SOP EPISTAKSIS.doc

EPISTAKSIS

SPO

No. Dokumen : SPO/IX/KB-00/04/16 No. Revisi :0 Tn!!" Te#$i% : 4 A&#i" '016 '01 6 ("mn : 1/'

Puskesms II P)R*OKERTA

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1. Pen! Pen!e# e#%i %in n

1''004 E&is E&is% %ks ksis is " "  &e# &e## # n n 2n! 2n! men! men!" "i# i# ke"u ke"u# # #i #i iun! 2n! $e#s" #i #on!! iun! %u nso3#in!. E&is%ksis $ukn su%u &en2ki% me"inkn !e5" #i su%u

'. Tu5un

ke"inn. )n%uk memmi n me"kukn %inkn en!n $en# n

. Ke$ Ke$i5k i5k n

%e&% Su# Su#%% Ke& Ke&u% u%us us n Ke& Ke& " Pusk uskesm esms s II II Pu# Pu#7 7oke oke#%o #%o )% )%# #

4. Re3e#ensi

K+K

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Pnu Pnun n P#k%i P#k%ik k K"inis K"inis $!i $!i Dok%e# Dok%e# i 9si"i 9si"i%s %s Pe"2 Pe"2nn nn Kese%n Tin!k% Pe#%m 8. P#oseu# 

a. Peralat Peralatan an d dan an Bahan Bahan Medi Medis s Ha Habis bis Paka Pakaii

1 ;m& ;m&u u ke& ke&" " ' S&ek S&eku" u"um um iu iun! n! 3)  A"% &en!is& %u ;iokin '> 1;#u%n Ni%#s A#!en%i 18 ? '8>

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14S"e& vse"in S"e& n%i$io%ik $. ;n! ;n!k k  ? ;n! ;n!k k  1 +e"kukn +e"kukn Anmnes Anmnes %e#& %e#& &sien &sien ' +enn +enn2k 2kn n Ke"u Ke"un n Psien Psien . Ke"u# Ke"u# # # #i #i iun! iun! %u #i72% #i72% ke"u ke"u## # #i iun!. $. (#us (#us i%n2 i%n2kn kn se=# se=# s&esi3 s&esi3ik ik men!e men!eni ni : a) ;oksi ke"u#n2 # <e&n #on!! iun!

%u ke %en!!o#ok b) Bn2kn2 &e##n c) 9#ekuensi d) ;mn2 &e##n

. +e"ku +e"kukn kn Peme#i Peme#iks ksn n 9isi 9isik k 1 Rino Rinosk sko& o&ii n%e# n%e#io io## Peme#iksn #us i"kukn se=# $e#u#u%n #i n%e#io# n%e#io# ke &os%e#io# &os%e#io#.. ,es%i$u"um es%i$u"um mukos mukos iun! iun! n se&%um nsi inin! "%e#" iun! n konk in3e in3e#i #io# o# #u #us s i&e i&e#i #iks ks  en! en!n n =e#m =e#m% % un%u un%uk k men!e%ui sum$e# &e##n. ' Rino Rinosk sko& o&ii &os% &os%e# e#io io## Peme#iksn nso3#in! en!n #inosko&i &os%e#io#  &en%in! &en%in! & &sien &sien en!n en!n e&is%ksi e&is%ksis s $e#u"n! $e#u"n! un%uk men2in!ki#kn neo&"sm.  Pen!u Pen!uku# ku#n n %ek %eknn nn # # Teknn eknn # &e#"u iuku# iuku# un%uk men2in!k men2in!ki#kn i#kn i! i!no nosi sis s

i&e i&e#% #%en ensi si

k#e k#en n

i&e i&e#%e #%ens nsii

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men2e$$kn e&is%ksis &os%e#io# 2n! e$% n se#in! $e#u"n!. Ti! &#insi& u%m "m menn!!u"n!i e&is%ksis 2i%u : 1. +en!en%ikn &e##n '. +en=e! kom&"iksi

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Pen%"ksnn 1. Pe#$iki ken umum &ene#i% &ene#i% i&e#iks "m &osisi uuk ke=u"i $i" &ene#i% sn!% "em %u ken s2ok &sien $is $e#$#in! en!n ke&" imi#in!kn. '. P nk 2n! se#in! men!"mi e&is%ksis #in!n &e##n &% ien%ikn en!n =# uuk en!n ke&" i%e!kkn kemuin =u&in! iun! i%ekn ke # se&%um se"m -8 meni%
. Trotter .

