KEPERAW KEPE RAWA ATAN KRITIS KRI TIS MAKALAH TENTANG “LOGROLL PADA PASIEN KRITIS”
Disusun oleh: Kelompok A62ill0h A2i P/0-0.0 An0 R0mi020 &i1/i Annis0 No/ Des.0n0 D0ni A62i Eko P/omono E7i Sus0n1i Gun090n Se1.0n1o I M02e Dik0 S0n1ik0 Lis1.0 hu//0n0 S0/i
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!NI"ERSITAS M!HAMMADI#AH $AN%ARMASIN &AK!LTAS KEPERAWA KEP ERAWAT TAN DAN ILM! IL M! KESEHAT KESE HATAN AN PROGRAM ST!DI S'( KEPERAWATAN $AN%ARMASIN) *+(, KATA PENGANTAR
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Kelompok BAB 1 PENDAHULUAN
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Teo/i1is
H0sil peneli1i0n ini
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mem6e/ik0n sum60n30n 603i pen3em60n30n ilmu pen3e10hu0n 20n ilmu keseh010n se/10 1eo/i51eo/i keseh010n khuusn.0 20l0m up0.0 pene/0p0n 1ekhnik Lo3/oll p020 p0sien k/i1is' BAB 2 PEMBAHASAN
*'( Pen3e1i0n Log Roll Log roll 020l0h se6u0h 1eknik .0n3 2i3un0k0n un1uk memi/in3k0n klien .0n3 6020nn.0 se1i0p s001 2i-030 p020 posisi lu/us se-0-0/
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Se6030i 603i0n 20/i primary and secondary survey un1uk meme/iks0 1ul0n3 6el0k0n3 klien'
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Se6030i 603i0n 20/i p/oses pemin20h0n 20/i 20n ke 1emp01 1i2u/
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Mem40sili10si 4isio1e/0pi 2020 20n l0in5l0in'
H0l .0n3 h0/us 2ipe/1im60n3k0n:
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K0p0n 90k1un.0
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pen2e/i10 F kem0mpu0n <-uml0h= penolon3' Pilih 1eknik pen30n3k010n F pemin20h0n .3 p0lin3 0m0n sesu0i
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kon2isi'
H0l .0n3 pe/lu 2iin301: o %0n30n l0kuk0n pen30n35k010npemin20h0n -ik0 1i20k mu1l0k 6en0/' o L0kuk0n sesu0i 2en30n 1eknik .0n3 60ik F 6en0/' o Kon2isi 4isik penolon3 h0/us 60ik F 1e/l01ih' o %0n30n s0mp0i mem6u01 ;e2e/0 le6ih l0n-u1 p020 pen2e/i10
o Hin20/i ;e2e/0 p2' penolon3
*'@ P/insip Mel0kuk0n Imo6ilis0si Tul0n3 $el0k0n3 20n Log Roll Penderita dewasa Emp01 o/0n3 2i6u1uhk0n un1uk mel0kuk0n p/ose2u/ mo2i4ik0si log roll 20n imo6ilis0si pen2e/i10) sepe/1i p020 long spine board: <(= s01u un1uk mempe/10h0nk0n imo6ilis0si se30/is kep0l0 20n lehe/ pen2e/i10 <*= s01u un1uk 6020n <1e/m0suk pel7is 20n p0n33ul= <@= s01u un1uk pel7is 20n 1un3k0i 20n <= s01u men301u/ p/ose2u/ ini 20n men;06u1 spine board. P/ose2u/ ini mempe/10h0nk0n selu/uh 1u6uh pen2e/i10 20l0m kese30/is0n) 1e10pi m0sih 1e/20p01 3e/0k0n minim0l p020 1ul0n3 6el0k0n3' S001 mel0kuk0n p/ose2u/ ini) imo6ilis0si su20h 2il0kuk0n p020 eks1/emi10s .0n3 2i2u30 men30l0mi 4/0k1u/' Long spine board 2en30n 10li pen3ik01 2ip0s0n3 p020 sisi • pen2e/i10' T0li pen3ik01 ini 2ip0s0n3 p020 603i0n 1o/0ks) 2i010s k/is10 ili0k0) p0h0) 20n 2i010s pe/3el0n30n k0ki' T0li pen3ik01 010u ples1e/ 2ipe/3un0k0n un1uk mem4iks0si kep0l0 20n lehe/ pen2e/i10 ke long •
