Laporan Pendahuluan

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af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
pard \plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 JURUSAN KEPERAWATAN }{\
langfenp1033 \par }\pard \plain \qc \li0 \ri0 \lisb0 \sa160 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \
af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\b1 \
langfenp1033 POLTEKKES KEMENKES SEMARANG}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0 \
langnp1057 \langfe1033 \langfenp1033 201}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0
\lang1057 \langnp1057 \langfe1033 \langfenp1033 9}{\b1 \fs24 \dbch \af2 \hich \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \
s16 \qj \fi-349 \li709 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin709 \rin0 \itap0 \ls1 \fs22 \dbch \af2 \hich \af0
\loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \
plain \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f2 I.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 SECTIO CAESAREA}{\b1 \fs24 \dbch \af2 \hich \
s16 \qj \fi-77 \li786 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin786 \rin0 \tql \tx1134 \itap0 \ls2 \fs22 \dbch \
af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Definisi}{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \s16 \qj \fi654 \li1134 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \fs22 \dbch \af2 \
hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \
af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sectio
caesaria adalah suatu persalinan buatan dimana janin dilahirkan melalui suatu
insisi pada dinding depan perut dan dinding rahim dengan syarat rahim dalam keadaan
utuh serta berat janin di atas 500 gram (Sarwono, 2009)}{\fs24 \dbch \af2 \hich \
s16 \qj \fi720 \li1134 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sectio Caesaria ialah
tindakan untuk melahirkan janin dengan berat badan diatas 500 gram melalui sayatan
pada dinding uterus yang utuh (Gulardi & Wiknjosastro, 2006)}{\fs24 \dbch \af2 \
plain \s16 \qj \fi-77 \li786 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin786 \rin0 \tql \tx1134 \itap0 \ls2 \fs22 \dbch \
langnp1057 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Indikasi SC :}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \
plain \qj \fi720 \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 Indikasi klasik yang dapat dikemukakan sebagai dasar section
caesarea adalah:}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi-295 \li1429 \ri0 \lisb0 \
sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1429 \rin0
\itap0 \ls3 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \
loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \
dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033
Prolog labour sampai neglected labour.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi-
295 \li1429 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1429 \rin0 \itap0 \ls3 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \
dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2
2.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Ruptura uteri imminen}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi-295 \li1429 \
lin1429 \rin0 \itap0 \ls3 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich
\af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 3.\tab }{\
langfenp1033 Fetal distress}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi-295 \li1429 \
langfenp1033 Janin besar melebihi 4000 gr}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
langfenp1033 Perdarahan antepartum}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi709 \li0 \ri0 \
lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \
rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
langnp1057 \langfe1033 \langfenp1033 (Manuaba, I.B, 2001)}{\fs24 \
}\pard \plain \qj \fi720 \li1276 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1276 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sedangkan indikasi
yang menambah tingginya angka persalinan dengan sectio adalah :}{\fs24 \dbch \af2 \
plain \qj \fi1134 \li0 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha
\aspnum \adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 1. Malpersentasi janin}{\fs24 \
}\pard \plain \qj \fi273 \li1134 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 a) Letak lintang}{\
langfenp1033 \par }\pard \plain \qj \fi447 \li1701 \ri0 \lisb0 \sa160 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \
langfenp1033 Bila terjadi kesempitan panggul, maka sectio caesarea adalah
jalan/cara yang terbaik dalam melahirkan janin dengan segala letak lintang yang
janinnya hidup dan besarnya biasa. Semua primigravida dengan letak lintang harus
ditolong dengan sectio caesarea walaupun tidak ada perkiraan panggul sempit.
