052 Jenis kelamin : Prempuan }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Alamat : Pagar dewa }{\fs24
Agama : Islam }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp2052 Hubungan dengan pasien : Istri }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\langfenp2052 Keluhan utama }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \cf1 \par }\pard \plain \qj
\fi480 \cufi200 \li1920 \culi800 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\langnp1033 \langfe2052 \langfenp2052 Pasien datang ke RSUD Dr. M. Yunus kota
bengkulu, dengan kecelakaan bermobil, pasien mengalami penurunan kesadaran dan ada
bengkak dan jejas di bagian dad}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 a}{\fs24 \rtlch \ltrch
sebelah kiri}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 .}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\qj \fi-425 \li1920 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 4)\tab }{\fs24 \rtlch \ltrch
Riwayat Kesehatan}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 a)\tab }{\fs24 \rtlch \ltrch
Riwayat penyakit sekarang}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\cufi200 \li2400 \culi1000 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\langnp1033 \langfe2052 \langfenp2052 Tn. D (30 tahun) dibawa penolong dan
keluarganya ke rumah sakit karena mengalami kecelakaan bermobil. Pasien mengalami
penurunan kesadaran. Penolong mengatakan dada}{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 }{\fs24 \rtlch
\langfenp2052 korban membentur stir mobil, setelah kecelakaan pasien muntah darah
lalu kemudian pasien tidak sadar. Keaadaan pasien saat di IGD klien mengalami
penurunan kesadaran, napas cepat dan dangkal, auskultasi suara napas ronchi, dan
pasien ngorok. Terdapat bengkak dan jejas di dada
sebelah kiri. Hasil pemeriksaan GCS 8(E2V2M4) kesadaran sopor, hasil pemeriksaan
TTV, TD : 120/80 mmHg, nadi : 110x/menit, RR : 35x/menit, suhu : 38,7oC, akral
teraba dingin, tanpak sianosis, penggunaan otot-otot pernapasan, dan napas cuping
hidung. }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe2052 \langfenp2052 \par }\pard \plain \qj \fi-425 \li2400 \ri0 \lisb0 \lisa0
\tx2400 \itap0 \ls11 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2 \lang1033
\langnp1033 \langfe2052 \langfenp2052 {\listtext \pard \plain \fs24 \rtlch
\langfenp2052 \f2 b)\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Riwayat penyakit dahulu }{\fs24
\langfe1057 \langfenp1057 \par }\pard \plain \qj \fi480 \cufi200 \li2400
\langfenp2052 Keluarga mengatakan pasien sudah berberapa kali mengalami kecelakaan
tetapi belum perna separah ini sampai mengaami penurunan kesadaran serta pasien
tidak memiliki riwayat penyakit apapun}{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 .}{\fs24 \rtlch
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 B.\tab }
\langfe1057 \langfenp1057 PEMERIKSAAN FISIK}{\b1 \fs24 \rtlch \ltrch \dbch \af2
\par }\pard \plain \qj \li480 \culi200 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Keadaan umum : Penurunan kesadaran
dan sesak }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li480 \culi200
Kesadaran : Sopor }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\langfe2052 \langfenp2052 TTV : }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\langfe2052 \langfenp2052 Tekanan Darah :120/80 mmHg }{\fs24 \rtlch \ltrch \dbch
\par }\pard \plain \qj \li480 \culi200 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Frekuensi Nadi : 110x/menit }{\fs24
\langfenp2052 \par }\pard \plain \qj \li480 \culi200 \ri0 \lisb0 \lisa0 \sl360
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Pernapasan : 35x/menit }
\langfe2052 \langfenp2052 \par }\pard \plain \qj \li480 \culi200 \ri0 \lisb0 \lisa0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Suhu : 38,7oC}
\langfenp2052 \f2 1)\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Kepala }{\fs24 \rtlch \ltrch
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Inspeksi :
Distribusi rambut baik, bentuk kepala simetris }{\fs24 \rtlch \ltrch \dbch \af2
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Palpasi : Tidak ada nyeri tekan
}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Mata }{\fs24 \rtlch \ltrch \dbch
Anemis, skelera an ikterik, bentuk simetris. }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin535 \rin0 \tql \tx960
\dbch \af2
\langfenp2052 Hidung }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Inspeksi : Bentuk simetris,
pernapasan cuping hidung, penggunaan }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \tab }{\fs24 \rtlch
\langfenp2052 otototot pernapasan}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Palpasi : Tidak ada nyeri tekan }