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spine board. Dil0kuk0n in line imo6ilis0si kep0l0 20n lehe/ se;0/0 m0nu0l) kemu2i0n 2ip0s0n3 kol0/ se/7ik0l semirigid. Len30n pen2e/i10 2ilu/usk0n 20n 2ile10kk0n 2i s0mpin3 6020n' Tun3k0i 6090h pen2e/i10 2ilu/usk0n se;0/0 h01i5h01i 20n 2ile10kk0n 20l0m posisi kese30/is0n ne1/0l sesu0i 2en30n 1ul0n3 6el0k0n3' Ke2u0
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pe/3el0n30n k0ki 2iik01 s01u s0m0 l0in 2en30n ples1e/' Pe/10h0nk0n kese30/is0n kep0l0 20n lehe/ pen2e/i10 se90k1u o/0n3 ke2u0 meme30n3 pen2e/i10 p020 20e/0h 60hu 20n pe/3el0n30n 10n30n' O/0n3 ke 1i30 mem0sukk0n 10n30n 20n meme30n3 p0n33ul pen2e/i10 2en30n s01u 10n30n 20n 2en30n 10n30n .0n3 l0in meme30n3 ples1e/
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.0n3 men3ik01 ke 2u0 pe/3el0n30n k0ki' Den30n kom0n2o 20/i penolon3 .0n3 mempe/10h0nk0n kep0l0 20n lehe/) 2il0kuk0n log roll se6030i s01u uni1 ke 0/0h ke 2u0 penolon3 .0n3 6e/020 p020 sisi pen2e/i10) h0n.0 2ipe/luk0n pemu10/0n minim0l un1uk
mele10kk0n spine board 2i 6090h pen2e/i10' Kese30/is0n 6020n pen2e/i10 h0/us 2ipe/10h0nk0n se90k1u men-0l0nk0n p/ose2u/ ini'
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Spine board 2ile10kk0n 2i6090h pen2e/i10) 20n 2il0kuk0n lo3 /oll ke 0/0h spine board. H0/0p 2iin301) spine board h0n.0 2i3un0k0n un1uk 1/0ns4e/ pen2e/i10 20n -0n30n 2ip0k0i un1uk 90k1u l0m0'
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!n1uk men;e30h 1e/-02in.0 hipe/eks1ensi lehe/ 20n ken.0m0n0n pen2e/i10) m0k0 2ipe/luk0n 60n10l0n .0n3 2ile10kk0n 2i6090h kep0l0
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pen2e/i10' $0n10l0n) selimu1 .0n3 2i6ul01k0n 010u 0l01 pen.0n330 l0in 2i1emp01k0n 2i ki/i 20n k0n0n kep0l0 20n lehe/ pen2e/i10) 20n kep0l0 pen2e/i10 2iik01 ke long spine board. %u30 2ip0s0n3 ples1e/ 2i 010s kol0/ se/7ik0l un1uk men-0min 1i20k 020n.0 3e/0k0n p020 kep0l0 20n lehe/'
Penderita Anak-anak
!n1uk imo6ilis0si 0n0k 2ipe/luk0n lon3 spine board pe2i01/ik' $il0 1i20k 020) m0k0 20p01 men33un0k0n lon3 spine board un1uk 2e90s0 2en30n 3ulun30n selimu1 2ile10kk0n 2i selu/uh sisi 1u6uh un1uk men;e30h pe/3e/0k0n ke 0/0h l01e/0l'
P/opo/si kep0l0 0n0k -0uh le6ih 6es0/ 2i60n2in3k0n 2en30n o/0n3 2e90s0) oleh k0/en0 i1u h0/us 2ip0s0n3 60n10l0n 2i6090h 60hu un1uk men0ikk0n 6020n) sehin330 kep0l0 .0n3 6es0/ p020 0n0k 1i20k men.e606k0n 4leksi 1ul0n3 lehe/) sehin330 20p01 mempe/10h0nk0n kese30/is0n 1ul0n3 6el0k0n3 0n0k' $0n10l0n 2ip0s0n3 20/i 1ul0n3 lum60l s0mp0i u-un3 60hu 20n ke0/0h l01e/0l s0mp0i 2i u-un3 board '
Komplikasi
$il0 pen2e/i10 20l0m 90k1u l0m0
