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PDF Asuhan Keperawatan Kritis Pasien Dengan Krisis Hipertensi DL - Dikonversi
PDF Asuhan Keperawatan Kritis Pasien Dengan Krisis Hipertensi DL - Dikonversi
PDF Asuhan Keperawatan Kritis Pasien Dengan Krisis Hipertensi DL - Dikonversi
‖Dlpgrtgesl Hrltls‟
Nlsusue cfgd ;
PZCAZBO ]^WNL ]2
HGPGZBQB^BE IBHWF^B]
HG]GDB^BE
:0:0
JBJ 2
PGENBDWFW
BE
2. Fbtbr Jgfbhbea
pgeleahbtbe tghbebe nbrbd bhut nbe sgrlea jgrdujueabe ngeabe agkbfb slstgolh
nbfbo rgetbea 2:0-2=0 ooDa, dbf tgrsgjut nbpbt ogekbnl nbsbr pgegetube
Pbnb pbslge D^ hrcelh nlpgrhlrbhbe sghltbr 2-:% bhbe ogeabfbol hrlsls D^ nbfbo
hbsus. Leslnge tbduebe D^ gogragesl nlpgrhlrbhbe sgjbeybh 2-: hbsus pgr 200.000 pbslge.
pbflea pgetlea nlnbpbthbe pbnb hrlsls D^ bnbfbd ogrghb ybea tlnbh tgrnlbaecsls btbu tlnbh pbtud
ogekbfbel pgeacjbtbe.
:. ^ukube Obhbfbd
PGOJBDB]
BE
2. NGILEL]L
pgeleahbtbe tghbebe nbrbd bhut nbe sgrlea jgrdujueabe ngeabe agkbfb slstgolh
pgeleahbtbe tghbebe nbrbd nlbstcfg. ^lnbh bnb pbtchbe ybea bjscfut, tgtbpl
bpbjlfb tghbebe nbrbd nlbstcfg jgrbnb nbfbo rgetbea 2:0-2=0 ooDa, dbf
hbsus. Leslnge tbduebe D^ gogragesl nlpgrhlrbhbe sgjbeybh 2-: hbsus pgr 200.000 pbslge.
pbflea pgetlea nlnbpbthbe pbnb hrlsls D^ bnbfbd ogrghb ybea tlnbh tgrnlbaecsls btbu tlnbh
pbtud ogekbfbel pgeacjbtbe. Ocrtbfltbs sgfbob pgrbwbtbe nl ruobd sbhlt pbnb hrlsls D^
nlpgrhlrbhbe sgjbeybh >-1%. Beahb hgobtlbe nbfbo 2 tbdue nlbetbrb pbslge ngeabe D^
Nubpufud pgrsge pbslge dlpgrtgesl ybea nbtbea hg WAN bnbfbd pbslge dlpgrtgesl
9,1% pbnb
pgenunuh jgruslb :0-=< tbdue, ogekbnl 97% pbnb pgenunuh jgruslb nlbtbs 90 tbdue. Nbtb lel
nbrl tctbf pgenunuh =0% nlbetbrbeyb ogengrltb dlpgrtgesl nbe dboplr 2%-:% bhbe jgrfbekut
ogekbnl dlpgrtgesl hrlsls nlsgrtbl hgrusbhbe crabe tbragt. ]gjbalbe jgsbr pbslge ngeabe strchg
=. HFB]LILHB]L
Pgeleahbtbe tghbebe nbrbd slstcflh 5240 ooDa btbu nlbstclh 5 2:0 ooDa
jgrbt (5240/2:0 oo Da) nlsgrtbl juhtl hgrusbhbe jbru btbu pgrjuruhbe hgrusbhbe
crabe tbragt. Pbnb hcenlsl hflels lel tgrkbnl hgrusbhbe crabe nlpgrbetbrbl
Pgeleahbtbe tghbebe nbrbd sgpgrtl pbnb dlpgrtgesl gogragesl eboue tbepb nlsgrtbl
hgrusbhbe crabe tbragt. Pbnb hgbnbbe lel tghbebe nbrbd dbrus sgagrb nlturuehbe nbfbo :>
hflels stbjlf tbepb bnbeyb pgrujbdbe bhut btbu bembobe hgrusbhbe crabe tbragt btbu
nlsiueasl crabe. Pbnb hcenlsl lel tlnbh tgrnbpbt juhtl hflels hgrusbhbe crabe bhut
:. Eygrl nbnb.