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Telinga }{\fs24 \rtlch \ltrch \dbch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Inspeksi : Bentuk simetris,
terdapat darah }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp2052 Palpasi : Ada lesi dan nyeri tekan }{\fs24 \rtlch \ltrch \dbch
\langfenp2052 Mulut }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langfenp2052 Inspeksi : Bentuk simetris, sianosis, serta keluarnya darah segar dan
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 lendir }{\fs24 \rtlch \ltrch
\langfenp2052 Leher }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langfenp2052 Inspeksi : Bentuk simetris, tidak ada pembengkakan kelenjar tiroid, }
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 tidak dicurigai fraktur
cervikal. }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp2052 Palpasi : Tidak ada nyeri tekan, tidak ada pembenkakan }{\fs24 \rtlch
\langfe2052 \langfenp2052 Toraks }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Inspeksi : Bentuk tidak simetris,
terdapat jejas dan bengkak, pergerakan }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \tab }{\fs24
\langfenp2052 dinding dada tidak simetris, terdapat otot bantu pernapasan. }
\langfenp2052 Palpasi : Terdapat nyeri tekn dan ada pembengkakan }{\fs24 \rtlch
\langfe2052 \langfenp2052 {\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \tab }
\langfe2052 \langfenp2052 Auskultasi : Bunyi napas ronchi, suara ngorok, frekuensi
napas }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345 \langnp14345
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 30x/menit }{\fs24 \rtlch \ltrch
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Perkusi :
Snoring }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Abdomen }{\fs24 \rtlch \ltrch \dbch
Bentuk simetris, tidak ada jejas }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Palpasi : ada nyeri tekan pada }
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 supra pubik }{\fs24 \rtlch
Auskultasi : Bising usus normal 12x/menit }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Perkusi : Tympani }{\fs24
\langfe2052 \langfenp2052 Genetalia }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Inspeksi : Bersih, tidak ada
kelainan, terpasang kateter spool blase }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\fi-425 \li960 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 10)\tab }{\fs24 \rtlch
\langfenp2052 Ekstremitas }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Atas :}{\fs24 \rtlch \ltrch
Simetris, tidak ada pembengkakan dan terpasang ada jejas }{\fs24 \rtlch \ltrch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 ditangan kanan, terpasang infus
ditangan kiri, fleksi dan ekstensi (-) }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\langfenp2052 Bawah : }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Inspeksi : Simetris, tidak ada
pembengkakan}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langfenp2052 Palpasi : Tidak ada nyeri tekan }{\fs24
\langfe2052 \langfenp2052 Data tambahan pasien }{\fs24 \rtlch \ltrch \dbch \af2
\hich \af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 a)\tab }
\langfe2052 \langfenp2052 Data psikologi }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \par }\pard \plain
\qj \fi480 \cufi200 \li1440 \culi600 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Keluarga bisa di ajak bekerja sama
dengan baik dalam proses keperawatan }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 b)\tab }{\fs24 \rtlch \ltrch
Data social }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langfenp2052 Hubungan keluarga dan klien baik, terlihat dari keluarga yang selalu
menunggu klien. }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\lin1440 \rin0 \tql \tx1440 \itap0 \ls13 \fs24 \rtlch \ltrch \loch \af5 \hich
\langnp1033 \langfe2052 \langfenp2052 \f2 c)\tab }{\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Data
spiritual }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langfenp2052 Klien beragama islam, keluarga selalu berdoa untuk kesembuhan klien.}
\jclisttab \tx425 \itap0 \ls6 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch
\af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\listtext \pard \plain
\langfe2052 \langfenp2052 \f2 C.\tab }{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 ANALISA DATA}
\langfe2052 \langfenp2052 \par }\trowd \trql \trgaph0 \trleft-108 \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 \clbrdrr
\brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\cellx582 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx3940 \clvertalt
\clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\brdrs \brdrw10 \cltxlrtb \cellx5964 \clvertalt \clbrdrl \brdrs \brdrw10
\clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx7989 \pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx480 \intbl \itap1
\lang14345 \langnp14345 \langfe2052 \langfenp2052 NO}{\fs24 \rtlch \ltrch \dbch
\cell }\pard \plain \qc \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx480 \intbl \itap1 \ls0 \fs24
\langnp14345 \langfe2052 \langfenp2052 DATA}{\fs24 \rtlch \ltrch \dbch \af2
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \cell }\pard
\adjustright \lin0 \rin0 \tql \tx480 \intbl \itap1 \ls0 \fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 ETIOLOGI}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \qj
\langfe2052 \langfenp2052 MASALAH}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain
\li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\intbl \itap1 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2 \lang1033
\langnp1033 \langfe2052 \langfenp2052 {\trowd \trql \trgaph0 \trleft-108
\trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr
\cltxlrtb \cellx7989 \row }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\lang14345 \langnp14345 \langfe2052 \langfenp2052 1}{\fs24 \rtlch \ltrch \dbch \af2
\adjustright \lin0 \rin0 \tql \tx480 \tql \tx1440 \intbl \itap1 \ls0 \fs24
\langnp1033 \langfe2052 \langfenp2052 Ds :- Penolong mengatakan pasien muntah darah
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx480 \tql
\tx1440 \intbl \itap1 \ls0 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Do : - suara
napas ngorok }{\fs24
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx480 \tql \tx1440
\intbl \itap1 \ls0 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Terdapat
lendir dan gumpalan darah di mulut pasien }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\adjustright \lin0 \rin0 \tql \tx480 \tql \tx1440 \intbl \itap1 \ls0 \fs24
\langnp1033 \langfe2052 \langfenp2052 - Frekuensi napas 35x/menit}{\fs24 \rtlch
\langfenp2052 \cell }\pard \plain \qc \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\langfe2052 \langfenp2052 {\fs24 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \af5
\lang1033 \langnp1033 \langfe2052 \langfenp2052 {\shp {\*\shpinst \shpleft824
\shptop353 \shpright825 \shpbottom578 \shpfhdr0 \shpbxcolumn \shpbxignore
\shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0 \shpz0 \shplid1026 {\sp {\sn
shapeType}{\sv 20}}{\sp {\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn
fLockAspectRatio}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp
{\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp {\sn fNoFillHitTest}{\sv 1}}
{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn lineEndArrowhead}
{\sv 5}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn wzName}
{\sv Baris 2}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs24
\langfenp2052 Hematoraks }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qc \li0 \ri0
\tql \tx480 \intbl \itap1 \ls0 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2
\plain \qc \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\langfe2052 \langfenp2052 Ekspensi paru }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qc
{\fs24 \rtlch \ltrch \dbch \af2 \hich \af5 \loch \af5 \lang1033 \langnp1033
\langfe2052 \langfenp2052 {\shp {\*\shpinst \shpleft824 \shptop72 \shpright825
\shpbottom297 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyignore
\shpwr3 \shpwrk0 \shpfblwtxt0 \shpz1 \shplid1027 {\sp {\sn shapeType}{\sv 20}}{\sp
{\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}
{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp
{\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp
{\sn lineEndArrowhead}{\sv 5}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv
1}}{\sp {\sn wzName}{\sv Baris 3}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict
}}}}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Gangguan
ventilasi}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \qj \li0 \ri0 \lisb0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Ketidakefek
tifan bersihan jalan napas}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \li0 \ri0
\lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl
\langnp1033 \langfe2052 \langfenp2052 {\trowd \trql \trgaph0 \trleft-108
\trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr
\cltxlrtb \cellx7989 \row }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\lang14345 \langnp14345 \langfe2052 \langfenp2052 2}{\fs24 \rtlch \ltrch \dbch \af2
\langfe2052 \langfenp2052 Ds : - Penolong mengatakan dada korban membentur stir
mobil sebelum mengalami penurunan kesadaran - Penolong mengtakan pasien bernapas
cepat (sesak) }{\fs22 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Do : - Suara
