ASUHAN KEPERAWATAN P AD A D A P AS AS I E N D E N G A N G A N G G U A N S I S T E M I M U N I T A S “ H I V- A I D S ” DENGAN KOMPLIKASI TUBERKULOSIS PARU
Oleh: AGUS DWI NURUL HUDA ASEP NUGRAHA KUSDIANA DEWI AGUSTINA WIRDHA NINGSIH IRMA SAFITRI KARDIANUS RANGKUTI NARISA
PRODI DIV KEPERAWATAN POLTEKKES KEMENKES PONTIANAK TAHUN AJARAN 201!201"
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KATA KATA PENGANTAR PENG ANTAR
Puji syukur kami panjatkan kea!irat Tuan "an# Maa Esa karena atas karunia !an ramat$Nya kami !apat menye%esaikan maka%a ini yan# &erju!u% “Asuhan “Asuhan Keperawata Keperawatan n pada Pasien dengan dengan Gangguan Gangguan Sistem Imunitas Imunitas HIVHIV AIDS dengan Komplikasi Komplikasi Tuberkulosis Tuberkulosis Paru!
Maka%a ini mem&aas tentan# k'nsep !asar HI($AIDS) !an k'nsep asuan kepera*atan pa!a pasien HI($AIDS HI($AIDS !en#an k'mp%ikasi Tu Tu&erku%'sis &erku%'sis Paru+ Da%am Da%am penu%i penu%isan san maka%a maka%a ini penu%i penu%iss &anya &anyakk men!ap men!apatk atkan an &antua &antuann !ari !ari &er&a#ai piak) untuk itu pa!a kesempatan ini kami menyampaikan rasa terima kasi yan# se&esar$&esarnya kususnya kepa!a, -+ I&u Neny "usmaniarni) smaniarni) S+ST S+ST se%aku se%aku pem&im&in# pem&im&in# praktek praktek k%inik k%inik !i Ruan# Ruan# Penyakit Da%am RSUD !r+ A&!u% A&!u% A.i. Sin#ka*an#+ /+ 0apak Ns+ Suen!ra) Suen!ra) S+ Kep Kep se%aku se%aku pem&im pem&im&in# &in# aka!emik+ aka!emik+ Kami &erarap maka%a ini !apat mem'ti1asi para maasis*a2i %ain !a%am mata ku%ia ini+ Kami menya!ari &a*a maka%a kami masi &anyak ter!apat kekuran#an+ 3%e karena itu) kami san#at men#arapkan masukan$masukan yan# yan# &ersi4at mem&an#un) yaitu &erupa kritikan !an saran yan# k'nstrukti4 !emi memp memper& er&aik aikii !an !an peny penyem empu purn rnaa aann pem& pem&uat uatan an %ap' %ap'ran ran !an !an maka maka%a %a
kami kami
se%anjutnya+ Akir kata kami u5apkan terima kasi+
Sin#ka*an#) /6 3kt'&er /7-8
Pe#$l%&
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DA'TAR ISI
KAT KATA PENGANTAR+++++ PENGANTAR++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++++++++++++++++++++++ ++ i DAFTAR DAFTAR ISI+++++++++++++++++++++++++++++++++++++++++++ ISI++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++ ii BAB I PENDAHUL PENDAHULUAN(( UAN(((((( ((((((((( (((((((((( (((((((((( (((((((((( (((((((((( (((((((((( (((((((((( (((((((((( (((((((((( ((((((((((((( (((((((((((((((((( ((((((((((((((((((( ((((((((((((( (((( 1
-+- Latar 0e%akan#+++ 0e%akan#++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++++ +++++++ -+/ Rumusan Rumusan Masa%a+++ Masa%a++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++ / -+9 Tu Tujuan+ juan++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++++++ +++++++++++++++++ +++++++++ / BAB II LAPORAN LAPORAN PENDAHULU PENDAHULUAN((( AN(((((((( (((((((((( (((((((((( (((((((((( (((((((((( (((((((((( (((((((((( (((((((((((( (((((((((((((((( (((((((((((((((( (((((((
