KEPERAWATAN DEWASA 1 “MENINGITIS”
Oleh : KELOMPOK 4 MARDIA MARDIAT TUL MUHARA MUHARAMI MI
(1611 (1611316 316023 023))
MURNI ALHAMIDAH(1611316023) ALHAMIDAH(1611316023) KHAIRINA
(1611316026)
LEGA SEPTI RAHMI
(161131602)
I!!I "AH#UNI
(161131602$)
APRITA
(1611316036)
LUSI LUSIA A DIR DIRAH AH PA PANGES NGESTI TI
(161 (1611 13160 316044 44))
DESI MONI%A
(161131604&)
'ITRI DE"I
(161131604) (161131604)
NADHIRA A'RIMELT A'RIMELTA
(161131604$) (161131604$)
USRINI HARTA HARTATI
(16113160&2)
D*+e, Pe-./-./, : Re, P/- G+5 S7K87 M7Ke+
PRODI S1 KEPERAWATAN PROGRAM B FAKULTAS KEPERAWATAN UNIVERSITAS ANDALAS 2016
1
KATA KATA PENGANTAR PENG ANTAR
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DAFTAR ISI KATA KATA PENGANTAR PENGA NTAR 7777777777777777777777777777777777777777777 777777777777777777777777777777777777777777777777777777777777777777 777777777777777777777777777777777777777 7777777777777777 / DAFTAR ISI // BAB I PENDAHULUAN
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BAB III PENUTUP
A7 Ke+/-8l, Ke+/-8l, 77 7726 26 7 S, S, 26 26 DAFTAR PUSTAKA BAB I PENDAHULUAN
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2) Me,/, Me,/,/ /5/ 5/++ 5e 5e/l /l Me,/,/5/+ .?5e/l ;lh +5 e;,, e5/ -e,/,e,+ 5 +el85 ;/ *5 -e,l-/ 8e;,, 8e;,, /.5 .5e/7 S-8/ +5 /,/.e,5 /,/.e,5 8l/, +/,/@/, +/,/@/, ;/ -e,/,/5/+ -e,/,/5/+ ;lh 5/8e .5e/l7 5e/ 8l/, +e/, ;/9-8/ 8; -e,/,/5/+ 8.5e/ 5/5 Neiseria meningiditis (-e,/, (-e,/,/5 /5/+ /+ -e,/, -e,/,** **+ +) ) Streptococcus ;e=+);, , Haemophilus influenza (8; ,< pneumonia ( pada pada ;e=+); , ;, ;e=+ -;)7 Ke5/ *,/+- /,/ -e,e.., +e/5 & ++ -e,/,/5/+ -e,/,/5/+ .5e/7 .5e/7 e,5 e,5 8e,l,, 8e,l,, -ell/ -ell/ *,5 *,5 l,+ l,+, , , , -e,? -e,?, , 8 8 ;*8l ;*8le5 e5 ;, ;, +e?e +e?e55 ;/ ;/ h/; h/;, , ;, ;, 5e,**, , -e-.= -, (8l/, +e/,) 5 /,@e+/ ;/ *, *, l/,7 l/,7 A/.5 /.5, , ., ., , , 5/; 5/; .e .eee-. ., , -e,9 -e,9; ;// /,@e /,@e+ +// 5e5 5e58/ 8/ .e .eee-. ., , +e. +e. // 8e8e-.= .= $carrier%7 $carrier%7 I,+/ I,+/;e ;e, , 5e5/,/ 8; -e,/,/5/+ ;/+e.., *leh .5e/ - ,e5/@ , 5e9;/ 8; l,+/ +e8e5/ 8; +e+e*, , -e,9l,/.e;h +@ 5 5
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19
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21
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22
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23
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24
