asuhan keperawatan dewasa dengan gangguan sistem pencernaan(1) (repaired)

8/18/2019 Asuhan Keperawatan Dewasa Dengan Gangguan Sistem Pencernaan(1) (Repaired)

1/25

ASUHAN KEPERAWATAN DEWASA DENGAN GANGGUAN SISTEM

PENCERNAAN: PAROTITIS

DI SUSUN OLEH :

KELOMPOK 3 AJ-2 B18

1. Hairun Puspah 13111123!1"

2. #i$i% E%a Ira&a'i 13111123!2(

3. Au)an Mu''a*in 13111123!3!

(. N+,ia S 13111123!!

. Muhaa A/i 13111123!""". Lai/a'u/ Isnaini 13111123!0!

0. Muhaa Sa/inra 13111123!!

8. Kurnia i4as'ria 13111123!2

Program Studi Pendidikan Ner

!aku"ta Ke#era$atan Uni%erita Air"angga

Sura&a'a

()*+

1

NB :

Tambahkan jurnal hasil

penelitian 5-10 ttahun

terakhir.

Tuliskan sumber acuan

bacaan setiap bab.


2/25

DA!TAR ISI

HALAMAN JUDUL

DA5A6 ISIBAB I PENDAHULUAN

1.1. La'ar B/a%an7

1.2. 5uuan

1.3. 6uusan Masa/ah

BAB II 5INJAUAN PUS5AKA

2.1. D9inisi Par+'i'is

2.2. E'i+/+7i

2.3. Pa'+9isi+/+7i

2.(. K/asi9i%asi2.. Mani9s'asi K/inis

2.". Pri%saan Dia7n+s'i%

2.0. Pna'a/a%sanaan

2.8. Pn$7ahan

2.. K+p/i%asi

2.1!. Asuhan Kpra&a'an D&asa n7an Par+'i'is

BAB III 5INJAUAN KASUS

3.1. Pn7%aian

3.2. Dia7n+sa Kpra&a'an

3.3. In'r,nsi Kpra&a'an

3.(. Ip/n'asi Kpra&a'an

3.. E,a/uasi

BAB I PENU5UP

(.1. Ksipu/an

(.2. Pnu'up

DA5A6 PUS5AKA

2


3/25

,A, I

PENDAHU-UAN

*.*. -atar ,e"akang

Par+'i'is ;Praan7an paa %/nar par+'is< aa/ah %+nisi

in9/aasi pa/in7 uu ari %/nar sa/i,a= naun in9%si apa' u7a

'rai paa %/nar sa/i,a /ain. Lsi ssnsia/ ari ups ;par+'i'is

pii%< aa/ah in9/aasi %/nar sa/i,a ;>iasan4a par+'is< an 'ru'aa

pn4a%i' nu/ar pia'ri% 4an7 is>a>%an +/h ,irus. ;S/')r= 2!1!<

S>/u i'u%an ,a%sin par+'i'is paa 'ahun 1"0= par+'i'is

pii%a rupa%an pn4a%i' 4an7 san7a' srin7 i'u%an paa ana%.

Insins paa uur ?1 'ahun 8@ n7an pun$a% insins %/+p+%

uur - 'ahun. S'/ah i'u%an ,a%sin par+'i'is= %aian par+'i'is

pii%a nai san7a' aran7. Di n7ara >ara' spr'i Ari%a an

In77ris= ra'a-ra'a iapa' %uran7 ari 1.!!! %asus pr 'ahun. Di%ian

pu/a insins par+'i'is >r7sr paa ana% >sar an &asa ua sr'a

n4>a>%an %aian /uar >iasa i 'pa' %u/iah a'au 'pa' %ra. Di

In+nsia= 'ia% iapa'%an aan4a a'a n7nai insins 'rain4a

par+'i'is pii%a. Di Dpar'n I/u Ksha'an Ana% ;IKA< 6uah

Sa%i' #ip'+ Man7un%usu+ ;6S#Mu' sa%in >r%uran7 'iap

'ahunn4a= n7an u/ah 11-1 %asus'ahun s>/u 'ahun 2!!! an 1-

%asus'ahun s'/ah 'ahun 2!!!. S/aa 'ahun 2!!8 han4a iapa'%an sa'u

%asus par+'i'is pii%a ;Marisa= 2!!<

Brasar%an ha/ 'rs>u'= a%a pn4a%i' Par+'i'is ini pr/u

ip/aari %hususn4a a/a pra%'% Asuhan Kpra&a'an sis'

pn$rnaan. M/a/ui a%a/ah ini a%an %ai >ahas 'n'an7 pn7r'ian par+'i'is= 'i+/+7i an ani9s'asi par+'i'is= pna'a/a%sanaan par+'i'is sr'a