/+- K'nsep K'nsep Dasar Penyakit+++++ Penyakit++++++++++ ++++++++++ +++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++++ +++++++ 8 /+-+/+-+- De4inisi+++ De4inisi++++++++ +++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++++++ ++++++++++++++++++ +++++++++++++++++++ +++++++++++++ ++++ 8 /+-+/ /+-+/ Eti'%'#i++ Eti'%'#i+++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++++++ ++++++++++++++++++ +++++++++++++++++++ +++++++++++++ ++++ 6 /+-+9 /+-+9 Mani4estasi Mani4estasi K%inis++++ K%inis++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++++++++ ++++++++++++++ ++++ : /+-+8 /+-+8 Pat'4isi'%' Pat'4isi'%'#i+++ #i++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++++++ +++++++++++++ ++++ ; /+-+6 /+-+6 Pat*ay+++ Pat*ay++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++-7 +++++-7 /+-+: /+-+: K'mp%ikasi K'mp%ikasi+++++ ++++++++++ ++++++++++ ++++++++++ +++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++++++ +++++++++-+-/+-+< /+-+< Penata%aksan Penata%aksanaan aan Me!is+++++ Me!is++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++ +++++++++++++++ ++++++++++++++-++++-/+-+; /+-+; Pemeriksaan Pemeriksaan Dia#n'stik Dia#n'stik+++++ ++++++++++ +++++++++ +++++++++ ++++++++++ ++++++++++ ++++++++++ ++++++++++++++ ++++++++++++++++++ +++++++++++++++++++-/ ++++++++++-/ /+/ K'nsep Asuan Kepera*atan++++++++++++++++++++++++++++++++++++++++++++++ Kepera*atan+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++-9 +++++++++++++++++++-9 BAB III ASUHAN KEPERAWATAN((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((((1)
A+
PENGKA PENGKA=IA =IAN++ N+++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ +++++++ +++++-: +-:
0+
ANALIS ANALISA A DAT DATA++++++ +++++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ +++++++ ++++++++ ++++++++/ ++++/88
>+
DAFT DAFTAR MASALAH MASALAH+++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ +++++++ ++++++++ ++++++++ ++++++++/ ++++/;;
D+
INTER INTER(E (ENSI NSI KEPERA KEPERAW WATAN+++++ N++++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ ++++++ +++++++ ++++++++ ++++++++ ++++++++ ++++++++ ++++++++ +++++++9/ +++9/
E+
>AT >ATATAN PE PERK RKEM EM0A 0ANG NGAN AN DAN E(A E(ALUAS LUASI++ I+++++++++ ++++++ ++++++ ++++++ ++++++ ++++++++++ ++++++ ++++++++++ ++++9: +9:
BAB IV PENUTUP(((((((((((((((((((((((((((((((( PENUTUP((((((((((((((((((((((((((((((((((((((((((((((((((((((( ((((((((((((((((((((((((((((((((((((((((((((((( ((((((((((((((((((((((((((((((((((((() ((((((((((((()
A+ Simpu%an++++++++++++++++++++++++++++++++++++ Simpu%an+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++++++++++++++++++++++++ 8: 0+ Saran+++++++++++++++++++++++++++++++++++++++++ Saran++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ ++++++++++++++++++++++++++++++++++++++++++8: ++++++8: DA'TAR DA'TAR PUSTAKA((((((((((((((((((( PUSTAKA(((((((((((((((((((((((((((((((((((((((((( (((((((((((((((((((((((((((((((((((((((((((((( (((((((((((((((((((((((((((((((((((((((((((((( ((((((((((((((((((((((((((* (((*
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BAB I PENDAHULUAN
1(1 L+,+ L+,+ Bel+.+# Bel+.+#/ /