napas ronchi - Pasien bernapas menggunakan cuping hidung dan oto-otot pernapasan -
Frekuensi napas 30x/menit}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \qc \li0 \ri0
\hich \af5 \loch \af5 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\shp
\shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0
fFlipV}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp
{\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp
{\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn lineEndArrowhead}{\sv
5}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn wzName}{\sv
Baris 7}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs24 \rtlch \ltrch
Trauma thorak }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qc \li0 \ri0 \lisb0
\plain \qc \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\shpbottom542 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3
\shpwrk0 \shpfblwtxt0 \shpz4 \shplid1029 {\sp {\sn shapeType}{\sv 20}}{\sp {\sn
fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}{\sp
{\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn
fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn
lineEndArrowhead}{\sv 5}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv 1}}
{\sp {\sn wzName}{\sv Baris 6}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt
{\pict }}}}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 Reabsorsi darah}{\fs24 \rtlch \ltrch \dbch
\par }\pard \plain \qc \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \tql \tx480 \intbl \itap1 \ls0 \fs24 \rtlch \ltrch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qc \li0 \ri0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Hemathorak }
\hich \af5 \loch \af5 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\shp
\shpbxcolumn \shpbxignore \shpbypara \shpbyignore \shpwr3 \shpwrk0 \shpfblwtxt0
fFlipV}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}{\sp {\sn WrapText}{\sv 0}}{\sp
{\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp {\sn fShadowOK}{\sv 1}}{\sp
{\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp {\sn lineEndArrowhead}{\sv
5}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv 1}}{\sp {\sn wzName}{\sv
Baris 4}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict }}}}{\fs24 \rtlch \ltrch
\par }\pard \plain \qc \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\shpbottom599 \shpfhdr0 \shpbxcolumn \shpbxignore \shpbypara \shpbyignore
\shpwr3 \shpwrk0 \shpfblwtxt0 \shpz3 \shplid1031 {\sp {\sn shapeType}{\sv 20}}{\sp
{\sn fFlipH}{\sv 0}}{\sp {\sn fFlipV}{\sv 0}}{\sp {\sn fLockAspectRatio}{\sv 0}}
{\sp {\sn WrapText}{\sv 0}}{\sp {\sn fFillOK}{\sv 0}}{\sp {\sn fLineOK}{\sv 1}}{\sp
{\sn fShadowOK}{\sv 1}}{\sp {\sn fFilled}{\sv 0}}{\sp {\sn lineStyle}{\sv 0}}{\sp
{\sn lineEndArrowhead}{\sv 5}}{\sp {\sn fLine}{\sv 1}}{\sp {\sn fArrowheadsOK}{\sv
1}}{\sp {\sn wzName}{\sv Baris 5}}{\sp {\sn fLayoutInCell}{\sv 1}}}{\shprslt {\pict
}}}}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe2052 \langfenp2052 Ekspensi paru }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qc
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Gangguan
ventilasi}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Gangguan pola
napas}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \li0 \ri0 \lisb0
\lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs24
\langfenp2052 {\trowd \trql \trgaph0 \trleft-108 \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 \clbrdrr \brdrs \brdrw10 \clbrdrt
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx582 \clvertalt \clbrdrl
\brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb
\cltxlrtb \cellx5964 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx7989
\row }\pard \plain \qj \fi-425 \li425 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 D.\tab }{\b1
\langfe2052 \langfenp2052 DIAGNOSA KEPERAWATAN }{\b1 \fs24 \rtlch \ltrch \dbch \af2
\langfenp2052 Ketidakefektifan bersihan jalan napas berhubungan dengan secret yang
berlebih, gumpalan darah yang menghalangi pernapasan }{\fs24 \rtlch \ltrch \dbch
\langfenp2052 Gangguan pola napas, dispneu berhubungan dengan penurunan kemampuan
paru}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 .}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 E.\tab }{\b1 \fs24 \rtlch
\langfenp2052 TINDAKAN KEPERAWATAN}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \par }\trowd \trql
\trgaph0 \trleft-108 \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 \cellx582 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr
\brdrs \brdrw10 \cltxlrtb \cellx7989 \pard \plain \qj \li0 \ri0 \lisb0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \tql \tx480 \intbl \itap1 \ls0 \fs24 \rtlch