Multipara dengan letak lintang dapat lebih dulu ditolong dengan cara lain.}{\fs24 \
}\pard \plain \qj \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 b) Letak belakang}{\
langfenp1033 \par }\pard \plain \qj \fi720 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
Sectio caesarea disarankan atau dianjurkan pada letak belakang bila panggul sempit,
primigravida, janin besar dan berharga.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
1)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Plasenta previa sentralis dan lateralis}{\fs24 \dbch \af2 \hich \af0 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \
qj \fi-284 \li1985 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin1985 \rin0 \itap0 \ls4 \fs22 \dbch \af2 \hich \af0 \loch \
af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \fs22 \
langfenp1033 Presentasi lengkap bila reposisi tidak berhasil.}{\fs24 \dbch \af2 \
plain \s16 \qj \fi-284 \li1985 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1985 \rin0 \itap0 \ls4 \fs22 \dbch \af2 \hich \
af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \
plain \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \f2 3)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Gemeli menurut Eastman, sectio cesarea
dianjurkan bila janin pertama letak lintang atau presentasi bahu, bila terjadi
interior (looking of the twins), distosia karena tumor, gawat janin dan
sebagainya.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 4)\tab }{\fs24 \
Partus lama}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
Partus tidak maju}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 Pre-eklamsia dan hipertensi}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \
qj \fi-284 \li1985 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
langfenp1033 Distosia serviks}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi-77 \li786 \ri0
\lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin786 \rin0 \tql \tx1134 \itap0 \ls2 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
c.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Jenis - Jenis}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi54 \li1080 \ri0
langfenp1033 Sectio cesaria transperitonealis profunda}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi720 \li1418 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sectio cesaria transperitonealis
propunda dengan insisi di segmen bawah uterus. insisi pada bawah rahim, bisa dengan
teknik melintang atau memanjang. Keunggulan pembedahan ini adalah:}{\fs24 \dbch \
pard \plain \s16 \qj \fi-283 \li1701 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin1701 \rin0 \itap0 \ls6 \ilvl1 \fs22 \
langnp1057 \langfe1033 \langfenp1033 \f2 a)\tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pendarahan luka insisi tidak
seberapa banyak.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
\itap0 \ls6 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 b)\tab }{\fs24 \
Bahaya peritonitis tidak besar.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
lin1701 \rin0 \itap0 \ls6 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
\af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 c)\tab }{\
langfenp1033 Perut uterus umumnya kuat sehingga bahaya ruptur uteri dikemudian hari
tidak besar karena pada nifas segmen bawah uterus tidak seberapa banyak mengalami
kontraksi seperti korpus uteri sehingga luka dapat sembuh lebih sempurna.}{\fs24 \
}\pard \plain \s16 \qj \fi196 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \tql \tx1418 \tql \tx1560 \
itap0 \ls5 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033
\langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af5 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 2.\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sectio cacaria
klasik atau section cecaria korporal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi567 \
li1701 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1701 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pada cectio cacaria klasik ini
di buat kepada korpus uteri, pembedahan ini yang agak mudah dilakukan,hanya di
selenggarakan apabila ada halangan untuk melakukan section cacaria
transperitonealis profunda. Insisi memanjang pada segmen atas uterus.}{\fs24 \
}\pard \plain \s16 \qj \fi196 \li1080 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin1080 \rin0 \tql \tx1560 \itap0 \ls5 \
langfenp1033 {\listtext \pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af5 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Sectio cacaria
ekstra peritoneal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi720 \li1560 \ri0 \lisb0 \sa0 \
lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin1560 \rin0 \
itap0 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \
langfe1033 \langfenp1033 Section cacaria eksrta peritoneal dahulu di lakukan untuk
mengurangi bahaya injeksi perporal akan tetapi dengan kemajuan pengobatan terhadap
injeksi pembedahan ini sekarang tidak banyak lagi di lakukan. Rongga peritoneum tak