3ran 3ran## yan# yan# terk terken enaa 1iru 1iruss HI(2 HI(2AI AIDS DS ini ini akan akan menj menja! a!ii rentan rentan tera!ap in4eksi 'p'rtunistik ataupun mu!a terkena tum'r+ Penyakit AIDS ini te%a menye&ar ke &er&a#ai ne#ara !i !unia+ 0akan menurut UNAIDS !an WH3 memperkirakan &a*a AIDS te%a mem&unu %e&i !ari /6 juta ji*a sejak pertama ka%i !iakui taun -?;-) !an ini mem&uat AIDS se&a#ai sa%a satu epi!emik pa%in# men#an5urkan pa!a sejara+ sej ara+ Meskipun &aru saja) akses pera*atan antiretr'1irus &ertam&a &aik !i &anyak re#i'n !i !unia) epi!emik AIDS !ik%aim &a*a !iperkirakan /); juta @antara /)8 !an 9)9 juta i!up pa!a taun /776 !an %e&i !ari seten#a juta @6<7+777 merupakan anak$anak+ Se5ara #%'&a%) antara 99)8 !an 8: juta 'ran# kini i!up !en#an HI(+Pa!a taun /776) antara 9)8 !an :)/ juta 'ran# terin4eksi !an antara /)8 !an 9)9 juta 'ran# !en#an AIDS menin##a% !unia) penin#katan !ari /779 !an jum%a ter&esar sejak taun -?;-+ Di In!'nesia menurut %ap'ran kasus kumu%ati4 HI(2AIDS sampai !en#an 9- Desem&er /7-- yan# !ike%uarkan '%e Ditjen PP B PL) Kemenkes RI tan# tan##a #a%% /? Fe&r Fe&rua uari ri /7-/ /7-/ menu menunj njuk ukka kann jum% jum%a a kasu kasuss AIDS su!a su!a menem&us an#ka -77+777+ =um%a kasus yan# su!a !i%ap'rkan -7:+<6; yan# ter!iri atas <:+? HI( !an /?+; AIDS !en#an 6+897 kamatian+ An#ka ini ti!ak men#erankan karena !i a*a% taun /777$an ka%an#an a%i epi!emi'%'#i su!a mem&uat estimasi kasus HI(2AIDS !i In!'nesia yaitu &erkisar antara ;7+777 C -97+777+ Dan sekaran# In!'nesia menja!i ne#ara perin#kat keti#a) sete%a >ina !an In!ia) yan# per5epatan kasus HI(2AIDS$ nya tertin##i !i Asia+ T0 @ Tu&rk u&rku% u%'s 'sis is meru merupa paka kann sa%a sa%a satu satu in4ek in4eksi si 'p'r 'p'rtu tuni nist stik ik terserin# menyeran# pa!a 'ran# !en#an HI(2AIDS !i In!'nesia+ In4eksi HI(2 HI(2AI AIDS DS memu memu!a !ak kan an terja terja!i !iny nyaa in4ek in4eksi si m"#oba#terium m"#oba#terium tuber#ulo tuber#ulosis sis
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a!a%a -7 per taun) se!an#kan yan# n'n$HI(2AIDS resik' men!erita T0 anya anya -7 seumur i!up+ i!up+ Di Amerika Amerika Serikat Serikat !i %ap'rkan %ap'rkan an#ka keja!ian keja!ian T0 !en#an in4eksi menurun) 8)8 kasus &aru per -77+777 p'pu%asi @ t'ta% -9)/?? kasus pa!a taun /77<+ Di RSU Dr+S'et'm' !i%ap'rkan se&anyak /6$;9 + Sementara Ra1i#%i'ne) !kk menye&utkan &a*a T0 merupakan penye&a& kematian terserin# pa!a 'ran# pen!erita HI(2AIDS+ Di mana WH3 memperkirakan T0 se&a#ai penye&a& kematian -9 !ari pen!erita AIDS+ 1(2 R$$& R$$&+# +# M+&+l+h M+&+l+h 1(
Apa !e4inisi !ari HI(2AIDS
2(
Apa eti'%'#i !ari HI(2AIDS
(
0a#aimana pat'4isi'%'#i !ari HI(2AIDS
(
0a#aimana mani4estasi k%inis HI(2AIDS
"(
Apa pemeriksaan penunjan# yan# !i%akukan pa!a HI(2AIDS
)(
Apa pemeriksaan !ia#n'stik yan# !i%akukan pa!a HI(2AIDS
*(
0a#aimana penata%aksanaan me!is yan# !i%akukan pa!a HI(2AIDS
(
Apa k'mp%ikasi yan# akan mun5u% !ari HI(2AIDS
3(
0a#aimana pen5e#aan HI(2AIDS
10( 0a#aim 0a#aimana ana
k'nsep k'nsep asuan asuan kepera* kepera*ata atann yan# yan# !i%aku !i%akukan kan pa!a pa!a pasien pasien
!en#an HI(2AIDS k'mp%ikasi T0 paru 1( 1( T$4$ 4$+# +#