=. Pleasbe.
7. ^bmdlpecg 5 :0/ogelt.
9. Ouhb pumbt
7. PB^CIL]LCFCAL
oleuo
sgsgcrbea tgrsgrbea
tghbebe nbrbd pbnb dlpgrtgesl, hbfbu tghbebe nbrbd sgobhle ogeleahbt, obhb
Bpbjlfb ogeuku hg ctbh obhb bhbe tgrkbnl pgeleahbtbe ^LH ybea ogeygjbjhbe
ogeurue nbe tgrkbnl lshgolh ybea ogeygjbjhbe abeaaube pgriusl tceus nbe
hcetrbhtlfltbs ybea
Pbru-pbru kuab bhbe tgrkbnl pgeleahbtbe vcfuo nbrbd pbru ybea ogeybjbjhbe
pgeuruebe ghspbesl pbru sgdleaab tgrkbnl nlpsegb nbe pgeuruebe chslagebsl ybea
ogeygjbjhbe hgfgobdbe.
Pbnb obtb bhbe tgrkbnl pgeleahbtbe tghbebe vbshufgr rgtleb sgdleaab tgrkbnl
PB^DQB\
Dlpgrtgesl
Hrlsls
Hcetrbhtlvltbs ogeleahbt Pgeuopuhbe nbrbd
^rcojcsls Pgeuruebe C: nltcfbh
Nlbpdcrgslsl
Cjstruhsl Hgnltbhgightlibe pgriusl FBGNP
kbrleabe (pgrligr)
Gojcfl
Hceagstl vgeb pufocebf
Lshgolh
Hgfgobdbe Cgngob
GHA
bhtlvltbs flstrlh kbetuea. ^gs lel ogeaauebhbe ogsle pgengtghsl lopufs flstrlh ybea
nlsgjut
GHA tlnbh ogeybhlthbe hbrgeb tbepb pgeabflrbe brus flstrlh nbe tbepb sbybtbe
jgrjbdbe pfbstlh nbe jgruhurbe hgmlf, nl nbnb, fgeabe, nbe tueahbl. Gfghtrcng
kbetuea hgounlbe nluhur nbe nlmgtbh cfgd ogsle GHA, sgrtb nlletgrprgtbsl cfgd
nchtgr sgjbabl pgeuekbea nlbaecsls.
Wrlebflsls
^gs urleg btbu urlebflsls bnbfbd pgogrlhsbbe uetuh ogeabebflsls hcenlsl ilslh, hlolbwl,
nbe olhrcshcplh urleg. ^gs urleg ogrupbhbe ogtcng nlbaecsls ybea sbeabt uouo
nlfbhuhbe nl jgrjbabl ibslfltbs hgsgdbtbe btbu fbjcrbtcrluo, hbrgeb muhup ounbd nbe
ourbd.
W]A
Wftrbscecarbil btbu ybea jlbsb nlhgebf sgjbabl W]A, ogrupbhbe tghelh ogeboplfhbe
abojbr btbu mltrb nbrl hcenlsl jbalbe nbfbo tujud. Bfbt ognls lel ogobeibbthbe
M^-]mbe
pctceabe.
Ictc Zcetage
Ictc Zcetage bnbfbd prcsgnur pgogrlhsbbe ngeabe ogeaauebhbe rbnlbsl
pbnbt sgpgrtl tufbea btbu jgsl nltboplfhbe sgjbabl brgb jgrwbreb putld, sgnbeahbe
unbrb ybea tgrnbpbt pbnb pbru-pbru bhbe tbopbh jgrwbreb dltbo, nbe abojbrbe
nbrl fgobh btbu ctct nltboplfhbe ngeabe wbreb bju-bju. Nbfbo jgjgrbpb kgels
ictc Zcetage, nlauebhbe tbojbdbe zbt pgwbreb (hcetrbs) ybea nloleuo btbu
ngtblf.