dibuka, dilakukan pada pasien infeksi uterin berat.}{\fs24 \dbch \af2 \hich \af0 \
qj \fi283 \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin993 \rin0 \tql \tx1418 \tql \tx1701 \itap0 \ls5 \fs22 \dbch
\af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
langnp1057 \langfe1033 \langfenp1033 \f2 4.\tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Section cesaria Hysteroctomi}{\
langfenp1033 \par }\pard \plain \qj \fi709 \li993 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
langfenp1033 Setelah sectio cesaria, dilakukan hysteroktomy dengan indikasi:}{\fs24
par }\pard \plain \s16 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0 \lisa0 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0 \itap0 \ls7 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 a)\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Atonia uteri}{\
langfenp1033 \par }\pard \plain \s16 \qj \fi-360 \li2127 \ri0 \lisb0 \sa0 \lisa0 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin2127 \rin0 \itap0 \ls7
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 b)\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Plasenta
accrete}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 c)\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Myoma uteri}{\
lang1057
\langnp1057 \langfe1033 \langfenp1033 \f2 d)\tab }{\fs24 \dbch \af2 \hich \af0 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Infeksi intra uteri berat}
{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \s16 \qj \li426 \ri0 \lisb0 \sa160 \lisa0 \sl360 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \
ls1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 II.\tab }{\b1 \fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 PATHWAY
( terlampir)}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin426 \
rin0 \itap0 \ls1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 III.\tab }{\b1 \
langfenp1033 DIAGNOSA KEPERAWATAN}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \
fi1004 \li426 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Diagnosa yang muncul pada anak
dengan kasus Appendisitis berdasarkan rumusan diagnosa keperawatan menurut NANDA
(2017) antara lain}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi0 \li426 \ri0 \sb100 \
lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \
a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Pre Operasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin1134 \rin0 \itap0 \ls8 \ilvl1 \fs22 \dbch \af2 \
hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \
pard \plain \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Nyeri akut berhubungan dengan agen
cedera biologis (tonsilitis)}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Resiko kekurangan volume cairan}{\
langfenp1033 \par }\pard \plain \s16 \qj \fi-450 \li1134 \ri0 \sb100 \lisb0 \
sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
adjustright \lin1134 \rin0 \itap0 \ls8 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \
langfenp1033 Ansietas berhubungan dengan ancaman status kesehatan saat ini}{\fs24 \
}\pard \plain \s16 \qj \fi-284 \li709 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \
saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin709 \rin0 \
itap0 \ls8 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Intra Operasi}
langfenp1033 Resiko penurunan COP.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi-426 \li1134 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Rsiko perdarah}{\fs24 \dbch \af2 \
plain \s16 \qj \fi-426 \li1134 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \
\ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Resiko Infeksi}
langfenp1033 Hipotermi berhubungan dengan lingkungan sekitar yang bersuhu rendah}{\
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 c.\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Post Operasi}{\
langfenp1033 \par }\pard \plain \s16 \qj \fi-567 \li1276 \ri0 \lisb0 \sa200 \
itap0 \ls8 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 1.\tab }{\fs24 \
Nyeri akut berhubungan dengan agen fisik luka insisi post op}{\fs24 \dbch \af2 \
plain \s16 \qj \fi-567 \li1276 \ri0 \lisb0 \sa200 \lisa0 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin1276 \rin0 \itap0 \ls8 \ilvl1 \fs22 \dbch \af2 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Resiko infeksi}{\fs24 \dbch \af2 \
plain \s16 \fi-567 \li1276 \ri0 \lisb0 \sa200 \lisa0 \sl276 \slmult1 \widctlpar \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Resiko cedera : jatuh b.d proses
pemindahan pasien}{\fs24
par }\pard \plain \s16 \qj \li720 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin720 \rin0 \itap0 \fs22 \dbch \af2 \
hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \
pard \plain \s16 \qj \fi-426 \li426 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin426 \rin0 \itap0 \ls1 \fs22 \dbch \af2
\hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \
langfe1033 \langfenp1033 \f2 IV.\tab }{\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 INTERVENSI}{\b1 \fs24 \dbch \af2 \