Asuhan %pra&a'an paa pasin n7an par+'i'is

*.(. Rumuan Maa"a/

1.2.1. Apa%ah pn7r'ian par+'i'is

1.2.2. Apa%ah 'i+/+7i ari par+'i'is

1.2.3. Apa%ah %a/si9i%asi ari par+'i'is

1.2.(. Ba7aiana pa'+9i+/+7is par+'i'is

1.2.. Apa%ah ani9s'asi %/inis par+'i'is

1.2.". Apa%ah %+p/i%asi par+'i'is

3


4/25

1.2.0. Ba7aiana pri%saan i7n+s'i% paa par+'i'is

1.2.8. Ba7aiana Pna'a/a%sanaan pasin n7an par+'i'is

1.2.. Ba7aiana Asuhan %pra&a'an pasin n7an par+'i'is

*.0. Tu1uan

1.3.1. 5uuan UuS'/ah pr+ss p>/aaran= iharap%an ahasis&a apu

/a%u%an Asuhan %pra&a'an sis' pn$rnaan paa %/in

n7an Par+'ii'is.

1.3.2. 5uuan Khusus

1. Mn7'ahui pn7r'ian par+'i'is

2. Mn7'ahui 'i+/+7i ari par+'i'is

3. Mn7'ahui %/asi9i%asi ari par+'i'is

(. Mn7'ahui pa'+9i+/+7is par+'i's

. Mn7'ahui ani9s'asi %/inis par+'i'is

". Mn7'ahui %+p/i%asi par+'i'is0. Mn7'ahui pri%saan i7n+s'i% paa par+'i's

8. Mn7'ahui Pna'a/a%sanaan pasin n7an par+'i'is

. Mn7'ahui Asuhan %pra&a'an pasin n7an par+'i'is

(


5/25

,A, II

TIN2AUAN PUSTAKA

(. * Anatomi 3iio"ogi ke"en1ar "uda/

(. ( De3inii

Pn4a%i' par+'i'is a'au 7+n+n7an aa/ah sua'u pn4a%i' nu/ar

iana ss+ran7 'rin9%si +/h ,irus ;Para4C+,irus< 4an7 n4ran7

%/nar /uah ;%/nar par+'is< i an'ara '/in7a an rahan7 shin77a

n4>a>%an p>n7%a%an paa /hr >a7ian a'as a'au pipi >a7ian

>a&ah ;O>i= 2!1i/a'ra/ ;%ua

sisi< paa %/nar /iur isr'ai n4ri. Paa sa/uran %/nar /uah 'rai

%/ainan >rupa p>n7%a%an s/ pi'/= p/>aran an pn4u>a'an

sa/uran ;Puiai an Hain7+r+= 2!!a>%an ,irus. irus n4ran7 %/nar air /iur i

u/u'= 'ru'aa %/nar par+'is 4an7 'r/'a% paa 'iap-'iap sisi u%a'pa' i >a&ah an i pan '/in7a ;i%as=2!!"aran %/asi% ups aa/ah p>n7%a%an

n+nsuppura'i9 an rasa n4ri %/nar /uah. In9%si ini >iasan4a >rsi9a'

ina%= an >an4a% %asus 4an7 su>%/inis ;Dp%s= 2!!8


6/25

s/ pi'/= p/>aran an pn4u>a'an sa/uran. Paa +ran7 &asa= in9%si

ini >isa n4ran7 's'is ;>uah )a%arrsi%+ >sar

un'u% nri'a a'au 'r'u/ar pn4a%i' ini aa/ah r%a 4an7

n77una%an a'au n7%+nsusi +>a'-+>a'an 'r'n'u un'u% n%an

h+r+n %/nar 'ir+i an r%a 4an7 %%uran7an )a' I+iu a/a

'u>uh.