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Untuk menje%askan !an men#etaui k'nsep !asar te'ri serta &a#aimana 5ara menyusun asuan kepera*atan pa!a pa!a pasien !en#an penyakit HI(2AIDS k'mp%ikasi T0 paru+ /+ Tujuan juan kus kusus us a+ A#ar A#ar maasi maasis*a s*a2i 2i memaam memaamii !e4inis !e4inisii HI(2AI HI(2AIDS+ DS+ &+ A#ar maasis*a2i men#etaui eti'%'#i HI(2AIDS+ 5+ A#ar A#ar maasis maasis*a2 *a2ii memaami memaami pat'4i pat'4isi' si'%'# %'#ii HI(2AIDS HI(2AIDS++ !+ A#ar maasis*a2i maasis*a2i men#etaui men#etaui mani4estasi mani4estasi k%inis k%inis !ari HI(2AIDS+ HI(2AIDS+ e+ A#ar maasis*a2i maasis*a2i me#etaui me#etaui pemerik pemeriksaan saan penunjan# penunjan# HI(2AIDS+ HI(2AIDS+ 4+ A#ar maasis*a2i maasis*a2i men#etaui men#etaui pemeriksaan pemeriksaan !ia#n'stik !ia#n'stik HI(2AIDS+ HI(2AIDS+ #+ A#ar A#ar maa maasi sis* s*a2i a2i men# men#eta etau uii pena penata% ta%ak aksa sana naan an me!i me!ikk pa!a pa!a pasi pasien en !en#an HI(2AIDS+ + A#ar A#ar maa maasi sis* s*a2 a2ii men# men#eta etau uii k'mp k'mp%ik %ikas asii yan# yan# akan akan mun5 mun5u% u% !ari !ari HI(2AIDS i+ A#ar A#ar maasi maasis*a s*a2i 2i men#e men#eta taui ui pen5e pen5e#a #aan an HI(2A HI(2AIDS IDS 4(
A#ar A#ar maa maasi sis* s*a2 a2ii mema memaam amii k'ns k'nsep ep asu asuan an kepe kepera* ra*ata atann yan# yan# !i%akukan pa!a pasien !en#an HI(2AIDS k'mp%ikasi T0 Paru
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BAB II LAPORAN PENDAHULUAN
2(1 K5#&e6 K5#&e6 D+&+ Pe#7+. Pe#7+.%, %, 2(1(1
De8%#%&%
HI( @Human Immun'!e4i5ien5y (irus a!a%a sejenis 1irus yan# menyeran# sistem keke&a%an tu&u manusia !an !apat menim&u%kan AIDS+ HI( menyeran menyeran## sa%a sa%a satu satu jenis jenis !ari se%$se% se%$se% !ara !ara puti puti yan# yan# &ertu#a &ertu#ass menan#ka% in4eksi+ Se% !ara puti terse&ut terutama %im4'sit yan# memi%iki >D8 se&a#ai se&ua marker atau penan!a yan# &era!a !i permukaan se% %im4'sit+ Karena &erkuran#nya ni%ai >D8 !a%am tu&u manusia menunjukkan &erkuran#nya se%$se% !ara puti atau %im4'sit yan# searusnya &erperan !a%am men#atasi men#atasi in4eksi in4eksi yan# masuk ke tu&u manusia+ manusia+ Pa!a 'ran# !en#an sistem keke&a%an yan# &aik) ni%ai >D8 &erkisar antara a ntara -877$-677+ Se!an#kan pa!a 'ran# !en#an sistem keke&a%an yan# ter#an##u @misa% pa!a 'ran# yan# terin4eksi HI( ni%ai >D8 semakin %ama akan semakin menurun @&akan pa!a &e&erapa kasus &isa sampai n'% n'% @KPA) @KPA) /77<+ HI( a!a%a jenis parasit '&%i#at yaitu 1irus yan# anya !apat i!up !a%am se% atau me!ia i!up+ Se'ran# pen#i!ap HI( %am&at %aun akan jatu ke !a%am k'n!isi AIDS) apa%a#i tanpa pen#'&atan+ Umumnya kea!aan AIDS ini !itan!ai !en#an a!anya &er&a#ai in4eksi &aik aki&at 1irus) &akteri) parasit maupun jamur+ Kea!aan in4eksi ini yan# !ikena% !en#an in4eksi 'p'rtunistik @ein) /77:+ HI( HI( a!a%a a!a%a 1iru 1iruss yan# yan# menu menump mpan an## i!u i!upp !an !an meru merusa sakk sist sistem em
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penyakit+ AIDS me%emakan atau merusak sistem pertaanan tu&u ini) sein##a akirnya &er!atan#an%a &er&a#ai jenis penyakit %ain @"atim) @"atim) /77:+ AIDS a!a%a sin!r'ma yan# menunjukkan !e4isiensi imun se%u%er pa!a sese'ran# tanpa a!anya penye&a& yan# !iketaui untuk !apat menera meneran#k n#kan an teja!in teja!inya ya !e4isie !e4isiensi nsi)) terse& terse&ut ut sepert sepertii ke#ana ke#anasan san)) '&at$' '&at$'&at &at supresi imun) penyakit in4eksi yan# su!a !ikena% !an se&a#ainya @Laurent.) /776+ AIDS a!a%a suatu #eja%a penyakit yan# menunjukkan ke%emaan atau tau kerus rusakan !aya aya taan tu&u atau #eja%a a%a penya nyakit in4eksi tertentu2ke#anasan tertentu yan# tim&u% se&a#ai aki&at menurunnya !aya taan tu&u @keke&a%an+ @H+ =H+ Wart'n') Wart'n') -??? , 7? 2(1(2