plain \s16 \qj \fi284 \li142 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 a.\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Pre Operasi}{\
langfenp1033 Dx I. Nyeri akut berhubungan dengan agen biologis (Tonsilitis)}{\
langfenp1033 \par }\trowd \trql \trgaph0 \trleft243 \trbrdrt \brdrs \brdrw10 \
trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \
trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx3556 \clvertalt \clbrdrl \
brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \
brdrw10 \cltxlrtb \cellx6888 \pard \plain \qj \fi-1260 \li1296 \ri0 \sb100 \lisb0 \
adjustright \lin1296 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan : Nyeri dapat berkurang
atau hilang.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0 \sb100 \lisb0 \sa100 \
lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Kriteria Hasil :}{\fs24 \dbch \af2 \
plain \qj \fi-360 \li396 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \
sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin396 \rin0 \intbl \
itap1 \ls11 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
Nyeri berkurang}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-360 \li396 \ri0 \sb100 \lisb0 \
adjustright \lin396 \rin0 \intbl \itap1 \ls11 \fs22 \dbch \af2 \hich \af0 \loch \
langfenp1033 Ekspresi nyeri lisan atau pada wajah}{\fs24 \dbch \af2 \hich \af0 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
fi-360 \li396 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin396 \rin0 \intbl \itap1 \ls11 \fs22 \
langnp1057 \langfe1033 \langfenp1033 \f2 3)\tab }{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kegelisahan atau
keteganganotot}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfenp1033 Mempertahankan tingkat nyeri pada skala 0-10.}{\fs24 \dbch \af2 \
Menunjukkan teknik relaksasi yang efektif untuk mencapai kenyamanan}{\fs24 \dbch \
af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\
pard \plain \qj \li0 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \
langfenp1033 Intervensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-425 \li425 \ri0 \
sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \
aspnum \adjustright \lin425 \rin0 \intbl \itap1 \ls12 \fs22 \dbch \af2 \hich \af0 \
loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\listtext \pard \plain \
langnp1057 \langfe1033 \langfenp1033 Lakukan pengkajian nyeri, secara komprhensif
meliputi lokasi, keparahan, factor presipitasinya.}{\fs24 \dbch \af2 \hich \af0 \
widctlpar \aspalpha \aspnum \adjustright \lin334 \rin0 \intbl \itap1 \fs22 \dbch \
dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 R :
mengetahui kondisi nyeri yang dirasakan pasien}{\fs24 \dbch \af2 \hich \af0 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-425 \
li425 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar
\aspalpha \aspnum \adjustright \lin425 \rin0 \intbl \itap1 \ls12 \fs22 \dbch \af2 \
langfe1033 \langfenp1033 \f2 2)\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Observasi ketidaknyamanan non
verbal.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \fi-425 \li476 \ri0 \sb100 \lisb0 \sa100 \lisa0
\sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin476
\rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
langnp1057 \langfe1033 \langfenp1033 R : Mengetahui skala nyeri yang dirasakaln
pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
\rin0 \intbl \itap1 \ls12 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
\af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 3)\tab }{\
langfenp1033 Gunakan pendekatan yang positif terhadap pasien, hadir dekat pasien
untuk memenuhi
kebutuhan rasa nyamannya dengan cara: masase, perubahan posisi, berikan perawatan
yang tidak terburu-buru.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
aspnum \adjustright \lin476 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \
af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \hich \af0 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 R : Memberikan kenyaman
untuk meredakan nyeri pada pasien scara nonfarmakologi}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kendalikan factor lingkungan
yang dapat mempengaruhi respon pasien terhadap ketidaknyamanan.}{\fs24 \dbch \af2 \
langfe1033 \langfenp1033 R : Memberikan kenyaman untuk meredakan nyeri pada pasien
scara nonfarmakologi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfenp1033 Anjurkan pasien untuk istirahat.}{\fs24 \dbch \af2 \hich \af0 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-356 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Libatkan keluarga dalam pengendalian
nyeri pada anak.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 R : Memberikan kenyaman untuk
meredakan nyeri pada pasien scara nonfarmakologi}{\fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-
356 \li356 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kolaborasi medis dalam
pemberian analgesic.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 R : Memberikan kenyaman untuk