(. 0 Etio"ogi

Lansia= sa%i' a%u'= pnurunaan iuni'as= pnurunan pr+u%si sa/i,a

a%i>a' hirasi aupun pn77unaan +>a'-+>a'an iun+suprsan

rupa%an 9a%'+r 4an7 >rsi%+ 'in77i un'u% 'rain4a par+'i'is

;S/')r= 2!1!a> par+'i'is aa/ah ,irus ups ; Dp%s= 2!!8ar /a/ui %+n'a% /an7sun7

n7an pr$i%an /uah= >ahan un'ah an urin. irus asu% % a/a

'u>uh /a/ui hiun7 a'au u/u'. irus pr>an4a% iri i sa/uran

napas a'as an n4>ar % %/nar 7'ah >nin7 /+%a/. Masa ini i%na/

n7an asa in%u>asi an >r/an7sun7 s/aa 12-2 hari. Kuian ,irus

a%an n4>ar % s/uruh 'u>uh n7an /+%asi 4an7 i'uu aa/ah %/nar

par+'is= +,ariu ;inun7 '/ur< paa &ani'a a'au 's'is ;>uah )a%ar< paa

/a%i-/a%i= pan%ras= 'ir+i= 7ina/= an'un7 a'au +'a%

;h''p:ppsi%a9%unu.$+7+n+n7an-ups-a'au-par+'i'is<

Pn4>a> par+'i'is aa/ah %/+p+% Para4C+,irus 4an7

ia/an4a ,irus parain9/un)a= as/s= an ,irus n&$as'/ isas.

U%uran ari par'i%/ para4C+,irus s>sar ! 3!! F. irus '/ah

iis+/asi ari /uah= arah= urin= +'a% an arin7an 'rin9%si /ain. irus ini

a%'i9 a/a /in7%un7an 4an7 %rin7 'api ,irus ini han4a apa' >r'ahan

s/aa ( hari paa suhu %aar . Para4C+,irus apa' han$ur paa suhu

"

http://ppdsikafkunud.com/gondongan-mumps-atau-parotitishttp://ppdsikafkunud.com/gondongan-mumps-atau-parotitis


7/25

?( G#= +/h 9+ra/in= 'r= sr'a paparan $aha4a u/'ra,i+/' s/aa 3!

'i%. irus asu% a/a 'u>uh /a/ui hiun7 a'au u/u'. irus

>rp/i%asi paa u%+sa sa/uran napas a'as %uian n4>ar %

%a/nar /i9a /+%a/ an ii%u'i ,iria uu s'/ah 12-2 hari ;asa

in%u>asi< 4an7 >r/an7sun7 s/aa 3- hari. S/anu'n4a /+%asi 4an7

i'uu ,irus aa/ah %a/nar par+'is= +,ariu= pan%ras= 'ir+i= 7ina/=

an'un7 a'au +'a%. Masa pn4>aran ,irus ini aa/ah 2-3 in77u /a/ui

ari /uah= arah= urin= +'a% an arin7an 'rin9%si /ain. irus apa'

iis+/asi ari sa/i,a "-0 hari s>/u asu% asa p>n7%a%an an

hari ssuah un$u/n4a p>n7%a%an paa %a/nar /uah. Pnu/aran

'rai 2( a s>/u p>n7%a%an %a/nar /uah an 3 hari s'/ah

p>n7%a%an n7hi/an7.

(.4. Patogenei

irus asu% /a/ui sa/uran na9as s/aa pri+ in%u>asi 12 sapai 2

hari. irus ini >rp/i%asi i sa/uran na9as a'as an /i9+n+us sr,i%a/is 4an7

>r/an7sun7 s/aa 3- hari= ari sini n4>ar /a/ui a/iran arah % arin7an

sasaran spr'i %/nar par+'is an nin7n. S'/ah >rp/i%asi a&a/ i 'pa'-

'pa' ini 'rai ,iria s%unr. Ha/ ini n4>a>%an 'r%nan4a >r>a7ai

+r7an= spr'i 7+na= pan$ras= 'ir+i= aa= ha'i= an'un7= an 7ina/. Ani'is

%/nar /iur iu7a +/h >>rapa +ran7 s>a7ai a%i>a' s%unr ,iria a&a/=

''api pn4>aran /an7sun7 ari sa/uran na9as 'ia% i%sapin7%an s>a7ai

%anis a/'rna'i,. iria >iasan4a 'rai hapir i s/uruh in9%si isr'ai

7an77uan 9un7si 7ina/ 4an7 apa' i%'ahui. irus asu% % sis' sara9 pusa'

/a/ui p/%sus %+r+ius /&a' in9%si paa s/ +n+nu%/ar. irus

>ru/'ip/i%asi paa %+r+i an s/ pni paa pru%aan pi'/ ,n'ri%/ an

s/ ini n7a/ai s%uaasi % $airan sr>r+spina/ an n4>a>%an

nin7i'is. Paa ns9a/i'is s/ain 'rai i/inasi pri,n'ri%u/ar u7a 'rai

in9i/'rasi pri,as%u/r+/h s/ +n+nu%/ar an pr+/i9rasi ari i%r+7ia/ rod-cel

;Iss/>a$hr= 12a7ai %anis pa'+7nsis ipr%ira%an 'rai paa arin7an 4an7

'rin9%si ,irus ini. 5+ri ap+p'+sis n/as%an 'rain4a ap+p'+sis paa s/

0


8/25

4an7 'rin9%si ,irus. S/ a%an nai uah n7a/ai ap+p'+sis s'/ah

napa'%an s'rss ari /uar ;Iss/>a$hr= 12a>%an pnin7%a'an I7 an I7M 4an7 apa''r'%si n7an ELISA ; enzyme linked immunosorbent assay r'ahan -" >u/an. Iun+7/+>u/in un$u/ paa a%hir in77u

pr'aa= n$apai pun$a%n4a hin77a 3 in77u ana >r'ahan suur hiup.