*' Lo3 Roll p020 P0sien 2i Temp01 Ti2u/ Prosedur indakan 0' %el0sk0n kep020 klien 0p0 .0n3 0k0n An20 l0kuk0n) men30p0 h0l 1e/se6u1 pe/lu 2il0kuk0n) 20n 6030im0n0 klien 20p01 6eke/-0 s0m0' Diskusik0n 6030im0n0 h0siln.0 0k0n 2i3un0k0n un1uk me/en;0n0k0n pe/09010n 20n pen3o6010n sel0n-u1n.0' 6' u;i 10n30n 20n o6se/70si p/ose2u/ pen3en20li0n in4eksi l0inn.0 .0n3 sesu0i ;' $e/i p/i70si klien 2' A1u/ posisi An20 20n klien se;0/0 1ep01 se6elum mel0kuk0n pe/u60h0n posisi 5 $e/2i/i p020 sisi 1emp01 1i2u/ .0n3 s0m0) 20n 0m6il -0/0k 6e/2i/i .0n3 lu0s 2en30n s01u k0ki 6e/020 2i 2ep0n k0ki l0inn.0
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Memin20hk0n
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2en30n 1epi 1emp01 1i2u/ Pin20h ke sisi 1emp01 1i2u/ .0n3 l0in) 20n le10kk0n pe/0l010n pen.0n330 <60n10l= un1uk klien s001 2imi/in3k0n' $0n10l .0n3 2i6u1uhk0n *5 <1e/30n1un3 p020 uku/0n pos1u/ klien=' 5 Le10kk0n 60n10l p020 1emp01 .0n3 0k0n men.0n330 kep0l0 klien se1el0h klien 2imi/in3k0n' $0n10l men;e30h 4leksi l01e/0l p020 5
lehe/ 20n mem0s1ik0n spin0l se/7ik0l se-0-0/' Le10kk0n 60n10l 2i 0n10/0 1un3k0i klien un1uk men.0n330 1un3k0i 603i0n 010s s001 klien 2imi/in3k0n' $0n10l ini men;e30h 022uksi
5
1un3k0i 603i0n 010s 20n men-030 ke2u0 1un3k0i p0/0lel 20n se-0-0/' Le10k0n 60n10l 2i 6el0k0n3 pun33un3 klien mul0i 20/i 60hupun20k 20n s01u 60n10l 2i 6el0k0n3 p0n101 klien' $0n10l ini un1uk mem4iks0si pun33un3 030/ 1e10p mi/in3 20n men-030 pun33un3
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Se1i0p pe/0901 men-0n3k0u klien 20n mele10kk0n 10n30n ke sisi l01e/0l klien .0n3 6e/se6e/0n30n 2en30n pe/0901' Posisi ini memus01k0n 20e/0h 6e/01 6020n klien .0n3 u10m0 2i 0n10/0 len30n
5
se1i0p pe/0901' Seo/0n3 pe/0901 mem6e/i 0605060) “s01u) 2u0) 1i30 .0'” Kemu2i0n) p020 90k1u .0n3 6e/s0m00n) semu0 pe/0901 men33ulin3k0n klien
5
ke posisi l01e/0l S0n330 kep0l0) pun33un3) 20n eks1/emi10s 010s 20n 6090h klien
5
2en30n 60n10l N0ikk0n p030/ 1emp01 1i2u/ 20n le10kk0n 6el p0n33il p020 1emp01 .0n3 1e/-0n3k0u klien
!ariasi" Men##unakan Seprai Peminda$
5
Gun0k0n sep/0i pemin20h un1uk mem40sili10si p/oses lo3/oll' Pe/10m0) 6e/2i/i 2en30n pe/0901 .0n3 l0in 2i sisi 1emp01 1i2u/ .0n3 s0m0' Am6il -0/0k 6e/2i/i .0n3 lu0s 2en30n s01u k0ki 2i 2ep0n) 20n 3en330m0n se603i0n sep/0i .0n3 melip01 010u 1epi sep/0i .0n3
5
2i3ulun3' Den30n 0605060) 10/ik klien ke 0/0h ke2u0 pe/0901 Se6elum memi/in3k0n klien) le10kk0n 60n10l pen.0n330 un1uk kep0l0 20n 1un3k0i) sepe/1i .0n3 2i-el0sk0n p020 10h0p ,' $0n10l ini 0k0n mem60n1u mempe/10h0nk0n kese-0-0/0n klien s001 2imi/in3k0n' Kemu2i0n) pe/3il0h ke sisi 1emp01 1i2u/ .0n3 l0in <.0n3 1e/-0uh 20/i klien=) 20n 0m6il -0/0k 6e/2i/i .0n3 s106il' %0n3k0u klien) 20n 3en330m sisi 1e/-0uh 20/i sep/0i pemin20h 20n 3ulin3k0n klien men3h020p ke An20' Pe/0901 ke2u0 <2i 6el0k0n3 klien= mem60n1u memi/in30n klien 20n mem6e/ik0n 60n10l pen.0n330 un1uk mem0s1ik0n kese-0-0/0n 1u6uh .0n3 60ik p020 posisi l01e/0l'
Prosedur indakan
(' u;i 10n30n An20 *' K0-i 20n i2en1i4ik0si p0sien <2en30n meme/iks0 3el0n3 p0sien=) -el0sk0n