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Peny Penye& e&a& a& a!a% a!a%a a #'%' #'%'n# n#an an 1iru 1iruss retr retr'' yan# yan# !ise !ise&u &utt Huma Humann Immun'!e4i5ien5y (irus @HI(+ HI( pertama ka%i !itemukan pa!a taun -?;9 -?;9 se&a#ai se&a#ai retr'1i retr'1irus rus !an !ise&u !ise&utt HI($ HI($-+ Pa!a Pa!a taun taun -?;: -?;: !i A4rik A4rikaa !itemukan %a#i retr'1irus &aru yan# !i&eri nama HI($/+ HI($/ !ian##ap se&a#ai 1irus kuran# pat'#en !i&an!in#kaan !en#an HI($-+ Maka untuk memu!akan ke!uanya !ise&ut HI(+ HI(+ Transmisi in4eksi HI( !an AIDS AIDS ter!iri !ari %ima 4ase yaitu , -+ Peri Peri'! '!ee jen! jen!e%a e%a++ Lama Lamany nyaa 8 min# min##u #u samp sampai ai : &u%an &u%an sete%a sete%a in4ek in4eksi si++ Ti!ak a!a #eja%a+ /+ Fase Fase in4eksi in4eksi HI( primer primer akut+ akut+ Lamanya Lamanya -$/ min##u min##u !en#a !en#ann #eja%a #eja%a 4%u %ikes i%%ness+ 9+ In4eksi In4eksi asimt'mat asimt'matik+ ik+ Lamanya Lamanya -$-6 -$-6 atau atau %e&i taun !en#an !en#an #eja%a ti!ak ti!ak
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AIDS !apat menyeran# semua #'%'n#an umur) termasuk &ayi) pria maupun *anita+ "an# "an# termasuk ke%'mp'k resik' tin##i a!a%a , -+ Le%aki Le%aki 'm'se 'm'seksu ksua% a% atau atau &iseks &iseks++ /+ 3ran# 3ran# yan# yan# keta#ia keta#iann '&at '&at intra intra1en 1ena+ a+ 9+ Partne Partnerr seks seks !ari !ari pen! pen!erit eritaa AIDS AIDS++ 8+ Penerim Penerimaa !ara !ara atau pr'!u pr'!ukk !ara !ara @trans4 @trans4usi usi+ + 6+ 0ayi 0ayi !ari !ari i&u2&a i&u2&apak pak terin4e terin4eksi ksi++ 2(1(
M+#%8e&,+&% Kl%#%&
Mani4estasi k%inis penyakit AIDS menye&ar %uas !an pa!a !asarnya !apat !apat men#en men#enai ai setiap setiap sistem sistem 'r#an) 'r#an) sa%a sa%a satuny satunyaa sistem sistem pernap pernapasa asan+ n+ Pneum'nia Pneum'5ystis 5arinii+ Geja%a napas yan# pen!ek) sesak napas @!ispnea) &atuk$&atuk) nyeri !a!a !an !emam akan menyertai &er&a#ai in4eksi in4eksi 'p'rtunitis 'p'rtunitis)) seperti seperti yan# !ise&a&kan !ise&a&kan '%e My5'&a5teriu My5'&a5terium m a1ium$ a1ium$ intra5e%%u%are intra5e%%u%are @MAI) sit'me#a%'1 sit'me#a%'1irus irus @>M( !an Le#i'ne%%a+ Le#i'ne%%a+ Wa%aupun a%aupun &e#itu) in4eksi yan# pa%in# serin# !itemukan !i antara pen!erita AIDS a!a%a Pneum'nia Pneum'5ystis 5arinii @P>P yan# merupakan penyakit 'p'rtunis pertama yan# !i!eskriPasienikan &erkaitan !en#an AIDS+ Pneum'nia ini merupakan mani4estasi pen!au%uan penyakit AIDS pa!a :7 pasien+ Tanpa terapi pr'4i%aktik) P>P akan terja!i pa!a ;7 'ran#$'ran# yan# terin4eksi HI( P+ 5arinii a*a%nya !ik%asi4ikasikan se&a#ai pr't'.'a) namun sejum%a pene%itian !an pemeriksaan ana%isis tera!ap struktur RNA ri&'s'mnya menunjukkan &a*a mikr''r#anisme ini merupakan jamur @4un#us+ Ken!ati !emikian) struktur !an sensiti1itas antimikr'&anya san#at &er&e!a !en#an jamur penye&a& penyakit yan# %ain+ P+ 5arinii 5 arinii anya menim&u%kan penyakit