meredakan nyeri pada pasien scara farmakologi}{\fs24 \dbch \af2 \hich \af0 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0
\sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \
aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0
\loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \
plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft243 \
trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \
trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \
trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \
trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \
clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb
\cellx3556 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6888 \row }\pard \plain \
s16 \qj \fi-465 \li426 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \
ilvl2 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Dx II. Resiko
kekurangan volume cairan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0 \trleft243 \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6888 \pard \plain \qj \
li0 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan :
Setelah dilakukan tindakan keperawatan diharapkan }{\fs24 \dbch \af2 \hich \af0 \
Kriteria Hasil :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfenp1033 Mempertahankan urine output }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-360 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Tidak ada tanda-tanda dehidrasi}{\
langfenp1033 Tanda-tanda vital dalam batas normal.}{\fs24 \dbch \af2 \hich \af0 \
\aspalpha \aspnum \adjustright
\lin396 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \fi-296 \
\aspalpha \aspnum \adjustright \lin296 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \
af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Intervensi}{\
langfenp1033 Pertahankan catat intake danoutput yang akurat}{\fs24 \dbch \af2 \hich
\af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \
qj \li0 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \
widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0 \intbl \itap1 \fs22 \dbch \af2
\hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
mengatuhi balance cairan }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Monitor status hidrasi}{\fs24 \dbch \af2 \hich
qj \li0 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \
\hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
memonitor tanda-tanda dehidrasi.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \
intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft243 \trbrdrt \brdrs \brdrw10
\trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh
\brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \
trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \
clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \
brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx3595 \clvertalt \clbrdrl \brdrs \
brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \
brdrw10 \cltxlrtb \cellx6888 \row }\pard \plain \s16 \qj \li426 \ri0 \sb100 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Dx II. Ansietas
berhubungan dengan ancaman status kesehatan saat ini}{\fs24 \dbch \af2 \hich \af0 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\trowd \trql \
trgaph0 \trleft243 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \
brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108
\trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6888 \pard \plain \qj \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan :
Setelah dilakukan tindakan keperawatan diharapkan }{\fs24 \dbch \af2 \hich \af0 \
Kriteria Hasil :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \fi-360 \li387 \ri0 \sb100 \
aspnum \adjustright \lin387 \rin0 \intbl \itap1 \ls9 \ilvl3 \fs22 \dbch \af2 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Mempertahankan ekspresi wajah yang
rileks dan tidak tegang}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
aspalpha \aspnum \adjustright \lin387 \rin0 \intbl \itap1 \ls9 \ilvl3 \fs22 \dbch \
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tanda-tanda vital dalam batas
normal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 \par }\pard \plain \qj \li0 \ri0 \sb100 \lisb0 \sa100 \lisa0 \
sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \
rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \fi-296 \li336 \ri0 \
aspnum \adjustright \lin336 \rin0 \tql \tx761 \tql \tx2913 \intbl \itap1 \fs22 \
langfenp1033 Intervensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
aspalpha \aspnum \adjustright \lin336 \rin0 \tql \tx761 \tql \tx2913 \intbl \
dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Beri
penjelasan mengenai prosedur pembedahan dan motivasi pasien }{\fs24 \dbch \af2 \
plain \qj \li336 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1
\widctlpar \aspalpha \aspnum \adjustright \lin336 \rin0 \tql \tx761 \tql \tx2913 \
langnp1057 \langfe1033 \langfenp1033 R : Pasien lebih mengetahui prosedur tindakan
yang akan dilakukan sehingga mengurangi ketegangan}{\fs24 \dbch \af2 \hich \af0 \