Iu7/+>u/in A u7a nin7%a' saa' 'rain4a in9%si. Iuni'as ihu>un7%an

n7an aan4a an'i>+i 4an7 n'ra/%an. M%anis iun s/u/r iu7a

nu%un7 pa'h+7nsis pn4a%i' a%u' an %s>uhan. Spr'i in9%si ,irus

sis'i% /ainn4a= par+'i'is apa' n4>a>%an suprsi sn'ara hiprsnsi'i,i'as

nis /a>a' 'rhaap an'i7n 4an7 '/ah i%na/ s>/un4a= spr'i pr+'in

'u>r%u/in ;Iss/>a$hr= 12


9/25

n+ra/ s>/u hi/an7n4a p>n7%a%an. P>n7%a%an apa' isr'ai

n4ri h>a'= n4ri u/ai >r%uran7 s'/ah 'r$apai p>n7%a%an

a%sia/ >r/an7sun7 %ira-%ira s/aa "-1! hari ;Br%r= 2!!(uh. Mani9s'asi rsp+n %'ia% n4aanan sa%i'

%pa/a an an+r%sia >ri%an ani9s'asi n4ri an

%'ia%si>an7an pnuhan nu'risi.


10/25

(.4 WOC

1!

iriaa

/anu/a Par+'i 5rin9%si

PAROTITIS

Pr+ss in9/aasi%a/nar /uah

P>n7%a%an

%/nar par+'is

N4ri rahan7sp+n'an= n4ri

%pa/a%a%u paa

%pa/a an /hr

MK: N'eri akut

Su/i' n7un4ah

n4ri '/an

An+r%sia

MK: Peru&a/an

nutrii kurang dari

ke&uutu/an tu&u/

Da Psi%+s+sia/

In9+rasi -

Kuran7

pn7'ahuan

MK: Anieta

/isah

Pr+ss

'rain4a pn4a%i'

MK: Hi#ertermia

Pn4>aran An77+'a Para4C+,irus

Knai%an 5i'r I7MI7

Pr+/i9rasi i Par+'is

a%'+r prisp+sisi:

- Ora/ h47in >uru% - 5ia% iunisasi

ups

Pn4>a>:- In9%si Karna Kuan Ba%'ri:

Paramyxovirus, staphilococcus

aureus, irus ups= HI- Pn4a%i' Au'+iun: SLE

- Pn4u>a'an : 5u+r= %a/%u/us- Pn4>a> Lain: Ma/nu'risi=

pn7+>a'an %an%r


11/25

(.5 K"ai3ikai

a. Par+'i'is Ka>uhan

Ana%-ana% uah 'r%na par+'i'is %a>uhan 4an7 'i>u/ paa usia an'ara 1

>u/an hin77a a%hir asa %ana%-%ana%.Ka>uhan >rar'i s>/un4a ana% '/ah

'rin9%si ,irus %uian %a>uh /a7i. >. Par+'i'is A%u'

Par+'i'is a%u' i'anai n7an rasa sa%i' 4an7 naa%= %rahan an

p>n7%a%an paa arah par+'is. Dapa' 'i>u/ s>a7ai a%i>a' pas$a->ah

4an7 i/a%u%an paa pnri'a 'r>/a%an7 n'a/ an pnri'a usia /anu'=

%hususn4a apa>i/a pn77unaan ans'si uu /aa an aan4a 7an77uan

hirasi.

(.+ Mani3etai K"inis

5ia% sua +ran7 4an7 'rin9%si +/h ,irus Para4C+,irus n7a/ai

%/uhan= >ah%an s%i'ar 3!-(!@ pnri'a 'ia% nunu%%an 'ana-'ana sa%i'.