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!emam) men##i#i%) &atuk n'npr'!ukti4) napas pen!ek) !ispnea !an ka!an#$ ka!an# nyeri !a!a+ P>P !apat !itemukan ken!ati ti!ak ter!apat krepitasi+ K'nsentrasi 'ksi#en !a%am !ara arteria% pa!a pasien yan# &ernapas !en#an u!ar u!araa ruan ruan#a #ann !apa !apatt men# men#a%a a%ami mi penu penuru runa nann yan# yan# rin#a rin#an n kea! kea!aan aan ini ini menunjukkan ip'ksemia minima%+ 0i%a ti!ak !iatasi) P>P akan &er%anjut !en#an menim&u%kan ke%ainan paru yan# si#ni4ikan !an pa!a akirnya) ke#a#a%an pernapasan+ 0e&erapa pasien memper%iatkan a*itan yan# !ramatis !an perja%anan penyakit yan# 4u%minan yan# me%iputi ip'ksemia &erat) sian'sis) takipnea !an peru&aan status menta%+ Ke#a#a%an pernapasan !apat terja!i !a%am *aktu / in##a 9 ari sete%a tim&u%nya #eja%a pen!au%uan+ Dia# ia#n'si n'siss pasti asti P>P !ap !apat !ite# ite#ak akkkan !en !en#an #an
men# en#ena% ena%ii
mikr mikr'' ''r# r#an anis isme me !a%a !a%am m jari jarin# n#an an paru paru atau atau sekr sekret et &r'n &r'nku kus+ s+ Pene Pene#a #aka kann !ia#n'sis ini !i%aksanakan !en#an pr'se!ur seperti in!uksi sputum) %a1ase &r'nkia%$a%1e'%ar !an &i'Pasieni trans&r'nkia% @me%a%ui &r'nk'sk'pi serat 'ptik+ K'mp%eks
My5'&a5terium
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Penyakit
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My5'&a My5'&a5ter 5terium ium a1ium a1ium @MA> @MA> My My5'& 5'&a5te a5terium rium a1ium a1ium >'mp%e >'mp%eJ J mun5u% mun5u% se&a se&a#a #aii peny penye& e&a& a& utam utamaa in4e in4eks ksii &akt &akter erii pa!a pa!a pasi pasien en$p $pas asie ienn AIDS+ IDS+ Mikr Mi kr'' ''r# r#an anis isme me yan# yan# terma termasu sukk ke !a%am !a%am MA> MA> a!a%a a!a%a M+ a1iu a1ium) m) M+ intra5e% intra5e%%u% %u%are are !an M+ s5r'4u s5r'4u%a5e %a5eum+ um+ MA>) MA>) yaitu yaitu suatu suatu ke%'m ke%'mp'k p'k &aksi% &aksi% taan$asam) &iasanya menye&a&kan in4eksi pernapasan ken!ati ju#a serin# !ijumpai !a%am traktus #astr'intestina%) n'!us %im4atikus !an sumsum tu%an#+ Se&a#ian pasien AIDS su!a men!erita penyakit yan# menye&ar %uas ketika
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#ranu%'ma yan# men#a%ami pen#kijuan @kaseasi sein##a tim&u% ke5uri#aan ke ara !ia#n'sis T0+ Pa!a sta!ium ini+ penyakit T0 akan &ereaksi !en#an &aik tera!ap terapi antitu&erku%'sis+ Penyakit T0 yan# terja!i kemu!ian !a%am perja%anan in4eksi in4eksi HI( !itan!ai !en#an ti!ak ter!apatnya ter!apatnya resp'sn tes ku%it tu&erku%in karena sistem keke&a%an yan# su!a ter#an##u ti!ak mampu %a#i &ereaksi tera!ap anti#en T0+ Da%am sta!ium in4eksi HI( yan# %anjut) penyakit T0 !isertai !en#an penye&aran ke tempat$tempat ekstrapu%m'ner seperti sistem sara4 pusat) tu%an#) perikar!ium) %am&un#) perit'neum !an skr'tum+ Strain mu%tipe% &aksi% T0 yan# resisten '&at kini &ermun5u%an !an kera kerapk pka% a%ii &erk &erkai aitan tan !en# !en#an an keti keti!a !akp kpat atu uan an pasi pasien en !a%a !a%am m menj menja%a a%ani ni pen#'&atan antitu&erku%'sis+ 2(1(
P+,58%&%5l5/%