^ghbebe nbrbd tleaal tlnbh fbal ogekbnl lsu hgsgdbtbe sgrlus nl egabrb-egabrb
Jbrbt sbkb, tgtbpl kuab ogelojufhbe nbopbh pbnb sgtlbp fbplsbe obsybrbhbt, hbyb
nbe olshle, nl hctb nbe ngsb. ^ghbebe nbrbd tleaal btbu dlpgrtgesl ogeygjbjhbe
sgrbeabe
kbetuea, strchg nbe ababf alekbf. Pbrb pbhbr ogeabtbhbe, tbdue fbfu dlpgrtgesl ogekbnl
pgeygjbj >7 pgrsge hgobtlbe bhljbt sgrbeabe kbetuea nbe 72 pgrsge hgobtlbe
bhljbt strchg nl sgfurud nuelb. Pgegfltlbe tgetbea Hgsgdbtbe Crbea Ngwbsb nbe
leicrobsl tgetbea tghbebe nbrbd pbnb fgjld nbrl =7 rlju crbea nl gebo egabrb
ogopgrcfgd
pgrbwbtbe ybea fbybh btbs hcenlsleyb ltu. ^lo pgegfltl nbrl Hgfcopch Pgebsgdbt Bdfl
prgvbfgesl tghbebe nbrbd tleaal pbnb dboplr 1: pgrsge crbea ngwbsb ybea ogrghb
survgl nl Igngrbsl Zuslb. Prgvbfgesl dlpgrtgesl ybea fgjld rgenbd, tgtbpl obsld tgtbp
tleaal, tgrnbpbt nl
Mdleb nbe =: pgrsge nl Lenlb. Ogeurut survgl tgrsgjut, fgjld jbeybh pgrgopube ybea
ogfbful ]hypg, ]dbd Gjrbdlo nbrl Fcence ]mdccf ci Dyalgeg ben ^rcplmbf
tgfbd ybea
^rgen ogekbnl dbf
sunbd jlbsb
hltb nl egabrb-
hgtbdul egabrbjgrhgojbea.
sgfbob =0 btbu >0 tbdue, tgtbpl sbeabt sgnlhlt nbtb
pbstl uetuh jgebr-jgebr ogogrlhsb sgmbrb ghshfusli nbe cjkghtli bpb ybea tgrkbnl,‟ ukbr Gjrbdlo. Gjrbdlo ogeab
sgjbalbe jgsbr hbrgeb hbnbr abrbo ybea tleaal nbfbo obhbebe, cjgsltbs nbe hcesuosl
ognls, ukbr Gjrbdlo, nbopbh tghbebe nbrbd tleaal jlsb sbeabt ogrualhbe hgfubrab.
Pbnbdbf, tbojbdeyb, cjbt-cjbtbe uetuh ogeacetrcf hcenlsl lel tlnbh obdbf. ‖Cjbt-
cjbtbe ybea pbflea obdbf tgrsgnlb fubs nl egabrb-egabrb olshle. Nbe fbybebe hgsgdbtbe
ngeabe nchtgr-nchtgr swbstb mgengruea ogoprcocslhbe cjbt-cjbtbe ybea sbeabt obdbf.
pbnbdbf cjbt-cjbtbe ybea kbud fgjld ourbd sbob gightlieyb,‟ ukbreyb. ]tunl ybea
nlnbebl cfgd W] Ebtlcebf Lestltutg ce Balea lel nltgrjlthbe nbfbo Letgrebtlcebf Kcurebf ci
jgebr.
]gjubd pgegfltlbe bhbe pgebeabebe hrlsls dlpgrtgesl ogeuekuhbe jbdwb hbsus
hrlsls dlpgrtgesl jgrhlsbr betbrb 2% nbrl tctbf huekueabe LAN sgfbob = jufbe.
^btbfbhsbeb ybea nljgrlhbe pbflea jbeybh ngeabe letrbvgeb, ogshl cjbt crbf kuab
turut nljgrlhbe. Dbf lel ogeaabojbrhbe jbdwb plfldbe tgrbpl pbnb hbsus hrlsls
dlpgrtgesl jgfuo ogolflhl stbenbr hdusus, obsld ogeabenbfhbe hgjlbsbbe,
pgeabfbobe, nbe hgobopube sgcrbea nchtgr.