. Bi" &e##n $e#en%i en!n s&eku"um iun! i$uk n en!n "% &en!is& < suction i$e#sikn semu ko%o#n "m iun! $ik =i#n sek#e% mu&un # 2n! su mem$eku. 4. Bi" &e##n %ik $e#en%i msukkn k&s 2n! i$si ke "m iun! en!n "#u%n nes%esi "ok" 2i%u ' == "#u%n ;iokin '> 2n! i%e%esi 0' == "#u%n  A#en"in 1/1000. (" ini $e#%u5un $e#%u5un un%uk men!i"n!kn men!i"n!kn #s ski% n mem$u% vsokon%#iksi &em$u"u # sein!! &e##n &% $e#en%i semen%# un%uk men=#i sum$e# &e##n. Sesu 10 sm&i 18 meni% k&s "m iun! ike"u#kn n i"kukn ev"usi. 8. P e&is%ksis n%e#io# 5ik sum$e# &e##n &% i"i% en!n 5e"s i"kukn kus%ik en!n "ii k&s 2n! i$si "#u%n Ni%#s A#!en%i 18 ? '8> %u sm T#ik"o#ose%% T#ik"o#ose%% 10>. Sesun2 #e %e#se$u% i$e#i s"e& n%i$io%ik. 6. Bi" en!n kus%ik &e##n n%e#io# msi %e#us $e#"n!sun! i&e#"ukn &emsn!n %m&on n%e#io# en!n k&s %u kin ks 2n! i$e#i ,se"in 2n! i=m&u# $e%in %u @% n%i$io%ik. D&% 5u! i&ki %m&on #o" 2n! i$u% #i ks sein!! men2e#u&i &i%

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i&e#%nkn se"m '  '4 5m. Se"m ' #i i"kukn &eme#iksn &enun5n! un%uk men=#i 3k%o# &en2e$$ Ti! &#insi& u%m "m menn!!u"n!i e&is%ksis 2i%u : 1. +en!en%ikn &e##n '. +en=e! kom&"iksi . +en=e! $e#u"n!n2 e&is%ksis

Pen%"ksnn 1. Pe#$iki ken umum &ene#i% &ene#i% i&e#iks "m &osisi uuk ke=u"i $i" &ene#i% sn!% "em %u ken s2ok &sien $is $e#$#in! en!n ke&" imi#in!kn. '. P nk 2n! se#in! men!"mi e&is%ksis #in!n &e##n &% ien%ikn en!n =# uuk en!n ke&" i%e!kkn kemuin =u&in! iun! i%ekn ke # se&%um se"m -8 meni%
. Trotter .

. Bi" &e##n $e#en%i en!n s&eku"um iun! i$uk n en!n "% &en!is& < suction i$e#sikn semu ko%o#n "m iun! $ik =i#n sek#e% mu&un # 2n! su mem$eku. 4. Bi" &e##n %ik $e#en%i msukkn k&s 2n! i$si ke "m iun! en!n "#u%n nes%esi "ok" 2i%u ' == "#u%n ;iokin '> 2n! i%e%esi 0' == "#u%n  A#en"in 1/1000. (" ini $e#%u5un $e#%u5un un%uk men!i"n!kn men!i"n!kn #s ski% n mem$u% vsokon%#iksi &em$u"u # sein!! &e##n &% $e#en%i semen%# un%uk men=#i sum$e# &e##n. Sesu 10 sm&i 18 meni% k&s "m iun! ike"u#kn n i"kukn ev"usi. 8. P e&is%ksis n%e#io# 5ik sum$e# &e##n &% i"i% en!n 5e"s i"kukn kus%ik en!n "ii k&s 2n! i$si "#u%n Ni%#s A#!en%i 18 ? '8> %u sm

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$e#"n!sun! i&e#"ukn &emsn!n %m&on n%e#io# en!n k&s %u kin ks 2n! i$e#i ,se"in 2n! i=m&u# $e%in %u @% n%i$io%ik. D&% 5u! i&ki %m&on #o" 2n! i$u% #i ks sein!! men2e#u&i &i% en!n "e$# ku#n!  =m i"e%kkn $e#"&is-"&is mu"i #i s# sm&i ke &un=k #on!! iun!. Tm&on 2n! i&sn! #us menekn %em&% s" &e##n n &% i&e#%nkn se"m '  '4 5m. Se"m ' #i i"kukn &eme#iksn &enun5n! un%uk men=#i 3k%o# &en2e$$ Ren=n Tink ;n5u% Se%e" &e##n &% i%si "n!k se"n5u%n2 " men=#i sum$e# &e##n %u &en2e$$ e&is%ksis. Konse"in! n Euksi +em$e#i%u &sien n ke"u#! un%uk: 1. +en!ien%i3iksi &en2e$$ e&is%ksis k#en " ini me#u&kn !e5" su%u &en2ki% sein!! &% men=e! %im$u"n2 kem$"i e&is%ksis. '. +en!on%#o" %eknn # & &ene#i% en!n i&e#%ensi. . +en!in#i mem$un! "eni# me""ui iun! %e#""u ke#s. 4. +en!in#i memsukkn $en ke#s ke "m iun! %e#msuk 5#i sein!! i$u%ukn &en!7sn 2n! "e$i ke%% & &sien nk. 8. +em$%si &en!!unn o$%-o$%n 2n! &% menin!k%kn &e##n se&e#%i s&i#in %u i$u&#o3en.

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