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2
Ke5/;e@e5/@, NO% .e+/h, 9l, &. *esp *espira irato tory ry stat status us)) ,@+ +entilation '. *esp *espira irato tory ry stat status us)) .eh.,, air"ay patency ;e,, 9-lh K/5e/ h+/l: +85- , 17 Me,; Me,;ee-*, *,+5 +5+/ +/ , , .5 .5 .ele./h, e@e5/@ ;, + ,@+ , .e+/h5/; ; +/,*+/+ ;, ;/+8,e7 27 Me, Me,,9 ,9 , , 9l 9l, , ,@ ,@++ , 85e,7
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NI% ir"ay suction 7 P+5 P+5/ /, , e. e.5 5h h, , *l 5?hel +?5/*,/, .7 A+l5+/ + ,@+ +e.el- ;, +e+;h +?5/*, ?7 I,@* I,@*-+ +/ /, , 8; 8; 8+/e, ;, el 5e,5, +?5/*, ;7 M/,5 M/,5 8+/e +/e, , ,5 ,@+ ;l+e.el- +?5/*,
25
;/l, e7 e/ e/ , , O2 ;e, ;e,, , -e,,, ,+l ,5 -e-@+/l/5+/ +?5/*, ,+*5el @7 G, G,, , l5 l5 , , +5el/l +e5/8 -el, 5/,;, 7 M*,/ M*,/5* 5* +55 +55+ + *+/e, 8+/e, h7 He,5 He,5/ /, , +?5 +?5/* /*, , ;, .e/, *+/e, 8./l 8+/e, -e,,9, .;/;/8e,/, 5, +5+/ O2 ir"ay management) 7 9l 9l, , ,@ ,@+ + ,, 5eh,/ ?h/, l/@5 5 9= 5h+5 ./l 8el .7 P*+/+/, 8+/e, ,5 -e-+/-l, Be,5/l+/ ?7 I;e, I;e,5/ 5/@/ @/ +/ +/ 8+/ 8+/e, e, 8el, 8e-+,, l5 9l, ,@+ .5, ;7 L L , , @/+/* @/+/*5e 5e 8/ 8/ ;; 9/ 8el e7 Kel Kel , , +e? +e?e5 e5 ;e,, .5 5 +?5/*, @7 A+ A+ l5+ l5+// + + ,@+?55 ;, + ,@+ 5-.h, 7 A5 A5 /,5 /,5e e ,5 ,5 ?/, -e,*85/-l, e+e/-.,,
26
4
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27
6
Ke5/;+e/-., NO% , ,5/+/ &. Nutr Nutriti ition on sta statu tus) s) flui fluid d and and , ;/ food -ndikator ) e.5h, 5.h &% I,5e ,5/+/ .eh.,, 5e?8/7 ;e,, '% A+8, -,, e5/;--8, ;, ?/, -e,el, 5e?8/ -,, '. Nutr Nutriti ition on stat status us)) nutri nutrion on intake -ndikator ) 1) A+8, l*/ 2) A+8, 8 8*5e/, 3) A+8, le- % #, l/,7777
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hipotermi "an penanganan yang "iperlukan k; !erikan antipiretik (ika perlu NI% Nutrition management) 7 K9/ K9/ ;, ;, le le // -,, .7 K*l.*+/ ;e,, hl/ />/ ,5 -e,e,5, 9-lh l*/ , ;/.5h, ?7 #/, /,, , ;/e ;/e55 , , ;/.e/, 5/,/ +e5 ,5 -e,h/,;/ *,+5/8+/ ;7 M*,/ M*,/5* 5* 9-l 9-lh h ,5/+/ ;, ,;,, l*/ e7 e/ e/ , , /,@* /,@*-+ +// 5e,5, e.5h, ,5/+/ @7 A,9 A,9 , , 8+/e +/e, , , , 5 -e,/,5, /,5e 'e NI% ain management) . L, 8e,9/, ,e/ +e? *-8ehe,+/@ 5e5e-+ + l* l*+/ +/ 5e/+5/ l* l*+/ +/ @e @ee e,+/ ,+/ ;, @?5* 8e+/8/5+/7 .7 O.+eB+/ e+/ ,*, Be.l ;/
28
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Re+/* ?/;e .eh.,, ;e,, -*./l/++/ @/+/