Cfgd hbrgeb ltu, nchtgr pbnb pgebeabebe hbsus hrlsls dlpgrtgesl nloletb
uetuh obopu ogeagvbfubsl pgrujbdbe tghbebe nbrbd ybea tgrkbnl,
ogeahfbslilhbslhbe ngeabe
jgebr tgrobsuh hg nbfbo dlpgrtgesl ybea obeb, ogeagebfl hgoueahlebe tgrkbnleyb
pgrjuruhbe nbe sgjgrbpb bargsli wbhtu nbfbo pgebtbfbhsbebbe ybea dbrus
nljgrlhbe, dleaab hgputusbe ogoufbeahbe pbslge pbnb hbsus hrlsls dlpgrtgesl.
Gnuhbsl
Pbslge ybea sunbd pgrebd ogeabfbol hrlsls dlpgrtgesl dbrus nlgnuhbsl ngeabe jblh
babr tlnbh tgrkbnl rghurgesl btbu jbdhbe ogeabfbol pgrjuruhbe pbnb hbsus
ybea sunbd ogeabfbol hgrusbhbe tbragt crabe (Dlpgrtgesl gogragesl)
Jgrlhut bnbfbd jgjgrbpb dbf ybea nbpbt nlgnuhbslhbe hgpbnb pbslge
ngeabe hrlsls dlpgrtgesl.
Hcetrcf tgrbtur, ybltu ngeabe ogogrlhsbhbe tghbebe nbrbd sgmbrb rutle nbe
hcetrcf rutle hg nchtgr jbal ybea ogeabfbol hcopflhbsl btbu hgrusbhbe pbnb tbragt
crabeeyb.
^lnbh ogeadgetlhbe pgeacjbtbe betl dlpgrtgesl nbe ogoleuoeyb sgsubl
agkbfb- agkbfb ybea ogeabrbd hg hrlsls dlpgrtgesl btbu pgrjuruhbe nbrl hgrusbhbe
crabe, sgpgrtl sbhlt hgpbfb, eygrl nbnb dgjbt, sgsbh ebpbs, gngob, dleaab pgeuruebe
hgsbnbrbe.
Ogekbab nlgt ngeabe nlgt rgenbd abrbo nbe ogeaurbeal obhbebe jgrfgobh
2. oleuo cjbt sgmbrb tgrbtur sgsubl ngeabe pgtuekuh ybea sunbd nlbekurhbe
sgrtb ogopgrdbtlhbe 7 jgebr, ybltu; Jgebr ebob, jgebr wbhtu, jgebr mbrb
obsuh,jgebr cjbt,jgebr ncsls.
=. fbhuhbe bhtlvltbs sgmbrb jgrtbdbp sgpgrtl obenl ngeabe sghb hgounlbe klhb
Obhbe > sgdbt 7 sgopureb eboue ngeabe rgenbd abrbo nbe rgenbd hcfgstrcf sgrtb
Wsbdbhbe uetuh nbpbt ogopgrtbdbehbe jgrbt jbnbe ybea lngbf ( mgabd hgagouhbe )
Wsbdbhbe tlnur eygeybh olelobf 9 kbo sgdbrl babr ogrgnbo strgss, btbu tlnur sgou
JBJ LLL
B]WDBE HGPGZBQB^BE
Hbsus
Ey. A (72 tbdue) nlrbwbt nl rubea LMW hbrgeb pgeuruebe hgsbnbrbe. Hgfubrab pbslge
ogeabtbhbe 21 kbo sgjgfuo obsuh Z], pbslge ogrbsbhbe eygrl hgpbfb dgjbt nlsgrtbl
tghbebe nbrbd ybea ogeleahbt sgmbrb mgpbt. Hgfudbe nlsgrtbl ngeabe ouetbd sgjbeybh =
hbfl. Hgfubrab
ogeabtbhbe pbslge ogolflhl rlwbybt dlpgrtgesl nbe pgeybhlt kbetuea mcrcegr. Hgfubrab kuab
ogeabtbhbe pbslge mgengruea suflt obhbe
Dbslf pgeahbklbe ogeuekuhhbe ; AM] . Hgsbnbrbe spccr.
