ASUHAN ASUH AN KEPERAW KEPE RAWA ATA TAN N GAWA GAWAT DARURAT SISTEM PERNA P ERNAPASAN PASAN DENGAN DENG AN ASMATIKUS AS MATIKUS Posted on June 21, 2013 by 2013 by !d!"b#$! “ASUHAN KEPERAWATAN KEPERAWATAN GAWAT GAWAT DARURAT SISTEM SI STEM PERNAPASAN DENGAN ASMATIKUS”
Pe$b#$b#n Ibu Nurwahidah S.Pd S,Kep, Ns M.Pd
Disusu !"eh KE#$MP$ II
1% %.
Ade Irawa
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Mi'(ahu" )aah
KEMENTRIAN KESEHATAN RI POLITEKNIK KESEHATAN KESEHATAN MATARAM MATARAM PROGRAM STUDI D-IV GAWAT DARURAT TAHUN AKADEMIK 2012/2013 ASMATIKUS
1% A. PENGERTIAN Ast&$! !d!'!& su!tu !nu!n y!n (o$)'e( d!"# b"on(#!' y!n d#(!"!(te"#st#(!n o'e& )e"#ode b"on(os)!s$e *(ont"!(s# *(ont"!(s# s)!s$e y!n '!$! )!d! +!'!n +!'!n n!!s-% St!tus !s$!t#(us !d!'!& !s$! y!n be"!t d!n )e"s#sten y!n t#d!( be"es)ons te"&!d!) te"!)# (on.ens#on!'% (on.ens#on!'% Se"!n!n d!)!t be"'!nsun 'eb#& d!"# 2/ +!$% Ine(s#, !ns#et!s, )enun!!n t"!nu#'#se" be"'eb#&!n, )eny!'!&un!!n )eny!'!&un!!n nebu'#e", nebu'#e", de&#d"!s#, )en#n(!t!n )en#n(!t!n b'o( !d"ene"#, !d"ene"#, d!n #"#t!n nons)es##( nons)es##( d!)!t $enun+!n e)#sode #n#% E)#dsode !(ut $un(#n d#etus(!n o'e& &#)e"sens#t#.#t!s te"&!d!) )en#s#'#n% )en#s#'#n%
St!tus !s$!t#(us !d!'!& su!tu (e!d!!n d!"u"!t $ed# be"u)! se"!n!n!s!$ be"!t (e$ud#!n be"t!$b!& be"!t y!n "e"!(te" b#'! se"!n!n 1 2 +!$ )e$be"#!n ob!t untu( se"!n!n !s$! !(ut se)e"t# !d"en!'#n sub(ut!n, !$#no#'#n #nt"!.en!, !t!u !nt!on#s4 2 t#d!( !d! )e"b!#(!n !t!u $!'!& $e$bu"u(%
1% B.
PATOFISIOLOGI
K!"!(te"#st#( d!s!" d!"# !s$! * (onst"#(s# otot )o'os b"on&#!', )e$ben(!(!n $u(os! b"on&#!', d!n )enent!'!n se("es# - $enu"!n# d#!$ete" b"on&#!' d!n ny!t! )!d! st!tus !s$!t#(us% Abno"$!'#t!s .ent#'!s# )e"us# y!n $en!(#b!t(!n &#)o(se$#! d!n "es)#"!s# !'(!'os#s )!d! !5!'ny!, d##(ut# o'e& "es)#"!to"# !s#dos#s% Te"&!d!) )enu"un!n P!6 2 d!n "es)#"!s# !'(!'os#s den!n )enu"un!n P!76 2 d!n )en#n(!t!n )H% Den!n $en#n(!tny! (e)!"!&!n st!tus !s$!t#(us, P!76 2 $en#n(!t d!n )H tu"un, $ene"$#n(!n "es)#"!s# !s#dos#s%
1% C.
ETIOLOGI
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MANIFESTASI KLINIK
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E. EVALUASI DIAGNOSTIC
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T!nd! t!nd! !bno"$!'#t!s se$ent!"! d!n "ee"s#b'e sete'!& te"+!d# )e"b!#(!n('#n#s !d!'!& e'o$b!n P $en#n# * P )u'$on!' -, t!(#(!"d# den!n !t!u t!n)! !"#t$e! su)"!.ent"#(u'e", t!nd! t!nd! &#)e"t"o# .ent"#(e' (!n!n d!n de#!s# !(s#s (e (!n!n% 1% E.
PENATALAKSANAAN MEDIS
Se$u! )ende"#t! y!n d#"!5!t #n!) d# "u$!& s!(#t $e $)e"'#&!t(!n (e!d!!n obst"u(t# +!'!n n!)!s y!n be"!t% Pe"&!t#!n (&usus &!"us d#be"#(!n d!'!$ )e"!5!t!n, sed!)!t $un(#n d#"!5!t o'e& do(te" d!n )e"!5!t y!n be")en!'!$!n% Pe$!nt!u!n d#'!(u(!n se!"! te)!t be")edo$!n se!"! ('#n#s, u+# !!' )!"u * APE - untu( d!)!t $en#'!# "es)on )enob!t!n !)!(!& $e$b!#( !t!u +ust"u $e$bu"u(% Pe"bu"u(!n $un(#n s!+! te"+!d# o'e& (!"en! (onst"#(s# b"on(us y!n 'eb#& &eb!t '!# $!u)un seb!!# !(#b!t te"+!d#ny! (o$)'#(!s#se)e"t# #ne(s#, )neu$ot&o"!(s, )neu$o$ed#!st#nu$ y!n sud!& tentu $e$e"'u(!n )enob!t!n '!#nny!% Ee( s!$)#n ob!t y!n be"b!&!y! d!)!t te"+!d# )!d! )e$be"#!n d"#)s !$#no#'#n% Do(te" y!n $e"!5!t &!"us $!$)u den!n !(u"!t $enentu(!n (!)!n )ende"#t! $es(# d#(#"#$ (e un#t )e"!5!t!n #ntens#% Pende"#t! st!tus !s$!t#(us y!n d#"!5!t #n!) d# "u!n!n, sete'!& d#(#"#$ d!"# UGD d#'!(u(!n )en!t!'!(s!!n!n seb!!# be"#(ut% 1-
Pe$be"#!n te"!)# o(s#en d#'!n+ut(!n
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Mu(o'#t#( d!n e()eto"!ns
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Pea!a"a#$aaa "a%&!a
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1% '.