\aspalpha \aspnum \adjustright \lin336 \rin0 \tql \tx761 \tql \tx2913 \intbl \itap1
\fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033
\langfenp1033 {\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \
langfenp1033 {\trowd \trql \trgaph0 \trleft243 \trbrdrt \brdrs \brdrw10 \trbrdrb \
brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \
brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \
brdrw10 \cltxlrtb \cellx6888 \row }\pard \plain \s16 \qj \fi-141 \li-426 \ri0 \
aspnum \adjustright \lin-426 \rin0 \itap0 \ls9 \fs22 \dbch \af2 \hich \af0 \loch \
a.\tab }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Intra Operasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Dx. I. Resiko penurunan COP.}{\
langfenp1033 \par }\trowd \trql \trgaph0 \trleft288 \trbrdrt \brdrs \brdrw10 \
trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \
trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \
trftsWidthB3 \trftsWidthA3 \trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3
\trpaddfr3 \clvertalt \clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx3772 \clvertalt \clbrdrl \
brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \clbrdrb \brdrs \
brdrw10 \cltxlrtb \cellx6843 \pard \plain \qj \fi-369 \li369 \ri0 \sb100 \lisb0 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan : Setelah dilakukan
tindakan keperawatan diharapkan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kriteria Hasil :}{\fs24 \
}\pard \plain \s16 \fi-360 \li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \
intbl \itap1 \ls16 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
Tanda Vital dalam rentang normal (Tekanan darah, Nadi, respirasi)}{\fs24 \dbch \af2
\hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 }{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \par }\
pard \plain \s16 \fi-360 \li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \
Tidak ada penurunan kesadaran}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1057 \langfenp1057 \par }\pard \plain \fi-360 \li720 \ri0 \
langnp1046 \langfe1033 \langfenp1033 Tidak ada edema paru, perifer, dan tidak ada
asites}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1057 \
langfenp1057 \par }\pard \plain \s16 \qj \fi-360 \li720 \ri0 \sb100 \lisb0 \sa100 \
lin720 \rin0 \intbl \itap1 \ls16 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
langfenp1033 Tidak ada distensi vena leher}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \fi-331 \
\aspalpha \aspnum \adjustright \lin473 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Intervensi}{\
langfenp1033 \par }\pard \plain \s16 \fi-360 \li373 \ri0 \sb100 \lisb0 \sa100 \
langfenp1057 Pantau balance cairan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057
\langnp1057 \langfe1057 \langfenp1057 \par }\pard \plain \fi-260 \li260 \ri0 \sb100
\lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum
\adjustright \lin260 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 R : }{\fs24 \dbch \af2 \hich \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mengetahui jumlah
cairan yang keluar dari dalam tubuh sebagai pemantauan tanda kegawatan.}{\fs24 \
Monitor TD, nadi, RR, sebelum, selama, dan setelah }{\fs24 \dbch \af2 \hich \af0 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 tindakan pembedahan}{\fs24
par }\pard \plain \fi-231 \li231 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin231 \rin0 \intbl \
langfe1057 \langfenp1057 R : }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Mengetahui keadaan pasien}{\fs24 \dbch \af2 \
plain \s16 \fi-360 \li373 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin373 \rin0 \intbl \itap1 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 3)\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Monitor jumlah,
bunyi dan irama jantung}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1053 \
langnp1053 \langfe1033 \langfenp1033 \par }\pard \plain \fi-260 \li260 \ri0 \
af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033
langfenp1033 R : Mengetahui kerja jantung.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0
\sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin0 \rin0
\intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
brdrw10 \cltxlrtb \cellx6843 \row }\pard \plain \s16 \qj \fi-426 \li426 \ri0 \sb100
\adjustright \lin426 \rin0 \itap0 \ls9 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \
langfenp1033 Dx. II. Resiko Perdarahan}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\trowd \trql \trgaph0 \
trleft288 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \brdrs \
brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \trbrdrv \brdrs \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6843 \pard \plain \qj \fi-
Tujuan : Setelah dilakukan tindakan keperawatan diharapkan.}{\fs24 \dbch \af2 \hich
qj \fi-369 \li369 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin369 \rin0 \intbl \itap1 \fs22
\dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\
langfenp1033 Kriteria Hasil :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \fi-360 \li720 \ri0 \