^grnbpbt
pgeuopuhbe sgmrgt jgrwbreb huelea hgmchfbtbe. Bushutbsl pbru ; rcemdl pbnb fbpbea pbru
hbebe nbe hlrl. Puplf ; Hbebe =+/ Hlrl :+. Zgipgfhs Jbjleshl + (ghstgescr). ^grnbpbt lrltbsl
pbnb jljlr,
B. Pgeahbklbe
2. Lngetltbs Pbslge
Ebob ; Ey. A
Wslb ; 7 2 ^ bdue
Kgels Hgfbole ; Pgrgopube
Pghgrkbbe ; ^lnbh jghgrkb
Bfbobt ; Kf. Hrbobt Kbyb 7 Ec. :
]uhu/ Jbeasb ; Kbwb
^beaabf Obsuh Z] ; :9 sgptgojgr :0:0
^beaabf Pgeahbklbe ; :9 sgptgojgr :0:0
Ec Zghbo Ognls ; 20:0:124
Nlbaecsb Ognls ;
Dlpgrtgesl
LEnbgoetbltbs Pgebeaauea;
^Kbew. Bbj Wour ; 7>
^ bdue Duj. Ngeabe Pbslge
; ]ubol
Zlwbybt Hgsgdbtbe
Hgfudbe utbob
Pbslge ogrbsbhbe eygrl hgpbfb dgjbt, nlsgrtbl tghbebe nbrbd ybea ogeleahbt sgmbrb mgpbt.
Hgfudbe nlsgrtbl ngeabe ouetbd sgjbeybh = hbfl.
mcrcegr.
Zlwbybt Pgeybhlt sghbrbea
Dleaab sbbt lel obsld ogolflhl rlwbybt dlpgrtgesl nbe pgeybhlt kbetuea mcrcegr.
dlpgrtgesl
:. Prlobry ]urvgy
b) Blrwby
j) Jrgbtdlea
m) Mlrmufbtlce
Hgbnbbe slrhufbsl
Pgrnbrbdbe (letgrebf/ghstgrebf) ; jljlr jgrnbrbd
Ebnl Zbnlbf/mbrctls ; ^grbjb
Bhrbf P grligr ; D beabt
Pufsg ; << x/ogelt
Jfccn P rgbsurg ; 2 9</<7ooDa
]lbecsls ;-
n) Nlsbjlflty
Pgogrlhsbbe Egurcfcals
AM] ;
^leahbt H gsbnbrbe ; ] pccr
Zgifghs bjleshl ; ( ghstgescr).
J +
Puplf ; Hbebe =+/ hlrl :+
g) Gxpcsurg
=. Pgogrlhsbbe Ilslh
b. ^benb-tbenb Yltbf
2) ^ghbebe Nbrbd
]lstcflh ; 29< ooDa
Nlbstcflh ; <7 ooDa
OBP ; 2 :0 o oDa
:) Dgrbt Zbtg ; <<x/ogelt
=) Zgsplrbsl ; ::x/ogelt
>) ]udu ;=4 M
7) Elfbl MPC^ ; Pbslge ogeagfud eygrl jgrbt. Elfbl ? 9
Ogrleals :
Pgrflenueabe 2 2
Agflsbd :
= Hgsgsublbe ngeabe vgetlfbsl Nbpbt ogetcfgrbesl 0
oghbelh
Jbtuh, tbpl nbpbt2
2
ogetcfgrbesl
Iladtlea vgetlfbtcr :
^ctbf shcr 9
Nlbaecsls fb le ^lnbh ? 0 27
\b ? 27
^ceahbt hgtlbh
(mrutmd), tceahbt
(mbeg), bfbt jbetu
jgrkbfbe (wbfhgr) ?
27
Iureltur ? =0
LY/ D gpbrle F cmh ^lnbh ? 0 :0
\b ? :0
Fgobd ? 20
^grabeaau ? :0
Fupb hgtgrjbtbsbe ?