Naun i%ian r%a saa n7an pnri'a /ainn4a 4an7 n7a/ai %/uhan=

4ai'u apa' nai su>r pnu/aran pn4a%i' 'rs>u'. Masa in%u>asi pn4a%i'

+n+n7 s%i'ar 12-2( hari n7an ra'a-ra'a 10-18 hari. Aapun 'ana an 7a/a

4an7 'i>u/ s'/ah 'rin9%si an >r%>an7n4a asa in%u>asi apa' i7a>ar%an

s>a7ai >ri%u' :

a. S'aiu 6++ra/Paa 'ahap a&a/ ;1-2 hari< pnri'a +n+n7 n7a/ai 7a/a: a ;suhu

>aan 38= (!+ #n7%a%an

S/anu'n4a 'rai p>n7%a%an %/nar par+'is 4an7 ia&a/i n7an

p>n7%a%an sa/ah sa'u sisi %/nar %uian %ua %/nar n7a/ai

p>n7%aan. P>n7%a%an >iasan4a >r/an7sun7 s%i'ar 3 hari %uian

>ran7sur n7pis. Paa 0- hari.Ku/i' ia'as par+'is n7a/airi'a.p>n7%a%a%n par+'is iarah pan '/in7a. Dia'as +'+' as'r

11


12/25

i$%un7an >/a%an7 ipan /ian7 '/in7a >a7ian >a&ah. 5risus >isa san7a'

>ra' an n4ri. Kaan7 'rai p>n7%a%an paa %/nar i >a&ah rahan7

;su>ani>u/a< an %/nar i >a&ah /iah ;su>/in7ua/a/i a/a ua in77u.

$. S%uran7-%uran7n4a aa 3 ui sru ;sr+/+7i$< un'u% >u%'i%an spsi9i%

ups an'i>+is : #+p/n' 9iCa'i+n an'i>+is ;#i'+r an'i>+is ;HI+is ;N5r+ spina/ 'rapa' /u%+si'+sis

. P/i+si'i+sis +n+ nu$/ar ;/i9+si' paa /i*u+r spina/is< >isa asi'+a'i%

(.7 Penata"akanaan

a. Pnri'a ra&a' a/an

Pnri'a >aru apa' ira&a' a/an >i/a 'ia% aa %+p/i%asi ;%aaan uu

$u%up >ai%ri%an %+prs.

2. P>rian i' /una% an $airan 4an7 $u%up

3. K+prs panas in7in >r7an'ian

(. Mi%an'+saAna/7'i%-an'ipir'i% >i/a pr/u

a< M'apir+n : ana% " >u/an 2! !! 7hari a%siu 2 7hari

>< Paras'a+/ : 0= 1! 7%7BBhari i>a7i a/a 3 +sis

$< Hinari p>rian aspirin paa ana% %arna p>rian aspirin >risi%+

ni>u/%an Sinr+ 64 4ai'u s>uah pn4a%i' /an7%a naun

a'i%an. O>a'-+>a'an ana% 4an7 'rapa' i ap+'i% >/u 'n'u >>as

ari aspirin. Aspirin srin7%a/i is>u' u7a s>a7ai sa/i$4/a' a'au

a$'4/sa/i$4/i$ a$i.

>. Pnri'a ra&a' inapPnri'a n7an a 'in77i= %aaan uu /ah= n4ri %pa/a h>a'= 7a/a

sara9 pr/u ra&a' inap iruan7 is+/asi

1. Di' /una%= $air an 5K5P

2. Ana/7'i%-an'ipir'i%

3. Bri%an %+r'i%+s'r+i un'u% n$7ah %+p/i%asi

$. 5a'a/a%sana un'u% %+p/i%asi 4an7 'rai

1. En$pha/i'is

Sip'+a'i% un'u% n$pha/i'isn4a. Lu>a/ pun7si >r7una un'u%

n7uran7i sa%i' %pa/a.

2. Or%hi'is

a< Is'iraha' 4an7 $u%up

12


13/25

>< P>rian ana/7'i%

$< Sis'i% %+r'i%+s'r+i ;hir+%+r'is+n= 1!7 %72( a= pr+ra/= s/aa

2-( hari

3. Pan%ra'i'is an ++p+ri'is

Sip'+a'i% saa

(. 8 Pen9ega/an

Pn$7ahan 'rhaap par+'i'is pii%a apa' i/a%u%an s$ara iunisasi pasi9 an

iunisasi a%'i9.

a. Pasi9

aa 7/+>u/in par+'i'is 'ia% 9%'i9 a/a n$7ah par+'i'is a'au n7uran7i

%+p/i%asi.

