DAFTAR ISI

HALAMAN JUDUL ..............................................................................................i

LEMBAR PENGESAHAN .................................................................................ii

KATA PENGANTAR .........................................................................................iii

DAFTAR ISI .......................................................................................................iv

BAB I PENDAHULUAN .......................................................................................1

1.1 Latar Belakang ...............................................................................................1

1.2 Tujuan ............................................................................................................ 3

1.2.1 Tujuan Umum ......................................................................................3

1.2.2 Tujuan Khusus .....................................................................................3

BAB II TINJAUAN TEORI ...................................................................................5

2.1 Konsep CKD....................................................................................................5

2.1.1 Definisi...................................................................................................5

2.1.2 Etiologi...................................................................................................5

2.1.3 Patofisiologi...........................................................................................6

2.1.4 Klasifikasi...............................................................................................6

2.1.5 Manifestasi Klinis...................................................................................7

2.1.6 Pemeriksaan Penunjang........................................................................7

2.1.7 Penatalaksnaan Keperawatan...............................................................8

2.2 Konsep AV Shunt ...........................................................................................9

2.2.1 Definisi .................................................................................................9

2.2.2 Sejarah ................................................................................................9

2.2.3 Indikasi Operasi .................................................................................10

2.2.4 Kontra Indikasi Operasi ......................................................................10

2.2.5 Deskripsi ...........................................................................................10

 2.2.6 Teknik Penyambungan atau Anatomosis Pada AV – Shunt ...............11

2.2.7 Persyaratan Pembuluh Darah pada Tindakan AV Shunt ..................12

2.2.8 Tempat Pemilihan Pembuatan AV Shunt ..........................................12

2.2.9 Waktu Terbaik untuk AV Shunt ..........................................................14

2.2.10 Persiapan Pasien : ...........................................................................14

2.2.11 Teknik operasi .................................................................................15

2.2.12 Waktu Penggunaaan AV Shunt sebagai Akses Hemodialisa ..........17

2.2.13 Komplikasi Operasi AV Shunt ..........................................................18

2.2.14 Mortalitas .........................................................................................20

2.2.15 Perawatan Post Operasi ..................................................................20

2.2.16 Evaluasi Keberhasilan AV shunt ......................................................20

2.3 Kamar Operasi .............................................................................................20

2.3.1 Sejarah Kamar Operasi .....................................................................20

2.3.2 Pengertian Kamar operasi .................................................................25

2.3.3 Pembagian Daerah Sekitar Kamar Operasi .......................................25

2.3.4 Persyaratan Kamar Bedah .................................................................25

2.3.5 Tata Tertib Kamar Operasi .................................................................27

2.3.6 Penatalaksanaan cara kerja ...............................................................28

2.3.7 Masa Depan Perioperatif Keperawatan .............................................29

2.4 Asuhan Keperawatan Perioperatif ...............................................................30

2.4.1 Perawatan preoperatif meliputi : ........................................................31

2.4.2 Perawatan intraoperatif meliputi: ........................................................31

2.4.3 Perawatan post operatif .....................................................................31

BAB III TINJAUAN KASUS ...............................................................................33

3.1 Asuhan Keperawatan Klien dengan CKD ....................................................33

3.2 Teknik Instrumentasi AV Shunt Pada Pasien Dengan CKD Stage V ..........39

3.2.1 Pengertian .........................................................................................39

 3.2.2 Indikasi ..............................................................................................39

3.2.3 Tujuan ................................................................................................39

3.2.4 Pengkajian .........................................................................................39

3.2.5 Persiapan pasien ...............................................................................39

3.2.6 Persiapan alat ....................................................................................39

3.2.7 Teknik Instrumentasi ..........................................................................42

BAB IV PENUTUP .............................................................................................44

4.1 Pembahasan.................................................................................................44

4.2 Kesimpulan ...................................................................................................44

4.2.1 Penatalaksanaan Keperawatan Fase Pre Operatif ............................44

4.2.2 Penatalaksanaan Keperawatan Fase Intra Operatif............................45

4.2.3 Penatalaksanaan Keperawatan Fase Post Operatif ...........................45

4.3 Saran ..........................................................................................................45

DAFTAR PUSTAKA .........................................................................................46