p/ose2u/
menun-ukk0n m0n4001= @' %030 p/i70si ' Posisik0n 1emp01 1i2u/
is1il0h
.0n3
se2e/h0n0
20n
5
Temp01 1i2u/ h0/us 20l0m posisi 2010/ p020 ke1in33i0n ke/-0 .0n3
n.0m0n 5 Tu/unk0n 6e2/el p020 sisi 1u6uh 2i m0n0 An20 6eke/-0' >' Posisik0n 2i/i An20 2en30n k0ki 1e/pis0h 20n lu1u1 menekuk 2ek01 2en30n sisi 1emp01 1i2u/ ,' Lip01 len30n p0sien 2i 2020n.0 ' Temp01k0n 10n30n An20 2i 6090h p0sien sehin330 se603i0n 6es0/ 20/i 6e/01 6020n p0sien 6e/pus01 2i 0n10/0 len30n An20' Len30n 20/i s0l0h s01u pe/0901 h0/us men2ukun3 kep0l0 20n lehe/ p0sien C' P020 hi1un30n ke1i30) pin20hk0n p0sien ke sisi 1emp01 1i2u/) 0.un mun2u/ 1umi1 An20 20n -030 1u6uh p0sien 20l0m kesel0/0s0n .0n3 6en0/ ?' P0s0n3 /el 2i sisi 1emp01 1i2u/ (+' Pin20h ke sisi l0in 1emp01 1i2u/ ((' Temp01k0n 60n10l 2i 6090h kep0l0 p0sien 20n s01u l03i 2i 0n10/0 ke2u0 k0kin.0 (*' Posisik0n len30n 2i 2ek01 p0sien ke 0/0h An20 (@' Pe30n3 u-un3 1u6uh p0sien 2en30n 10n30n An20 mul0i 20/i 60hu hin330 p0h0 (' P020 hi1un30n ke1i30) /oll p0sien ke posisi l01e/0l) 0.un mun2u/ ke 1umi1 An20' (>' Temp01k0n 60n10l 2i 2ep0n 20n 2i 6el0k0n3 6020n p0sien un1uk men2ukun3 kesel0/0s0n 20l0m posisi l01e/0l (,' $e/ik0n ken.0m0n0n 20n kesel0m010n p0sien 5 Posisik0n 6el p0n33il0n 5 Temp01k0n 60/0n3560/0n3 p/i602i p0sien 20l0m -0/0k .0n3 mu20h 2i -0n3k0u 5 P0s1ik0n 6e2/el 1e/p0s0n3 20n 0m0n (' Dokumen10sik0n .0n3 sesu0i *'> M0;0m5m0;0m Pemin20h0n Peminda$an darurat o
o o
$e/020 p020 si1u0si .0n3 mem60h0.0k0n kesel0m010n pen2e/i10 penolon3' Men3h0l0n3i 0kses penolon3 ke pen2e/i10 l0in .3 mun3kin le6ih p0/0h' Lok0sin.0 1i20k memun3kink0n un1uk mel0kuk0n $HD5R%P kep020 pen2e/i10'
Peminda$an tidak darurat
•
Si1u0sin.0 1i20k mem60h0.05k0n 2i/i penolon3 F pen2e/i10' Pe/09010n 20/u/01 2i l0p0n30n F peme/iks00n 10n20 7i10l 1el0h
•
2iseles0ik0n' Ko/60n 20l0m ke0200n s106il) semu0 ;e2e/0 1el0h 2i10n30ni 2en30n
•
•
60ik' Ke;u/i300n 4/0k1u/ se/7ik0l F spin0l 1el0h 2iimo6ilis0si <2i6i20i='
Darurat disini bukan karena ketiadaan alat tetapi karena situasinya yang darurat.
Peminda$an Darurat
eknik Sampir Pundak
Peminda$an idak Darurat %le$ Satu %ran# Penolon#
Peminda$an idak Darurat %le$ Dua %ran# Penolon#
eknik An#kat Lan#sun#
PE&ALAAN PEM'NDAHAN andu Beroda (w$eeled stret)$er*
Peralatan Ekstrikasi + Peminda$an
andu 'mpro,isasi
Peminda$an Den#an andu Kursi
eknik Lo# &oll (lip . Strip*
o M0nu7e/ men30n3k01 F memin20hk0n pen2e/i10 ke LS$
(' Kesimpul0n Lo3/oll 020l0h se6u0h 1eknik .0n3 2i3un0k0n un1uk memi/in3k0n klien .0n3 6020nn.0 h0/us se1i0p s001 2i-030 p020 posisi lu/us se-0-0/
DAA& PUSAKA
$e/m0n) Au2/e.) e1 0l' $uku A-0/ P/0k1ik Kepe/09010n Klinis Ko8ie/ F E/6 E2isi >' %0k0/10: EG' *++? h11p:999'nu/sin31imes'ne1%ou/n0ls*+(*((*@049+@(*(,The5m0n03emen15 o45p01ien1s59i1h5spin0l5;o/25in-u/.'p24 h11p:999'6/ooksi2ep/ess'o/3P/o2u;1sNu/sin3&un20men10ls(lessonSe;1i on*'h1m