. A%'i9

Di/a%u%an n7an >ri%an ,a%sinasi n7an ,irus par+'i'is pii%a 4an7

hiup 'api '/ah iru>ah si9a'n4a ;Mups,aC-r$%= sharp an +h< a'aui>ri%an su>%u'an paa ana% >ruur 1 >u/an ;N7as'i4ah= 2!!0a>%an iuni'as 4an7 /aa an apa' i>ri%an

>rsaa ,a%sin $apa% an ru>//a ;MM6 4a%ni ,a%sin Mups= M+r>i/i=

6u>//arian ,a%sinasi n7an ,irus ups= san7a' 9%'i9 a/a

ni>u/%an pnin7%a'an >ra%na a/a an'i>+i ups paa ini,iu 4an7

sr+n7a'i9 s>/u ,a%sinasi an '/ah >ri%an pr+'%si 1 sapai @.

Pr+'%si 4an7 >ai% s%uran7-%uran7n4a s/aa 12 'ahun an 'ia% n77an77u

,a%sin 'rhaap +r>i/i= ru>//a= an p+/i+i/i'is a'au ,a%sinasi ,ari+/a 4an7

i>ri%an srn'a%.

Kontraindikai: Ba4i i>a&ah usia 1 'ahun %arna 9% an'i>+i a'rna/

Ini,iu n7an ri&a4a' hiprsnsi'i,i'as 'rhaap %+p+nn ,a%sin a

a%u' s/aa %hai/an /u%iia an %7anasan /i9+a san7 i>ri +>a'-

+>a' iun+suprsi9= a/%i/asi an an'i 'a>+/i' san7 napa' raiasi. B/u

i%'ahui apa%ah ,a%sin a%an n$7ah in9%si >i/a i>ri%an s'/ah paparan=

''api 'ia% aa %+n'raini%asi >a7i pn77unaan ,a%sin Mups a/a si'uasi ini

(. *) Au/an Ke#era$atan De$aa dengan Gangguan Sitem Pen9ernaan: Parotiti

a. Pn7%aian

1. In'i'as pasin

Da'a +7ra9i= $nrun7 n4ran7 ana%-ana% 4an7 >ruur 2-12 'ahun=

san7a' aran7 i'u%an paa ana% 4an7 >rusia %uran7 ari 2 'ahun %arna

uun4a r%a asih i/i%ii/inun7i +/h an'i>+4 4an7 >ai%. Ana%

4an7 prnah nri'a par+'i'is a%an i/i%i %%>a/an suur hiupn4a.

2. K/uhan u'aa

13


14/25

Biasan4a %/in a%an n7/uh a= sa%i' %pa/a= an n4ri rahan7 >a7ian

>/a%an7 saa' n7un4ah.

3. 6i&a4a' pn4a%i' s%aran7

Biasan4a %/in a%an n7/uh a= sa%i' %pa/a= n4ri rahan7 >a7ian

>/a%an7 saa' n7un4ah= p>%a%an i su>ani>u/a ;rahan7 >a7ian

>/a%an7< an aa%a/an4a isr'ai %a%u rahan7 ;su/i' >u%a u/u'/un4a

Apa%ah %/in prnah nri'a par+'i'is s>/un4a= aa%ah pn4a%i' /ain

spr'i DM= H5= pn4a%i' nu/ar= //.

. 6i&a4a' K/uar7a

Aa%ah %/uar7a 4an7 prnah n7a/ai pn4a%i' ini s>/un4a.

". 6i&a4a' /in7%un7an:

Aa%ah pasin par+'i'is i s%i'ar 'pa' 'in77a/n4a

0. Pri%saan 9isi%:

a< Kaaan uu : >iasan4a %/in 'apa% /ah >< B1 Bra'hin7

Na9as n+r+rspira'+r4= 66 12-2! Cni'= iraa 'ra'ur= 'ia% aa ssa%

na9as= 'ia% aa prna9asan $upin7 hiun7= 'ia% aa r'ra%si inin7 aa=

suara na9as n+ra/.

$< B2 B/++

Biasan4a %/in a%an n7a/ai 'a%i%ari %arna 9% ari n4ri 4an7

irasa%an= Pr%usi: >un4i 4an7 ihasi/%an rup= aus%u/'asi: i'u%an

>un4i an'un7 S1 an S2 'un77a/.

< B3 Brain

Ksaaran #+p+s Mn'is= #S (=="

< B( B/ar

5ia% aa 7an77uan= naun paa %+p/i%asi +r%i'is ;praana7n paa

sa/ah sa'u%ua 's'is. S'/ah s>uh 's'is 4an7 'r%na un7%in a%an

n$iu'. Jaran7 'rai %rusa%an 's'is 4an7 prann shin77a

n4>a>%an %anu/an ;+/pa'+n= 2!!(a s%i>a/a

7< B" B+n

5ia% n7a/ai %'r>a'asan 7ra%= 6OM a%'i9

h< In'7un'

5rapa' 'ana-'ana in9/aasi i ara su>ani>u/a >rupa %rahan

paa %u/i'= pra>aan panas= p>saran ara s%i'ar an n4ri '%an.