langnp1057 \langfe1033 \langfenp1033 \cf1 Tekanan darah dalam batas normal sistol
dan diastole}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1057 \langfenp1057 \par }\pard \plain \fi-360 \li720 \ri0 \sb100 \lisb0 \
langfenp1033 \cf1 Kehilangan darah yang terlihat (dapat dimonitor)}{\fs24 \dbch \
pard \plain \s16 \qj \fi-360 \li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \
dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1
Tidak ada hematemesis}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \qj \li720 \ri0 \sb100
\adjustright \lin720 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \qj \fi-
Intervensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033
\langfenp1033 \par }\pard \plain \s16 \fi-360 \li373 \ri0 \sb100 \lisb0 \sa100 \
langfenp1033 \cf1 Monitor ketat tanda-tanda perdarahan}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \
R : }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 Mengetahui jumlah darah yang keluar dari dalam tubuh sebagai
pemantauan tanda kegawatan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cf1 Monitor penentu pengiriman oksigen ke
jaringan (PaO2, SaO2 dan level Hb dan cardiac output)}{\fs24 \dbch \af2 \hich \
langfenp1033 Mengetahui fungsi pertukaran dan sirkulasi oksigen}{\fs24 \dbch \af2 \
plain \fi-260 \li260 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \
langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \
\hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\trowd \trql
\trgaph0 \trleft288 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Dx. III
Hipotermi berhubungan dengan lingkungan sekitar yang bersuhu rendah}{\fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\
trowd \trql \trgaph0 \trleft288 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \
trbrdrl \brdrs \brdrw10 \trbrdrr \brdrs \brdrw10 \trbrdrh \brdrs \brdrw10 \
trbrdrv \brdrs \brdrw10 \trautofit \trftsWidth1 \trftsWidthB3 \trftsWidthA3 \
trpaddl108 \trpaddr108 \trpaddfl3 \trpaddft3 \trpaddfb3 \trpaddfr3 \clvertalt \
clbrdrl \brdrs \brdrw10 \clbrdrr \brdrs \brdrw10 \clbrdrt \brdrs \brdrw10 \
clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx3772 \clvertalt \clbrdrl \brdrs \brdrw10 \
\cellx6843 \pard \plain \qj \fi-369 \li369 \ri0 \sb100 \lisb0 \sa100 \lisa0 \
sbauto1 \saauto1 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
lin369 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Tujuan : Setelah dilakukan tindakan
keperawatan diharapkan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Kriteria Hasil :}{\fs24 \
Suhu tubuh dalam rentang normal}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cf1 Nadi dan RR dalam rentang normal}{\fs24 \
}\pard \plain \s16 \qj \li720 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \
langfe1033 \langfenp1033 \cell }\pard \plain \qj \fi-331 \li473 \ri0 \sb100 \
loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Intervensi}{\fs24 \dbch \
pard \plain \s16 \fi-360 \li373 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \
Monitor warna dan suhu kulit}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cf1 \par }\pard \plain \fi-260 \li260 \ri0 \
loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 R : }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mengetahui
tanda-tanda terjadinya hipotermi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cf1 Selimuti pasien untuk mencegah hilangnya
kehangatan tubuh}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Menjaga suhu tubuh
dari lingkungan dengan suhu lebih rendah}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1057 \langfenp1057 \par }\pard \plain \fi-260 \li260 \
aspalpha \aspnum \adjustright \lin260 \rin0 \intbl \itap1 \fs22 \dbch \af2 \hich \
plain \li0 \ri0 \lisb0 \sa160 \lisa0 \sl259 \slmult1 \widctlpar \aspalpha \aspnum \
lang1057 \langnp1057 \langfe1033 \langfenp1033 {\trowd \trql \trgaph0 \trleft288 \
s16 \qj \fi-141 \li-426 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin-426 \rin0 \itap0 \ls9 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \f2 b.\tab }{\fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Post Operasi}{\
ls9 \ilvl1 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Dx. I. Nyeri
akut berhubungan dengan agen fisik luka insisi post op}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\trowd \trql \
trgaph0 \trleft288 \trbrdrt \brdrs \brdrw10 \trbrdrb \brdrs \brdrw10 \trbrdrl \
brdrs \brdrw10 \clbrdrb \brdrs \brdrw10 \cltxlrtb \cellx6843 \pard \plain \qj \fi-
Tujuan : Setelah dilakukan tindakan keperawatan diharapkan.}{\fs24 \dbch \af2 \hich
langfenp1033 Kriteria Hasil :}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1
\sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin597 \rin0 \intbl \
itap1 \ls9 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \
Mampu mengontrol nyeri (tahu penyebab nyeri, mampu menggunakan tehnik
nonfarmakologi untuk mengurangi nyeri, mencari bantuan)}{\fs24 \dbch \af2 \hich \
s16 \fi-360 \li597 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \sl360 \
slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin597 \rin0 \intbl \itap1 \
ls9 \ilvl3 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033
hich \af0 \loch \f0 \lang1053 \langnp1053 \langfe1033 \langfenp1033 Mampu mengenali
nyeri (skala, intensitas, frekuensi dan tanda nyeri)}{\fs24 \dbch \af2 \hich \af0 \
widctlpar \aspalpha \aspnum \adjustright \lin597 \rin0 \intbl \itap1 \ls9 \ilvl3 \
hich \af0 \loch \f0 \lang1043 \langnp1043 \langfe1033 \langfenp1033 Melaporkan
bahwa nyeri berkurang dengan menggunakan manajemen nyeri}{\fs24 \dbch \af2 \hich \
langfe1033 \langfenp1033 Intervensi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \s16 \fi-360 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Lakukan pengkajian nyeri secara
komprehensif termasuk lokasi, karakteristik, durasi, frekuensi, kualitas dan faktor
presipitasi}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mengetahui tingkat
nyeri pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1057 \langfenp1057 \par }\pard \plain \s16 \fi-360 \li373 \ri0 \sb100 \
langnp1043 \langfe1033 \langfenp1033 Kontrol lingkungan yang dapat mempengaruhi
nyeri seperti suhu ruangan, pencahayaan dan kebisingan}{\fs24 \dbch \af2 \hich \af0
\loch \f0 \lang1057 \langnp1057 \langfe1057 \langfenp1057 \par }\pard \plain \fi-
langfenp1033 Memberi kenyaman pada pasien}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1057 \langfenp1057 \par }\pard \plain \s16 \fi-360 \
lang1053 \langnp1053 \langfe1033 \langfenp1033 Ajarkan tentang teknik non
farmakologi: napas dala, relaksasi, distraksi, kompres hangat/ dingin}{\fs24 \
}\pard \plain \fi-260 \li260 \ri0 \sb100 \lisb0 \sa100 \lisa0 \sbauto1 \saauto1 \
langfe1033 \langfenp1033 R : memberi kenyaman dan kontrol mandiri pasien terhadap
nyeri yang dirasakan.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 \cell }\pard \plain \li0 \ri0 \lisb0 \sa160 \
brdrw10 \cltxlrtb \cellx6843 \row }\pard \plain \qj \li0 \ri0 \sb100 \lisb0 \
adjustright \lin0 \rin0 \itap0 \fs22 \dbch \af2 \hich \af0 \loch \af5 \lang1057 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \li0 \ri0 \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qj \li0 \ri0
langfe1033 \langfenp1033 DAFTAR PUSTAKA}{\b1 \fs24 \dbch \af2 \hich \af0 \loch \
f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }\pard \plain \qc \li0 \ri0
lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \adjustright \
langnp1057 \langfe1033 \langfenp1033 Carpenito. 2001. }{\i1 \fs24 \dbch \af2 \
hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Rencana Asuhan
& Dokumentasi Keperawatan, Diagnosa Keperawatan dan masalah Kolaboratif. }{\fs24 \
Jakarta: ECG}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 \par }\pard \plain \qj \fi-567 \li567 \ri0 \lisb0 \sa160 \
langfe1033 \langfenp1033 Johnson, M., }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033
\langfenp1033 rt all}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 . 2000 }{\i1 \fs24 \dbch \af2 \hich \af0 \loch
\f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Nursing Outcomes Classification
(NOC) Second Edition. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 New Jersey: Upper Saddle River}{\fs24 \dbch \af2 \hich \
qj \li0 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Mansjoer, A. 2002. }{\i1 \fs24 \dbch
\af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Asuhan
Keperawatan Maternitas.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \
langnp1057 \langfe1033 \langfenp1033 Jakarta: Salemba Medika}{\fs24 \dbch \af2 \
plain \qj \fi-567 \li567 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \langfenp1033 Mc Clonskey, C.J., }
{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \langfe1033 \
langfenp1033 et all.}{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057 \
langfe1033 \langfenp1033 1996. }{\i1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 Nursing Interventions Classification
(NIC) Second edition. }{\fs24 \dbch \af2 \hich \af0 \loch \f0 \lang1057 \langnp1057
\langfe1033 \langfenp1033 New Jersey: Upper Saddle River}{\fs24 \dbch \af2 \hich \
langfenp1033 \cf1 Nurarif .A.H. dan Kusuma. H. (2015). APLIKASI Asuhan Keperawatan
Berdasarkan Diagnosa Medis & NANDA NIC-NOC. Jogjakarta: \uc1 \u160 ?MediAction}{\
langfenp1033 \par }\pard \plain \qj \fi-567 \li567 \ri0 \lisb0 \sa160 \lisa0 \sl360
\slmult1 \widctlpar \aspalpha \aspnum \adjustright \lin567 \rin0 \itap0 \fs22 \dbch
\af2 \hich \af0 \loch \af5 \lang1057 \langnp1057 \langfe1033 \langfenp1033 {\fs24 \
}\pard \plain \qj \li0 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \
qj \li0 \ri0 \lisb0 \sa160 \lisa0 \sl360 \slmult1 \widctlpar \aspalpha \aspnum \
langnp1057 \langfe1033 \langfenp1033 {\b1 \fs24 \dbch \af2 \hich \af0 \loch \f0 \
lang1057 \langnp1057 \langfe1033 \langfenp1033 \par }}

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{\rtf1 \ansi \ansicpg1252 \deff0 \stshfdbch2 \stshfloch0 \stshfhich0 \deflang1057 \

deflangfe1057 {\fonttbl {\f0 \froman \fcharset0 \fprq2 {\*\panose

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