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1% F.
INTERVENSI KEPERAWATAN
T!nd! t!nd! de&#d"!s# d##dent##(!s# den!n $e$e"#(s! tu"o" (u'#t% M!su(!n !#"!n )ent#n untu( $e'!5!n de&#d"!s#, $enene"(!n se("es#, d!n untu( $e$ud!&(!n e(s)e(to"!s#% 7!#"!n #nt"!.en! d#be"#(!n sesu!# den!n y!n d#&!"us(!n, &#n! 3 s!$)!# / :9&!"#, (eu!'# b#'! !d! (ont"!#nd#(!s#% Pe$!nt!u!n te"&!d!) )!s#en o'e& )e"!5!t se!"! te"us $ene"us, )ent#n d#'!(u(!n d!'!$ 12 s! $)!# 2/ +!$ )e"t!$!, !t!u s!$)!# st!tus !s$!t#(us d!)!t d#!t!s#% Ene"y )!s#en &!"us d#&e$!t d!n "u!n!n &!"us ten!n se"t! beb!s d!"# #"#t!n )e"n!)!s!n, te"$!su( bun!, !s!), te$b!(!u, )!"u$, !t!u b!u b!&!n )e$be"s#&% =!nt!' non!'e"#( &!"us d#un!(!n% 1% G.
PENULUHAN PASIEN
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KAIAN KEPERAWATAN KRITIS
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AIRWA
Pe*+aiaP!d! )!s#en den!n st!tus !s$!t#(us d#te$u(!n !d!ny! )enu$)u(!n s)utu$ )!d! +!'!n n!!s% H!' #n# $enyeb!b(!n )enyu$b!t!n +!'!n n!)!s se&#n! st!tus !s$!t#(us #n# $e$)e"'#&!t(!n (ond#s# )!s#en y!n ses!( (!"en! (ebutu&!n !(!n o(s#en se$!(#n sed#(#t y!n d!)!t d#)e"o'e&% Dia*!se +eperawa(a -
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CIRCULATION
Pe*+aia -
P!d! (!sus st!tus !s$!t#(us #n# !d!ny! us!&! y!n (u!t untu( $e$)e"o'e& o(s#en $!(! +!ntun be"(ont"!(s# (u!t untu( $e$enu&# (ebutu&!n te"sebut &!' #n# d#t!nd!# den!n !d!ny! )en#n(!t!n denyut n!d# 'eb#& d!"# 110 <9$en#t% Te"+!d# )u'! )enu"un!n te(!n!n d!"!& s#sto'#( )!d! 5!(tu #ns)#"!s#% Pu'sus )!"!do(sus, 'eb#& d!"# 10 $$H% A"us )un!( e(s)#"!s# * APE - (u"!n d!"# ?0 @ n#'!# du!!n !t!u n#'!# te"t#n# y!n )e"n!& d#!)!# !t!u (u"!n d!"# 120 't9$en#t% Ad!ny! (e(u"!n!n o(s#en #n# d!)!t $enyeb!b(!n s#!nos#s y!n d#(!+# )!d! t!&!) #"u'!t#on #n#% Dia*!se Keperawa(a -
)e"ub!&!n )e"us# +!"#n!n )e"#e" b9d (e(u"!n!n o(s#en I(eresi -
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DISABILIT
Pe*+aia -
P!d! t!&!) )en(!+#!n #n# d#)e"o'e& &!s#' b!&5! )!s#en den!n st!tus !s$!t#(us $en!'!$# )enu"un!n (es!d!"!n% D#s!$)#n #tu )!s#en y!n $!s#& d!)!t be"es)on &!ny! d!)!t $ene'u!"(!n (!'#$!t y!n te"b!t! b!t! d!n t#d!( $!$)u $enye'es!#(!n s!tu (!'#$!t !(#b!t us!&! n!)!s y!n d#'!(u(!nny! se&#n! d!)!t $en#$bu'(!n (e'e'!&!n % N!$un )!d! )enu"un!n (es!d!"!n se$u! $oto"#( senso"#( )!s#en un"es)on% 1% F. EPOSURE Pe*+aia -
Sete'!& t#nd!(!n )e$!nt!u!n !#"5!y, b"e!t&#n, #"u'!t#on, d#s!b#'#ty, d!n e<)osu"e d#'!(u(!n, $!(! t#nd!(!n se'!n+utny! y!(n# t"!ns)o"t!s# (e "u$!& s!(#t untu( $end!)!t(!n )e"to'on!n y!n 'eb#& #ntes#%
DA>TAR PUSTAKA
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