27
^C^BF ]H 70
CZ
7. Pgebtbfbhsbebbe Ognls
Ygetlfbtcr
Ocng ; ] LOY ( P]+PM)
^rlagr ;-
^lnbf Ycfuog ; >70 oF
IlC: ; 7 0%
PM ; 27
P] ; 27
PGGP ; 7 mo
L;G Zbslc ; 2 ;
: ZZ sgttlea 20
2x70 oa Crbf
Dynrcmdfcrctdlbzl
n
=x27 Crbf
mm
Crbf
=x0,27
oma
]uhrbfibt
Ledbfbsl
=xsgdbrl
Mfcelnleg
LY
:x2 ar
LY
Mcojlvget
:x>0
oa
LY
:x:70
oa
acfceab tueahbl, kbetuea huflt
LY e jgrngjbr
]bhlt hgpbfb,
Ogeadbo sgibfcs
puslea, oubf,
jbt pcrle Jgeahb
jbtuh,
rgsgptcr b uetuh h
ouetbd, oufut
ealctgesl ogeabt
hgrlea, agogtbr
LL bsl pbnb
uetuh oge leighsl hgnub
uruehbe jbeht
Oubf,
tghbebe grl tueahbl, ouetbd, sbhlt
nbrbd pbnb pgeleahb pgrut,
tujud tbe nlbrg,
fgobh trla sbhlt hgpbfb
flsgrlnb
]gjbabl nbfbo nbrbd,
nlurgtlm puslea,
uetuh oge dlpgrurlsg
abtbsl olb, oubf
dlpgrtgesl
]bhlt
hgpbfb,
abeaaube
Wetuh sgf
nbrbd,
ogemagca eygrl
jbbdtl jbalbe btbs
pgrut,
nbe
dlpgrhbfs
tuhbh
golb,
fbojuea
sgrtb
dlpchebftgrgoolblb,
ufhus
nucngeuo
Hcestlpb
sl, sbhlt
Wetuh ogeage
hgpbfb,
bflhbe
puslea,
tghbebe
nlbrg,
nbrbd tleaal
oubf nbe
ouetbd
Ogrgnbhb
e Oufut
pgeygoplt hgrlea,
be
sbhlt
sbfurbe
hgpbfb,
pgrebpbs
be agflsbd,
puslea,
abeaaube
Betljlctlm pbnb
Wetuh
ogeabtbsl Dlpchbfgolb,
=x700 oa LY abeaaube nlbrg, eygrl
fbojuea pgrut, sbhlt
hgpbfb
Wetuh
ogeleahbthbe Lescoelb, sbhlt
Cogprbzcf bflrbe nbrbd hgpbfb, nlbrg,
nbe hcesuosl oubf, sbhlt
=x2 ar LY chslage nl ctbh jbalbe nbnb
Cjbt nlurgtlm
Mltlmcfle uetuh ogeaurb ]bhlt
eal hgpbfb,
tghbebe oubf, ouetbd,
nbfbo hgpbfb eygrl
(letrbhrbelbf) tgeaacrchbe,
dlnuea
tgrsuojbt, sgsbh
W e t u h
o ge a u r
Obeltcf ebpbs
beal nbe
ogeadgetlhb ]bhlt
e hgpbfb, eygrl
pgrnbrbdbe ctct nbe sgenl,
dlnuea
tgrsuojbt, eygrl
pgrut nbe
pueaauea, oubf
Bsbo trbeghsbobt ouetbd,
Wetuh
pgeurue nlbrg, olarbleg,
ngobe puslea
nbe ]bhlt
pgrgnb eygrl tgeaacrchbe,
sbrlbwbe,
eygrl
pueaauea, urle
jgrwbreb
hgrud, tujud
Pbrbmgtbocf
tgrbsb fgobd
J. Nbtb Ichus
^^Y ;
pbslge mgengruea
suflt obhbe
^N ;29</<7 ooDa
DZ ; <c<x/ogelt
] ; =4 M
ZZ ; ::x/ogelt
M. Bebflsb Nbtb
Nbtb Gtlcfcal Obsbfbd
N] ;
^N ;29</<7 ooDa
DZ ; <<x/ogelt
Pgeahbklbe eygrl ngeabe
MPC^; 9 OBP; 2:0
Pgojgrlbe tgrbpl; Pbrbmgtbocf =x2 ar
N] ;
^N ;29</<7 ooDa
DZ ; <<x/ogelt
] ; =4cM
ZZ ; ::x/ogelt
OBP; 2:0
MYP; 2:
Bnbeyb nlstgesl vgeb kuaufbrls
Bushuftbsl kbetuea; Bnbeyb jueyl tbojbdbe
(]=)
Pgojgrlbe ^grbpl Crbf; Bofcnlpleg 2x20 oa,
Mbengrsbrtbe 2x29 oa,
Dynrcmdfcrctdlbzln 2x70 oa, ]uhrbfibt