\langnp14345 \langfe2052 \langfenp2052 NO}{\fs24 \rtlch \ltrch \dbch \af2 \hich
\af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 \cell }\pard
\langfe2052 \langfenp2052 DIAGNOSA KEPERAWATAN}{\fs24 \rtlch \ltrch \dbch \af2
\plain \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\langfe2052 \langfenp2052 Tujuan dan Kriteria (Noc)}{\b1 \fs24 \rtlch \ltrch
\langfenp2052 \cell }\pard \plain \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Tujuan dan Kriteria (Noc)}{\b1
\langfe2052 \langfenp2052 \cell }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar
\aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs24 \rtlch \ltrch
{\trowd \trql \trgaph0 \trleft-108 \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
\brdrs \brdrw10 \cltxlrtb \cellx7989 \row }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 1.}{\b1
\langfe2052 \langfenp2052 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360
Ketidakefektifan bersihan jalan napas berhubungan dengan secret yang berlebih,
gumpalan darah yang menghalangi pernapasan }{\fs24 \rtlch \ltrch \dbch \af2
\langfe2052 \langfenp2052 Definisi : }{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich
\langfe2052 \langfenp2052 Ketidakmampuan untuk membersihkan sekresi atau obstruksi
dari saluran pernapasan untuk mempertahankan kebersihan jalan napas}{\b1 \fs24
\langfe2052 \langfenp2052 \cell }\pard \plain \qj \fi-420 \li420 \ri0 \lisb0 \lisa0
\langfenp2052 \f4 v\'00\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Status pernapasan : pertukaran
gas \uc1 \u61558 ?}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lin420 \rin0 \tql \tx480 \intbl \itap1 \ls15 \fs24 \rtlch \ltrch \loch \af5
\langnp1033 \langfe2052 \langfenp2052 \f4 v\'00\tab }{\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Airway
status}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Kriteria hasil
: \uc1 \u61558 ? }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \fi-420 \li420 \ri0 \lisb0
\langfenp2052 \f4 \'fc\'00\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Suara napas bersih, tidak ada
sianosis, mampu bernapas dengan mudah}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f4 \'fc\'00\tab }{\fs24 \rtlch
\langfenp2052 Menunjukan jalan napas yang pasten (irama napas dalam rentang normal,
tidak ada suara napas abnormal)}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \fi-420
\langnp1033 \langfe2052 \langfenp2052 \f4 \'fc\'00\tab }{\fs24 \rtlch \ltrch
Mampu}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033 \langnp1033
\langfe2052 \langfenp2052 \par }\pard \plain \li0 \ri0 \lisb0 \lisa0 \sl360
mengidentifikasi dan mencegah faktor yang menghambat jalan napas}{\fs24 \rtlch
\langfenp2052 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\lang1033 \langnp1033 \langfe2052 \langfenp2052 -Pastikan}{\fs24 \rtlch \ltrch
\langfenp2052 }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 kebutuhan oral/suction }{\fs24 \rtlch
\langfenp2052 \par
}\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\langfe2052 \langfenp2052 - Auskultasi suara napas sebelum dan sesudah suction }
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Berikan
oksigen menggunakan nasal kanul }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\langfe2052 \langfenp2052 - Monitor status napas dan oksigen - Buka jalan napas
gunakan tekhnik chin lift }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Posisikan
pasien untuk memaksimalkan ventilasikeluarkan secret dengan cara}{\fs24 \rtlch
\langnp1033 \langfe2052 \langfenp2052 suction }{\fs24 \rtlch \ltrch \dbch \af2
\langfe2052 \langfenp2052 - Monitor respirasi dan status oksigen}{\b1 \fs24
\brdrs \brdrw10 \cltxlrtb \cellx7989 \row }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 2}{\b1 \fs24
\langfe2052 \langfenp2052 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Gangguan pola
napas, dispneu berhubungan dengan penurunan kemampuan paru }{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 Definisi :}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 }{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 Inspirasi dan / ekspirasi yang tidak memberi ventilasi}
\langfe2052 \langfenp2052 \cell }\pard \plain \qj \fi-420 \li420 \ri0 \lisb0 \lisa0
\langfenp2052 \f4 v\'00\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Respiratory Status :
ventilation}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qj \fi-420 \li420 \ri0
\rin0 \tql \tx480 \intbl \itap1 \ls17 \fs24 \rtlch \ltrch \loch \af5 \hich \af5
Respiratory Status : airway patency}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 \f4 v\'00\tab }{\fs24 \rtlch \ltrch
Vital Sign Status}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Kriteria