NO% &. *isk isk kon kontro trol I,;/5* 17 Kl/e Kl/e, , 5e. 5e.e. e.+ + ; ;// ?/;e 27 Kl/e, ---8 8 -e,9el+, ? -e5*;e ,5 -e,?eh ?/;e 5 /,9 37 Kl/e, ---8 8 -e,9el+, @5* e+/* ;/ l/,,, 5 8e/l 8e+*,l 47 M-8 M-8 -e-* -e-*;/ ;/@/ @/+/ +/ h/;8 ,5 -e,?eh /,9 &7 Me, Me, , , , , @+/ @+/l/ l/5+ 5+ e+eh5, , ; 67 MM-8 -e,e e,e, ,l/ l/ 8e.h, +55+ e+eh5,
e5/;,-,,7 ?7 ,5 8+/e, ;, el ,5 -e,?/ ;, -e,e-, ;,,7 ;7 %*,5 %*,5* *ll l/, l/,, , , , , ;85 -e-8e,h/ ,e/7 e7 K,/ @?5* 8e+/8/5+/ ,e/7 @7 K9/ 5/8e ;, +-.e ,e/ ,5 -e,e,5, /,5eBe,+/7 A9, 5e,5, 5e,/ ,*, @-*l*/ : ,@+ ;l- el++/ ;/+5+/ *-8e+ NI% M,9e-e, l/,,, 17 Se;/, l/,,, , -, ,5 8+/e, 27 I;e, I;e,5/ 5/@/ @/ +/ +/ e.5h, e-,, 8+/e, +e+/ ;e,, *,;/+/ @/+/ ;, @,+/ *,/5/@ 8+/e, ;, /=5 8e,/5 5e;hl 37 Me, Me,h/, h/,; ;/ / l/,,, , .e.h 47 Me- Me-+ +, , +/;e +/;e ll ll 5e-85 5/; &7 Me, Me,e; e;/ / , 5e-85 5/; , ,-, ;, .e+/h 67 Me-. e-.5+ 5+// 8e,,9,
29
$
G,, -*./l/55+ @/+/ .eh.,, ;e,, e+, ,e*-+l
7 Me, Me,, ,9 9, , el ,5 -e,e-,/ 8+/e, 7 Me, e,*,5*l l/,,, ;/ e./+/,, $7 MeMe-/,; /,;h h, , .,<., , ;85 -e-.h, 107 e/, 8e,9el+, 8e,9el+, 8; 8+/e, ;, el 5 8e,,9, ;, 8e.h, +55+ eeh5, ;, 8e,e.. 8e,/5 NO% : NI%: &. /oint /oint mo+e mo+eme ment nt)) act acti+e i+e E#ercise therapy) -ndikator ) ambulans a. kti kti+i +ita tass fisi fisikk 17 17 M*,/5* M*,/5* B/5l +/, meningkat +e.el- +e+;h b. Mengerti l5/h, ;, l/h5 tu0uan e+8*, 8+/e, +e+;h peningkatan l5/h, mobilitas 27 27 K*,+l5+/ K*,+l5+/, , c. Men+e en+erb rbal alis isas asii ;e,, 5e8/ @/+/ kan perasaan 5e,5, e,?, dalam -.l+/ +e+/ meningkatkan ;e,, e.5h, kekuatan 37 37 K9/ e--8, e--8, '. (rans ransfe ferr perfo perform rman anss 8+/e, ;l -ndikator ) -*./l/++/ a. Kemampuan 47 47 L5/h L5/h 8+/e, 8+/e, ;l;lberpindah 8e-e,h, e.5h, b. Mempe empera raga gaka kan n ADL+ +e? -,;// penggunaan +e+/ ;e,, alat bantu e--8, &7 &7 D-8/, D-8/, ;, .5 .5 8+/e, ;l-*./l/++/ ;, .,5 8e,h/ e.5h, ADL+
30
10
Ke+, /,5e/5+ 9/,, l/5 .eh.,, ;e,, ele-..,
67 67 e/, e/, l5 .,5 .,5 9/ 8+/e, -e-.5h, 7 7 A9, A9, 8+/e, 8+/e, ./-, ? -e.h 8*+/+/ NO%: NI%: &. (issue ssue inte integr grit ityy reasure Management '. Membrans 17 A,9 A,9 , , 8+/ 8+/e, e, 1. Hemo Hemod dyali yalisi siss ,5 akses -e,,, K/5e/ h+/l: 8/, , 17 I,5e I,5e/5 /5+ + l/ l/55 , , l*, ./ ./+ 27 H/,; H/,; // e e5 5, , ;/8e5h,,(+e,++/ 8; 5e-85 5/; el+5/+/5+ 5e-8e5e 37 e.e e.e+ +/h /h, , h/;+/ 8/-e,5+/) l/5 5e58 27 T/; ; ; ; l l 5 5 .e+/h ;, e/, le+/ 8; l/5 47 M*./ M*./l/ l/+ ++/ +/ 8+ 8+/e /e, , 37 Pe@ Pe@+ +// 9/, 9/, , , ./ ./ +e5/8 ; 947 Me, Me,,9 ,9 , +el/ 8e-h-, ;l&7 M*,/ M*,/5* 5* l/ l/55 , , 8*+e+ 8e./, l/5 ;, e-eh, ;, -e,?eh 67 Ole+ Ole+ , , l*5 l*5/* /*, , 5 5 5e9;/, ?e;e -/, */l 8; .el, ;eh , &7 MM-8 -el -el/, /,; ;, ,// 5e5e, l/5 ;, 7 M*,/ M*,/5* 5* 5/ 5/B/ B/5 5++ -e-8e5h,, ;, -*./l/++/ ele-.., l/5 ;, 8+/e, 7 M*,/ M*,/5* 5* +55 +55+ + 8e=5, l-/ ,5/+/ 8+/e, $7 Me- e-,;/, 8+/e, ;e,, +., ;, / h,5 I,+/+/*, +/5e ?e: 17 Me-. Me-.e e+/ +/h h, , -e-,5 ;, -e,/,5, 8*+e+ 8e,e-.h, 8; l , ;/558
31
11
H-.5, *-,/+/ Be.l .eh.,, ;e,, 8ele-h, +/+5e-+?l*+ele5l
;e,, 9h/5, l/8 27 M*,/ M*,/5* 5* 8*+ 8*+e+ e+ e+e-.h, 8; ;eh /,+/+/ 37 M*,/ M*,/5* 5* 5, 5,; ; ;, ;, e9l 8; e /,+/+/ D/l+/+ ??e+ -/,5e,,?e NO% : NI% : &. Sens Sensor oryy func functi tion on ) !ommunication and hearing 2 +ision enhancement ) speech '. 3ear 3ear self self cont contro rol l deficit 17 G,, K/5e/ h+/l : 8e,e9e-h 9/ 17 K*- K*-,/ ,/ +/ +/ : 8e, 8e,e/ e/- -, , ;/8el, /,5e8e5+/ ;, e+8e+/ 27 e/ e/ +5 +5 l/ l/- -55 8e+, +/-8le +5 .e5e- 27 L/+, L/+, 5l 5l/+ /+, , ;, ;, ,*, ,*, 9/ ;/8el, Be.l -e,/,5 37 K*,+ K*,+l l5 5+/ +/ , , 37 K*- K*-,/ ,/ +/ +/ e+8 e+8e e+/@ +/@ ;e,, ;*5e ( e+l/5, .e./? ) : e.5h, 5e8/ e+8e+/ 8e+, Be.l ;, =/? ,*, Be.l , .e-, 47 D** D**, , 8+/ 8+/e, e, 47 Ge Ge, , 5e 5e* ** *;/ ;/, ,+/ +/ : ,5 --8 -e,**;/,+/ .e*-,/+/ e, ;l+e? 8elh, ;, -e,,, .h+ /+5 ,5 -e,l,/ &7 Pe, Pe,*l *lh h, , /,@* /,@*-+/ +/ : 8e-/,5, l/e, --8 -e-8e*leh &7 De, De, , , ;e, ;e,, , -e,5 ;, 8e,h 8eh5/, -e,,, /,@*-+/ 67 e; e;/ /// ;/ ;/ ;e8 ;e8, , 67 M-8 M-8 -e, -e,* *,5 ,5* *ll 8+/e, e5/ e,+8*, e55, ;, .e./? e?e-+, 5eh;8 7 e/ e/ ,9 ,9 , , e; e;8 8 e5/;--8, .e./? 8+/e, ;, el 7 M-8 M-8 -e- -e-, ,9e9e-e, e, , , 5e,5, l5 .,5 e--8, @/+/ , .e./? ;/-/l// 7 e/ e/ 89 89/ /, , 8*+ 8*+/5 /5/@ /@ 7 M-8 $7 A,9 A,9 , , e+ e+8 8e+ e+// -e,*-,/+/, ;// ;e,, ? l/, e.5h, ;e,, ;ll/,,, +*?/l -e,-8/,
32
12
/,@*-+/ !ommunication enhancement ) +isual deficit n#iety reduction cti+e listening G,, NO% : NI% : 8e+e8+/ +e,+*/ &. Stat Status us neu neuro rolo logi giss Pe,/,5, '. 3ungsi ngsi sen sensori soricc 8e,l/h5, *-,/+/ : ;e@/?/5 1. Pe/l *-8e,++/ .eh.,, 8e,l/h5, 8e,l/h5, ;e,, 17 Me-.,5 K/5e/ h+/l : 8e.h, 8e-.el9, ;, ',+/ +/ -*5 -*5* */ / +e, +e,+* +*/ / /,5e+/ +e,+*/ 17 ', 8e,e/-, -e5*;e ,/l : e--8, +@ 8e,l/h5, l5e,5/Be ,5 ,/l ,5 -e,e,l/ -e,9l,/ h/;8 /,8l+ +e,+*/ ;, -*5*/ ;e,, 8e,,, 27 T/, T/,5 5 +5/-l +5/-l+/ +/ 5eh; 5eh;8 8 @,+/ 8e,l/h5, l/5 ;/+, ;e,, 27 I;e, I;e,5/ 5/@/ @/+/ +/ ;// ;// +5 +5 ?e85 -+ - 8+/e, 37 T/, T/, 55 8/. 