=x27 MT, Mfcelnleg
=x0,27 oma
N];
DZ ; <<x/ogelt
OBP; 2:0 MYP; 2:
Bnbeyb nlstgesl vgeb kuaufbrls
Pgojgrlbe ^grbpl Crbf; Mltlmcfle :x:70 oa, Obeltcf :x2:7 mm
N]; -
NC;
AM] ; G2 O: YG^^ hgsbnbrbe scpcr
^grnbpbt pgeuopuhbe sghrgt jgrwbreb huelea hgmchfbtbe
Bushuftbsl pbru; rcehdl pbnb fbpbea pbru hbebe nbe hlrl
Ce vgetlfbtcr ngeabe ocng ]LOY (P]+PM) PGGP 7mo D:C
ZZ sgttlea 20 IlC: ; 70% P] 27, PM 27
L ; G rbslc 2 ; : Dlpgrsghrgsl Kbfbe Ebibs (Pgeuopuhbe
DZ ; <<x/ogelt ZZ ; ::x/ogelt ]gmrgt) Hgtlnbhgightlibe
Egjuflzgr ; mcojlvget
Jgrsldbe Kbfbe Ebibs
N. Nlbaecsb Hgpgrbwbtbe
G. Letgrvgesl Hgpgrbwbtbe
EcNlbaecsb^ukube nbe Hrltgrlb Dbslf (ECM) Letgrvgesl (ELM)
2. Eygrl bhut ]hgptgfrbbdw btnblefb shgufhbboeb =t lTen b:h>b keb o,b soubdhbbeO2.Fbeygrl
behbukgohbeg
jgrdujueabe
ngeabe bages nlnbpbthbe dbslf ; hcoprgdgesli
mgngrb jlcfcal :.^getuhbe bhljbt nbrl
2. ^leahbt eygrl ; pgeabfbobe eygrl
Eygrl ybea nlfbpcrhbe
tgrdbnbp hubfltbs
nltleahbthbe nbrl sgnbea hg rleabe dlnup
(shbfb 2-:) pbslge (olsbfeyb tlnur,
Irghugesl ebibs ecrobf (29-:0 ebisu obhbe).
=.Nuhuea lstlrbdbt/tlnur
xE/bongl eelct)robf (90-200x/ogelt) ybea bnghubt
^ghbebe nbrbd ecrobf (220/10-
uetuh ogojbetu
2:0/40 ooDa) pgeuruebe eygrl.
:. ]tbtus Hgeybobebe ; ilslh >.Pbstlhbe pgrbwbtbe bebfagslh
Pcslsl ybea eybobe jbal pbslge nlfbhuhbe ngeabe
pgobetbube ybea hgtbt
]udu tujud ecrobf (=9,7-=1,7)
pgrgsgpbe bebfagslh
nbrl sgnbea ogekbnl rleabe
Pgojgrlbe Bebfagslh
Abeaaube
pgragrbhbe
ilslh nltleahbthbe nbrl sgnbea hg
2. ^getuhbe fchbsl,
rleabe
hbrbhtgrlstlh, hubfltbs,
nbe hgpbrbdbe eygrl
sgjgfuo
oge ac j b tl p b s lg e
:. M g h p g rl e tb d
pgeacjbtbe ogflputl cjbt,
ncsls, ngeabe irghugesl
cjbt bebfagslh ybea
nlrgsgphbe.
hgrbtle pfbsob nbfbo jbtbs
ecrobf
=. Ogeuekuhhbe
: Pgeuruebe ]gtgfbd nlfbhuhbe letgrvgesl pgeleahbtbe tcfgrbesl
murbd hgpgrbwbtbe sgfbob = x :> kbo, tgrdbnbp bhtlvltbs ilslh (ols.
kbetuea j.n nldbrbphbe Pgeuruebe murbd kbetuea ^lnbh ogeabfbol nlspegb,
j.n dlpgrtgesl pbslge nbpbt tgrbtbsl eygrl nbnb, btbu slehcpg)
Ybschcetrlhsl
ngeabe hrltgrlb; >. ^lnbh bnb tbenb nbe
agkbfb
Pgojufud
Nbrbd pgrjuruhbe hcenlsl ybea
2. Lenghs kbetuea nbe irbhsl
gkghsl nbfbo jbtbs ecrobf nbpbt nlfbpcrhbe
:. Dbfubrbe urleg, jgrbt kgels
urleg,
jfccn urgb eltrcage (JWE) nbe
=. e nchtgr ogeybeahut
pbrbogtgr pgojgrlbe btbu
Nchuogetbslhbe
rgspce tgrdbnbp
bebfagslh nbe
bnbeyb gigh
sboplea.