>. Dia7n+sa Kpra&a'an

1. N4ri a%u' >rhu>un7an n7an >i+/+7i$a/ inur4 a7n' ;in9/aa'i+n sa/i,ar4

7/an


15/25

3. 6si%+ pnuhan %>u'uhan nu'risi %uran7 ari %>u'uhan 'u>uh

>rhu>un7an n7an >i+/+7i$a/ inur4 a7n' ;in9/aa'i+n sa/i,ar4 7/an<

$. In'r,nsi

N+.Dia7n+sa

Kpra&a'an 5uuan an Kri'ria Hasi/ In'r,nsi

1. N4ri a%u'

>rhu>un7an n7an

>i+/+7i$a/ inur4 a7n'

;in9/aa'i+n sa/i,ar4

7/anr%uran7.

Mana7n N4ri ;1(!!sr,asi n4ri %/in s$ara

%+prhnsi9 'rasu% s%a/a=

/+%asi= %ara%'ris'i%= urasi=

9r%unsi= %ua/i'as an 9a%'+r

prsipi'asi.

2. M+ni'+r 'ana-'ana ,i'a/ %/in.

3. 5in7%a'%an is'iraha' pasin.

(. K+/a>+rasi%an n7an +%'r

a/a p>rian ana/7'i%.

2. Hipr'ri

>rhu>un7an n7an

pnin7%a'an /au

'a>+/is: pr+ss

in9/aasi.

NO#:

- Pnurunan suhu 'u>uh

Kri'ria hasi/:

1. %/in apu

n/as%an %>a/i

pnii%an %sha'an4an7 i>ri%an.

2. Mapu 'r+'i,asi

un'u% /a%sana%an

pn/asan 4an7 '/ah

i>ri%an.

1. Pn7'ahuan pasin an

%/uar7a 'n'an7 $ara

nurun%an suhu 'u>uh.

2. Anur%an %/uar7a un'u%

>a'asi a%'i9i'as pasin.

3. A'ur /in7%un7an 4an7 %+nusi9.

(. Bri %+prs n7an airin7in;air >iasa< paa arah

a%si/a= /ipa' paha an 'p+ra/

>i/a 'rai panas.

. Anur%an %/uar7a un'u%

a%ai%an pa%aian 4an7 apa'

n4rap %rin7a' spr'i %a'un.

". anur%an %/uar7a un'u%

/a%u%an assa7 paa

%'ri'as n77una%an

in4a% %a4u pu'ih.

0. K+/a>+rasi n7an +%'r a/a p>rian an'ipir'i%.

1


16/25

3. 6si%+ pnuhan

%>u'uhan nu'risi

%uran7 ari %>u'uhan

'u>uh >rhu>un7an

n7an >i+/+7i$a/

inur4 a7n'


7/an<

NO#:

S'a'us nu'risi: in'a%

a%anan an inuan

Kri'ria hasi/:

in'a% a%anan an

inuan pr+ra/ a*ua'

5rapi nu'risi ;112!a7i pasin.

(. Pi/ih%an sup/n nu'risi 4an7

$+$+%.

. D+r+n7 in'a% a%anan 4an7

'in77i %a/siu an %a/iu ;4an7

$+$+% >a7i pasin


17/25

10


18/25

,A, III

TIN2AUAN KASUS

5n A ira&a' i ruan7 is+/asi 6SUA n7an %/uhan suah sin77u s>/u M6S= >aan

a= n4ri is%i'ar /hr an '/in7a %anan= n4ri saa' n/an= %pa/a pusin7 an 'ia%

na9su a%an. 5apa% paa pipi s>/ah %anan >n7%a% an %u/i' %rahan. Pasin >ri

&arna >iru paa pipin4a 4an7 >n7%a%. Pasin n7a'a%an 7i7in4a 'ia% sa%i'. Pasin ian'ar

+/h is'rin4a= 3 hari 4an7 /a/u pasin suah >r+>a' %pus%sas naun %/uhan pasin 'ia%

>r%uran7.