8/.; ;// ,5 ,5 37 K9/ K9/ l/, l/, , ,, , -e,*-8e,++/ ,, 5eh;8 8e,l/h5, e-,/,, .h 5eh;8 e-,, 47 T/,5 5 , 8e,l/h5, 8+/e, , -+/h 5e+/+ &7 ,, -e-/,;h, .,<., ;/- 8+/e, 5,8 -e-.e 5h 8+/e, M,9e-e, l/,,, : -e-,/8l+/ l/,,, +e85 8+/e, ,5 -,@5 5e8e5/7
33
BAB III PENUTUP A. Kes" Kes"+p +p%) %)n n Me,/, Me,/,/ /5/ 5/++ , , .e; .e;-8 8 5eh 5eh; ;8 8 @/+/ @/+/ -8 -8, , 8+/ 8+/*+* *+*+/* +/*+8 +8// //5 5l l77
D-8 , 5e9;/ 8; @/+/ +e8e5/ 5e9;/, ele-h, .h, ;l 9, 8,9, 8e,;e/5 -e,/,/5/+ ;85 5e9;/ 5l/ , ;, ,, 8; ,eB+ III +5/+7 D-8 8; 8+/*+*+/*+8//5l /5 5/-.l + +e8e5/ e55, , e??5, + ?e-+ + e5/; --8,
34
,5 -el, 5/B/5+ +e? *85/-l ;, 8,;,, 5eh;8 ;// , +lh +e8e5/ ,, ?/5 5.h7 B. S!n P; ++ -e,/,/5/+ 8e=5 8el -el, *l.*+/ ;e,, 5e, -e;/+ l/,, ,5 -e,//+5/h5, 8+/e, *,5*l ;, h/8e5e-/ ;e,, -el, *-8e+ 8e-.e/, ,5/8/e5/ *,5*l ;, e9, *,5*l 8e,/,5, 5e,, /,5,/l ;, -e-.e/, 8e-e,h, ?/, ;, ,5/+/ 8; 8+/e,7
DAFTAR PUSTAKA
A,; #e++/e7 20137 Kepera"atan 20137 Kepera"atan Medikal 4edah ' teori dan dan contoh askep7 askep 7 #*5: Nh Me;/ 55/?? ',+/+? 7 20127 suhan 20127 suhan Kepera"atan dengan dengan gangguan sistem sistem persyarafan. 5 persyarafan. 5 : Sle-. Me;/ Me,5e/ Ke+eh5, Re88l/ I,;*,e+/ (Me,e+ RI) 2011 M55F/, A/@7 20127 suhan 20127 suhan kepera"atan klien dengan gangguan sistem persyarafan7 persyarafan7 5: Sle-. Me;/
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N/@7 K+-7 201&7 plikasi suhan Kepera"atan 4erdasarkan Diagnosa Medis dan NND NND Nic5Noc. *95 : Me;/?5/*, P.l/+h/, R*./,+*,7 R*./,+*,7 S857 S857 20147 6isual isual Nursin Nursing, g, /ilid /ilid Satu. Satu. T,e, Sel5, : /, R8 A+ P.l/+he S-el5>e ,; S>,,e7 20027 4uku 20027 4uku a0ar medikal edah 4runner 4runner and Suddath B*l 3 e; 7 5: EG% S/*,*7 (2012)7 Memahami (2012)7 Memahami enelitian Kualitatif 7 ,;, : AL'AETA7 AL'AETA7 S/@;;/,7 S/@;;/,7 20127 natomi 3isiologi) Kurikulum 4erbasis Kompetensiuntuk Kepera"atan 2 Kebidanan, Kebidanan, Ed. 7 7 5 : EG% T=*5* 20137 Kepera"atan 20137 Kepera"atan medikal bedah. 5 : S, Se5* "*l; "*l; Hel5h O,/+5/*, 2012 "/;;* "/;;* ;7 2007 suhan Kepera"atan ada Klien Dengan 7angguan Sistem ersarafan. 5 : TIM
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