Hasil :}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
Mendemonstrasi kan batuk efektif dan suara napas yang bersih, tidak ada sianosis
dan dyspneu (mampu mengeluarkan sputum, mampu bernafas dngan mudah, tidak ada
pursed lips) \uc1 \u61558 ?}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
Menunjukkan jalan nafas yang paten (klien tidak merasa tercekik, irama}{\fs24
\langfenp2052 \par }\pard \plain \qj \li0 \ri0
napas, frekuansi pernafasan dalam, rentang normal, tidak ada suara nafas abnormal)}
\langfenp2052 \f4 \'fc\'00\tab }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Tanda tanda vital dalam rentang
normal (tekanan darah, nadi, pernafasan)}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 }{\fs24 \rtlch
\langfenp2052 \cell }\pard \plain \qj \li0 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Airway Management}{\fs24 \rtlch
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Buka jalan
nafas, gunakan teknik chin lift atau jaw thrust bila perlu }{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 - Posisikan pasien untuk memaksimalkan ventilasi }
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Lakukan
fisioterapi dada jika perlu }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li0
\lin0 \rin0 \tql \tx480 \intbl \itap1 \ls0 \fs24 \rtlch \ltrch \loch \af5 \hich
\langfenp2052 - Keluarkan secret dengan batuk atau suction }{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 - Auskultasi suara nafas, catat adanya suara tambahan }
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Atur intake
untuk cairan mengoptimalkan keseimbangan }{\fs24 \rtlch \ltrch \dbch \af2 \hich
\langfe2052 \langfenp2052 - Monitor respirasi dan status O2}{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 .}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Respiratory Monitoring}
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Monitoring
ratarata,kedalaman,irama dan usaha}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 }{\fs24 \rtlch \ltrch
respirasi }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Catat
gerakan dada, amati kesimetrisan, penggunaan otot tambahan, retraksi otot
supraclavicular dan intercostals }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\langfe2052 \langfenp2052 - Monitor suara nafas seperti dengkur }{\fs24 \rtlch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 - Auskultasi suara nafas, catat
area penurunan/tidak adanya ventilasi dan suara tambahan Auskultasi suara paru
setelah tindakan untuk mengetahui hasilnya.}{\b1 \fs24 \rtlch \ltrch \dbch \af2
\plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha \aspnum \adjustright \lin0
\rin0 \intbl \itap1 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch \af2
\lang1033 \langnp1033 \langfe2052 \langfenp2052 {\trowd \trql \trgaph0 \trleft-
108 \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 \cellx582 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10
\clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10
\cltxlrtb \cellx3940 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs
\brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx5964
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx7989 \row }\pard \plain \qj
\widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \tql \tx480 \itap0 \ls0 \fs24
\langnp1033 \langfe2052 \langfenp2052 \f2 F.\tab }{\b1 \fs24 \rtlch \ltrch \dbch
IMPLEMENTASI & EVALUASI}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe2052 \langfenp2052 \par }\trowd \trql \trgaph0
\trleft-108 \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 \cellx477 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10
\clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx4047
\clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs
\brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx7989 \pard \plain \qj \li0
\langfenp2052 NO}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \qc \li0 \ri0 \lisb0
IMPLEMENTASI}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \qc \li0 \ri0 \lisb0
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 EVALUASI}
\brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx7989 \row }\pard \plain
\langfe2052 \langfenp2052 1}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang14345 \langnp14345 \langfe2052 \langfenp2052 \cell }\pard \plain \qj \li0 \ri0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Mempastikan
kebutuhan oral/suction }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 -
Mengauskultasi suara napas sebelum dan sesudah suction }{\fs24 \rtlch \ltrch