Se% T !an makr'4a# serta se% !en!ritik 2 %an#erans @ se% imun i mun a!a%a se%$s se%$se% e% yan# yan# terin terin4ek 4eksi si Huma Humann Immun Immun'! '!e4i e4i5ie 5ien5y n5y (irus rus @ HI( HI( !an !an terk terk'n 'nse sent ntra rasi si !ike !ike%e %enj njar ar %im4 %im4e) e) %im %impa !an !an sum sumsum sum tu%a tu%an# n#++ Huma Humann Immun'!e4i5ien5y (irus @ HI( men#in4eksi se% %e*at pen#ikatan !en#an pr'tein peri4er >D 8) !en#an &a#ian 1irus yan# &ersesuaian yaitu anti#en #rup -/7+ Pa!a saat se% T8 terin4eksi !an ikut !a%am resp'n imun) maka Huma Humann Immu Immun' n'!e !e4i5 4i5ien ien5y 5y (irus rus @ HI( HI( men# men#in in4ek 4eksi si se% se% %ain %ain !en# !en#an an meni menin# n#ka katk tkan an repr' repr'!u !uks ksii !an !an &any &anyakn aknya ya kema kematia tiann se% se% T8 yan# yan# ju#a ju#a !ipen#arui resp'n imun se% ki%%er penjamu) !a%am usaa men#e%iminasi 1irus !an se% yan# terin4eksi+ (irus HI( !en#an suatu en.im) re1erse transkriptase) yan# akan me%akukan pem'#raman u%an# materi #enetik !ari se% T8 yan# terin4eksi
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mempertaankan tu&u tera!ap in4eksi parasit+ Ka%au 4un#si se% T8 e%per ter#an##u) mikr''r#anisme yan# &iasanya ti!ak menim&u%kan penyakit akan memi%iki kesempatan untuk men#in1asi !an menye&a&kan penyakit yan# serius+ Den#an menurunya jum%a se% T8) maka sistem imun se%u%er makin %ema se5ara pr'#resi4+ Diikuti &erkuran#nya 4un#si se% 0 !an makr'4a# !an menuru menurunny nnyaa 4un#si 4un#si se% T pen'%' pen'%'n#+ n#+ Sese'r Sese'ran# an# yan# yan# terin4e terin4eksi ksi Human Human Immun'!e4i5ien5y (irus @HI( !apat tetap ti!ak memper%iatkan #eja%a @asimpt'matik se%ama &ertaun$taun+ Se%ama *aktu ini) jum%a se% T8 !apat &erkuran# !ari sekitar -777 se% perm% !ara se&e%um in4eksi men5apai sekitar /77$977 per m% !ara) /$9 taun sete%a in4eksi+ Se*aktu se% T8 men5apai ka!ar ini) #eja%a$#eja%a in4eksi @ erpes .'ster !an jamur 'p'rtunistik mun5u%) =um%a T8 kemu!ian menurun aki&at tim&u%nya penyakit &aru akan menye&a&kan 1irus &erpr'%i4erasi+ Akirnya terja!i terja!i in4eks in4eksii yan# yan# para+ para+ Se'ran Se'ran## !i!ia# !i!ia#n's n'sis is men#i! men#i!ap ap AIDS AIDS apa&i% apa&i%aa jum%a se% T8 jatu !i&a*a /77 se% per m% !ara) atau apa&i%a terja!i in4eksi 'purtunistik) kanker atau !imensia AIDS+
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2(1("
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-
3&at sist'metik !an 1itamin
-
Dukun#an Pasienik'%'#is
/+ Pen#'& Pen#'&atan atan in4eks in4eksii 'p'rt 'p'rtuni unisti stik k a+ Untu ntuk in in4ek 4eksi , -
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Pen#'&atan Pen#'&atan yan# terkait AIDS AIDS ) %im4'ma %im4'ma ma%i#num ma%i#num ) sar5'ma sar5'ma Kap'si Kap'si !an sar5'ma ser1ik) ser1ik) !isesuaikan !isesuaikan !en#an stan!ar terapi penyakit kanker
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LED
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Rasi' >D8 2 >D Limp'sit
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Serum mikr'#%'&u%in 0/
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Hem'#%'&in
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2(2 K5#&e6 A&$h+# Ke6e+9+,+# 1( Pe#/.+ #/.+4% 4%+ +#
a+ I!entitas Me%iputi nama) umur) tempat !an tan##a% %air &+ Ri*ayat Test HI( p'siti4) ri*ayat peri%aku &eresik' tin##i) men##unakan '&at$ '&atan 5+ Pen Penampi ampi%a %ann um umum Pu5at) ke%aparan