2. Hbkl nbe
nchuogetbsl
hbe
tghbebe
nbrbd,
bnbeyb
slbecsls,
stbtus
pgrebpbsbe
, nbe stbtus
ogetbf
:. Pbetbu tbenb
hgfgjldbe
mblrbe
(ols.
Gngob
ngpgenge
,
hgeblhbe
jgrbt
jbnbe)
=. Hbkl tcfgrbesl
bhtliltbs
pbslge
ngeabe
ogogrdbtlhb
e bnbeyb
bwltbe
ebpbs
pgengh,
eygrl,
pbfpltbsl, btbu
flojuea
>. Gvbfubsl
rgspce
pslge
tgrdbnb
p tgrbpl
chslage
7. Hbkl
hgrusbhbe
hcaeltli
9. Hcesu
ftbslhb
e
ngeab
pgeadgetlbe cjbt tghbebe
nbrbd
1. Jgrlhbe nbe tltrbslhbe
cjbt betlbrltolb, lectrcplh,
eltrcaflsgrle,nbe
vbscnlfbtcr uetuh
ogopgrtbdbehbe
hcetrbhtlfltbs, prgfcbn,
nbe bitgrfcbn sgsubl
ngeabe
prcarbo ognls btbu
prctcmcf
4. Jgrlhbe betlhcbaufbe
uetuh ogemgabd
pgojgetuhbe
tdrcojus pgrligr, sgsubl
ngeabe prcarbo btbu
prctcmcf
<. Pgrtbdbehbe
pbrbogtgr
dgocnlebolh
20. Pcslslhbe hgpbfb 0-
>7c tgrabetuea pbnb
hceslsl pbslge nbe crngr ognls
>.
]gtgfbd nlfbhuhbe letgrvgesl ]umtlce kbfbe ebibs
hgpgrbwbtbe sgfbob = x :> Bushuftbsl subrb
Hgtlnbhgightl kbo, nldbrbphbe hgtlnbhgightlvbe pgrebibsbe sgjgfuo
i be kbfbe ebibs pbslge nbpbt tgrbtbsl nbe sgtgfbd
jgrsldbe ngeabe hrltgrlb; sumtlce
kbfbe ]tbtus pgrebibsbe; vgetlfbsl
ngeabe
dlpgrsghrgsl
kbfbe ebibs
(pgeuopuhbe bwbf tukube Pgrletbdhbe pbslge
sghrgt) Ec uetuh sbetbl nbe jgrebibs
2 Zltog : = sgpgrtl
jlbsb
dlpgrrgscebe Mbtbt tlpg nbe kuofbd
Ogeaauebhbe prleslp stgrlf
pgrebibsbe
:
= ]ubrb pgrhusl; :: >
> nbfbo sumtlce
sghrgt
]gsbh e bibs Bhuoufbsl Oceltcr
stbtus chslage
> sputuo : = pbslge
]ubrb bushuftbsl Bekurhbe
pbslge
7 bjecrobf; : >
pgrebibsbe
ogeaauebhbe nlbirbaob
Bkbrhbe pbslge
ogeaauebhbe pgrebibsbe nlbirbaob
2.Hgfudbe ghstrlo
:.Hgfudbe jgrbt
=.Hgfudbe sgnbea
>.Hgfudbe rleabe
7.^lnbh bnb hgfudbe
NBI^BZ PW]^BHB
Jbaus, L. (:021). Dlpgrtgesl Gogragesl nbe Wragesl, 2”2:.
dttps;//www.bfcognlhb.mco/pgeybhlt/hbrnlcfcal/hrlsls-dlpgrtgesl/gnuhbsl-prcohgs
Ngvlmbgsbrlb, B. (:02>). Dlpgrtgesl Hrlsls. Ognlmleus, :1( =), <”21.
dttps;//sbles.hcopbs.mco/rgbn/:02>/0:/2</207>749/Dlpgrtgesl.Kbnl.Obsbfbd.]grlus.Nuel
b