\langfenp2052 \'5c}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\langfenp2052 - Memberikan oksigen menggunakan nasal kanul }{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 - Memonitor status napas dan oksigen }{\fs24 \rtlch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 - Membuka jalan napas gunakan
tekhnik chin lift }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Momposisikan
pasien untuk memaksimalkan ventilasikeluarkan secret dengan cara suction }{\fs24
\lang1033 \langnp1033 \langfe2052 \langfenp2052 - Memonitor respirasi dan status
oksigen}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 S : - Keluarga
mengatakan suara napas pasien sudah tidak ngorok lagi dan sesak sudah berkurang }
{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 O : - Bersihan
jalan napas pasien tampak bersih }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\langfe2052 \langfenp2052 A : Masalah teratasi sebagian }{\fs24 \rtlch \ltrch \dbch
\langfe2052 \langfenp2052 P : Lanjutkan intervensi}{\b1 \fs24 \rtlch \ltrch
\langfenp2052 \cell }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs24 \rtlch \ltrch \loch \af5 \hich
\af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\trowd \trql
\langfe2052 \langfenp2052 2}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Membuka
jalan nafas, gunakan teknik chin lift atau jaw thrust bila perlu }{\fs24 \rtlch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 - Memposisikan pasien untuk
memaksimalkan ventilasi }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Melakukan
fisioterapi dada jika perlu }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qj \li0
\langfenp2052 - Mengauskultasi suara nafas, catat adanya suara}{\fs24 \rtlch \ltrch
\langnp1033 \langfe2052 \langfenp2052 tambahan }{\fs24 \rtlch \ltrch \dbch \af2
\langfe2052 \langfenp2052 - Mengatur intake untuk cairan mengoptimalkan
keseimbangan }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Memonitor
respirasi dan status O2. }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 - Monitoring
ratarata,kedalaman, irama dan usaha respirasi }{\fs24 \rtlch \ltrch \dbch \af2
\langfe2052 \langfenp2052 - Mencatat gerakan dada, amati kesimetrisan, penggunaan
otot tambahan, retraksi otot supraclavicular dan intercostals }{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 - Memonitor suara nafas seperti dengkur }{\fs24 \rtlch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 - Mengauskultasi suara nafas, catat
area penurunan/tidak adanya ventilasi dan suara tambahan }{\fs24 \rtlch \ltrch
\langfe2052 \langfenp2052 - Mengauskultasi suara paru setelah tindakan untuk
mengetahui hasilnya.}{\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 S : - keluarga
mengatakan pasien masih sesak - Keluarga pasien mengatakan gerakan dinding dada
masih tidak setabil }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 O : - klien
tampak sesak}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang14345
\langnp14345 \langfe2052 \langfenp2052 }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052
- RR : 30x/m A : masalh belum teratasi }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0
\langfe2052 \langfenp2052 P : lanjutkan intervensi}{\b1 \fs24 \rtlch \ltrch
\langfenp2052 \cell }\pard \plain \li0 \ri0 \lisb0 \lisa0 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs24 \rtlch \ltrch \loch \af5 \hich
\af5 \dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\trowd \trql
\langfenp2052 {\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe2052 \langfenp2052 BAB I}{\b1 \fs24 \rtlch \ltrch \dbch \af2
\hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 V}{\b1 \fs24
\langfenp2052 {\b1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe2052 \langfenp2052 PENUTUP}{\b1 \fs24 \rtlch \ltrch \dbch
\dbch \af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 \f2 A.\tab }{\b1
\langfe2052 \langfenp2052 Kesimpulan}{\fs24 \rtlch \ltrch \dbch \af0 \hich \af5
\fi480 \cufi200 \li480 \culi200 \ri0 \lisb0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Trauma thoraks
adalah luka atau cedera yang mengenai rongga thorax yang dapat menyebabkan
kerusakan pada dinding thorax ataupun isi dari cavum thorax yang disebabkan oleh
benda tajam atau benda tumpul dan dapat menyebabkan keadaan gawat thorax akut.
Trauma tumpul merupakan luka atau cedera yang mengenai rongga thorax yang
disebabkan oleh benda tumpul yang sulit diidentifikasi keluasan kerusakannya karena
gejala-gejala umum dan rancu (Sudoyo, 2010) }{\fs24 \rtlch \ltrch \dbch \af2
\plain \qj \fi480 \cufi200 \li480 \culi200 \ri0 \lisb0 \lisa0 \sl360 \slmult1
\langnp1033 \langfe2052 \langfenp2052 Trauma adalah penyebab kematian terbanyak
pada dekade 3 kehidupan diseluruh kota besar didunia dan diperkiraan 16.000 kasus
kematian akibat trauma per tahun yang disebabkan oleh trauma toraks di amerika.