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-
Sistem inte#ument
i+ P'%a P'%a 4un# 4un#si si kese kesea ata tann -
P'%a persePasieni !an peme%iaraan keseatan
-
P'%a nutrisi
-
P'%a e%iminasi
-
P'%a istiraat ti!ur
-
P'%a akti1itas !an %atian
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-
M'nit'r tan!a$tan!a in4eksi &aru R2, untuk pen#'&atan !ini
-
Gunakan teknik aseptik pa!a setiap tin!akan in'1ati4 R2, men5e#a pasien terpapar kuman pat'#en !ari RS
-
Kumpu%kan spe5imen untuk test %a&) sesuai 'r!er R2, meyakinkan !ia#n'sis akurat !an pen#'&atan
-
Atur pem&erian anti in4eksi sesuai 'er!er
-
R2, mempertaankan ka!ar !ara yan# terapeutik
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BAB III ASUHAN KEPERAWATAN
A( PENG PENGKA KAJI JIAN AN
-+ Pen# Pen#um umpu pu%a %ann Dat Dataa a+ I!en I!enti tita tass pasi pasien en Nama
, Tn =
Umur
, 88 Taun
=enis ke%amin
, Laki$%aki
A#ama
, Kristen
Suku
, Dayak
Pen!i!ikan
, SD
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/+ Ri*a Ri*ayyat Peny Penyak akit it a+ A%as A%asan an mas masuk uk rum ruma a saki sakitt saki sakitt Pasien men#atakan !emam / &u%an SMRS) !emam naik turun+ Pasien ju#a men#atakan &atuknya &er!aak - taun yan# %a%u SMRS) serin# sesak+ Pasien perna &er'&at T0 paru anya / &u%an saja+ Pasien men#atakan na4su makannya &erkuran#+ &+ Ke%uan utama Pasien men#atakan napasnya terasa sesak) pasien ju#a men#atakan a!a &atuk &er!aak+ 5+ Ke%u Ke%ua ann saa saatt !ik !ikaj ajii Pasien Pasien men#at men#ataka akann na4su na4su makann makannya ya menuru menurun) n) serin# serin# ju#a ju#a mua% mua% munta+ Pasien men#atakan ju#a ti!ak &isa ti!ur saat ma%am ari
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9+ Gen'#ram
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Data 0i'%'#is a+ P'%a nu nutrisi isi SMRS SMRS
, Pasie Pasienn makan makan ti#a ti#a ka%i ka%i sea seari ri !en# !en#an an menu menu &er1ar &er1arias iasii satu satu p'rsi makan a&is+
MRS MRS
, Pas Pasien ien ti!ak ti!ak na4s na4suu mak makan an !an !an mak makan an satu satu ka%i ka%i sea seari ri p'rs p'rsii makan RS ti!ak a&is sisa -2/+
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8+ P'%a '%a ak akti4i ti4ita tass A.,%8%,+&
Man!i 0erpakaian E%iminasi M'&i%isasi !itempat ti!ur Pin!a Mk ! i
0
O O O O O O
1
2
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&+ Kepa%a Insp Inspek eksi si
, 0en 0entu tukk kepa kepa%a %a sim simetri etris) s) ram ram&ut &ut it itam am keri keriti tin# n#)) ku% ku%it it kepa%a kerin#) ti!ak a!a ket'm&e+
Pa%pasi
, Ti!ak a!a nyeri tekan+
Insp Inspek eksi si
, Sk%e Sk%era ra puti puti) ) !apa !apatt me%i me%ia att !en !en#a #ann je%a je%as) s) &'%a &'%a mata mata
5+ Mata
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i+ T T'r 'rak akss @jant @jantun un# # Insp Inspek eksi si
, I5t I5tus us 5'r! 5'r!is is ter% ter%i iat at)) ter ter%i %ia att tat tatt' t' !i !a!a !a!a se&e se&e%a %a kanan+
Pa%pasi
, I5tus 5'r!is tera&a+
Ausku%tasi asi
, SS- !a !an S/ S/ re re#u%er %er+
Perkusi
, 0atas jantun# n'rma%+
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