Sedangkan insiden penderita trauma toraks di amerika serikat diperkirakan 12
penderita per seribu populasi per hari dan kematian yang disebabkan oleh trauma
toraks sebesar 20-25%. Dan hanya 10-15% penderita trauma tumpul toraks yang
memerlukan tindakan operasi, jadi sebagian besar hanya memerlukan tindakan
sederhana untuk menolong korban dari ancaman kematian (Sudoyo, 2010). }{\fs24
\loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Trauma dada adalah
abnormalitas rangka dada yang disebabkan oleh benturan pada dinding dada yang
mengenai tulang rangka dada, pleura paru-paru, diafragma ataupun isi mediastinal
baik oleh benda tajam maupun tumpul yang dapat menyebabkan gangguan sistem
pernapasan (Rendy, 2012). }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\langnp1033 \langfe2052 \langfenp2052 \f2 B.\tab }{\b1 \fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Saran }
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Penulis
mengetahui bahwa makalah ini jauh dari kata sempurna sehingga penulis mengharapkan
saran atau kritik yang membangun dari pembaca sehingga makalah ini bisa mendekati
kata sempurna. Opini dari para pembaca sangat berarti bagi kami guna evaluasi untuk
menyempurnakan makalah ini}{\fs24 \rtlch \ltrch \dbch \af0 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 {\b1 \fs24 \rtlch \ltrch \dbch \af2
\langfe2052 \langfenp2052 \par }\pard \plain \qc \fi420 \li0 \ri0 \lisb0 \lisa0
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0
\f0 \lang17417 \langnp17417 \langfe2052 \langfenp2052 DAFTAR PUSTAKA}{\b1 \fs24
\langfe2052 \langfenp2052 \par }\pard \plain \qj \fi-480 \cufi-200 \li480 \ri0
\rin0 \tql \tx480 \itap0 \ls0 \fs24 \rtlch \ltrch \loch \af5 \hich \af5 \dbch
\af2 \lang1033 \langnp1033 \langfe2052 \langfenp2052 {\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Aru W,
Sudoyo. (2009). }{\i1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 Buku Ajar Ilmu Penyakit Dalam}{\fs24
\langfenp2052 , jilid II, edisi V. Jakarta: Interna Publishing}{\fs24 \rtlch \ltrch
\par }\pard \plain \qj \fi-480 \cufi-200 \li480 \ri0 \lisb0 \lisa0 \sl360
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Hudak dan Gallo. (2011).
Keperawatan Kritis: }{\i1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Pendekatan Asuhan Holistik}
\langfe2052 \langfenp2052 . Edisi - VIII Jakarta: EGC}{\fs24 \rtlch \ltrch \dbch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Nugroho, T. Putri, B.T, & Kirana,
D.P. (2015). }{\i1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 Teori asuhan keperawatana gawat darurat}
\langfe2052 \langfenp2052 . Padang : Medical book}{\fs24 \rtlch \ltrch \dbch
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Nurarif, A.H, dan Kusuma, H.
(2015). }{\i1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 APLIKASI Asuhan keperawatan berdasarkan
diagnosa medis & NANDA NIC-NOC}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 , jilid 1. jogjakarta : penerbit
buka Mediaction.}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 \par }\pard \plain \qj \fi-480 \cufi-200
Patriani. (2012). }{\i1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Asuhan Keperawatan pada pasien
trauma dada. }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 http://asuhankeperawatan-
patriani.pdf.com/2008/07/askep-trauma-dada.html. Diakses pada tanggal }{\fs24
\langfe2052 \langfenp2052 06}{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch
\f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 }{\fs24 \rtlch \ltrch \dbch
\af2 \hich \af0 \loch \f0 \lang14345 \langnp14345 \langfe2052 \langfenp2052 maret}
\lang14345 \langnp14345 \langfe2052 \langfenp2052 2020}{\fs24 \rtlch \ltrch
\langfenp2052 \par }\pard \plain \qj \fi-480 \cufi-200 \li480 \ri0 \lisb0 \lisa0
\langnp1033 \langfe2052 \langfenp2052 {\fs24 \rtlch \ltrch \dbch \af2
\hich \af0 \loch \f0 \lang1033 \langnp1033 \langfe2052 \langfenp2052 Rendy , M.C,
& Th, M. (2012). }{\i1 \fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0
\lang1033 \langnp1033 \langfe2052 \langfenp2052 Asuhan keperawatan medikal bedah
penyakit dalam }{\fs24 \rtlch \ltrch \dbch \af2 \hich \af0 \loch \f0 \lang1033
\langnp1033 \langfe2052 \langfenp2052 . yogjakarta : Nuha medika}{\fs24 \rtlch
\langfenp2052 \par }}

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