Hasi/ pri%saan ,i'a/ si7n: 5D : 13! ! H7= suhu : 3!#= H6 : 1!! C ni'. 66 : 22

%a/i ni'. BB : "8 %7 an 5B : 1" $ s%a/a n4ri

0.* Pengka1ian

a. In'i'as >i+a'a %/in

1. Naa : 5n.A2. 5pa' 'an77a/ /ahir : Sura>a4a= 1( N+,>r 1""

3. Uur : ! 'ahun

(. Jnis %/ain : La%i-/a%i

. A7aa : Is/a

". ar7a n7ara : In+nsia

0. S'a'us pr%a&inan : Mni%ah

8. Pnii%an : SMA

. P%raan : Buruh

1!. A/aa' : Mu/4+r+= Sura>a4a

>. Pnan77un7 Ja&a>

1. Naa : N4.S

2. Uur : (0 'ahun

3. Jnis %/ain : Prpuan

(. A7aa : Is/a

. Pnii%an : SMA

". P%raan : I>u ruah 'an77a

0. A/aa' : Mu/4+r+= Sura>a4a

8. Hu>un7an n7an pasiN : Is'ri

$. K/uhan u'aa

Pasin n7/uh n4ri is%i'ar /hr an '/in7a %anan= n4ri saa' n/an= %pa/a

pusin7 an 'ia% na9su a%an. 6i&a4a' pn4a%i' s%aran7

K/in n7/uh suah sin77u s>/u M6S= >aan a= n4ri is%i'ar /hr

an '/in7a %anan= n4ri saa' n/an= %pa/a pusin7 an 'ia% na9su a%an.

5apa% paa pipi s>/ah %anan >n7%a% an %u/i' %rahan. Pasin >ri

&arna >iru paa pipin4a 4an7 >n7%a%. Pasin n7a'a%an 7i7in4a 'ia% sa%i'.

Pasin ian'ar +/h is'rin4a= 3 hari 4an7 /a/u pasin suah >r+>a' %pus%sas

naun %/uhan pasin 'ia% >r%uran7.

. 6i&a4a' pn4a%i' ahu/uPasin >/u prnah n7a/ai sa%i' spr'i ini.

18


19/25

9. 6i&a4a' %sha'an %/uar7a

Ana% pasin 4an7 %$i/ ;uur 'ahun< nri'a 7+n+n7an ;par+'i'is< suah 1

hari 4an7 /a/u

7. Pri%saan isi%

1. Kaaan Uu

Ksaaran : #+p+sn'is

5D : 13! ! H7

Suhu : 3!#

Nai : 1!! %a/i ni'

66 : 22 %a/i ni'

BB : "8 %7

5B : 1" $

2. 6,i& +9 S4s'

a< B1 ;Bra'hin7<

N+ra/= 66 22 Cni'= iraa 'ra'ur= 'ia% aa ssa% na9as= 'ia% aa

prna9asan $upin7 hiun7= 'ia% aa r'ra%si inin7 aa= suara na9as

n+ra/.

>< B2 ;B/++<

5D 13!! H7= nai 1!!Cni'= Pr%usi: >un4i 4an7 ihasi/%an rup=

aus%u/'asi: i'u%an >un4i an'un7 S1 an S2 'un77a/. Pr9usi han7a'

%rin7 rah= #65 ?2 'i%= 'ur7+r %u/i' n+ra/.

$< B3 ;Brain<

Ksaaran #+p+s Mn'is= #S (=="

< B( ;>/ar<

5ia% aa %/ainan a/a pr%ihan< B ;>+&/<

Na9su a%an nurun= Mu/u' 'apa% %rin7= >isin7 usus: -1! C. 5ia%

'ra>a s%i>a/a

9< B" ;>+n<

5ia% n7a/ai %'r>a'asan 7ra%= 6OM a%'i9

7< In'7un'

5rapa' 'ana-'ana in9/aasi i ara su>ani>u/a >rupa %rahan

paa %u/i'= pra>aan panas= p>saran ara s%i'ar an n4ri '%an.

h. Pri%saan Pnunan7

Pri%saan /a>+ra'+riu : Darah H>: 12 7/= B#: 12.!!!i. Ana/isa Da'a

NO. DA5A E5IOLOI MASALAH

1 DS:

Pasin n7/uh n4ri is%i'ar

/hr an '/in7a %anan= n4ri saa'

n/an= %pa/a pusin7.

DO:

- 5apa% in9/aasi an

%rahan paa pipi >a7ian

Bi+/+7i$a/ inur4 a7n'


7/an<

N4ri a%u'

1


20/25

%anan >a&ah.

- N4ri '%an paa arah

in9/aasi n7an s%a/a n4ri .

- Ku/i' 'ra>a han7a'

2 DS:Pasin n7/uh 'ia% na9su

a%an= n4ri saa' n/an

DO:

- 5apa% in9/aasi an

%rahan paa pipi >a7ian

%anan >a&ah.

- BB : "8 %7= 5B : 1" $

Bi+/+7i$a/ inur4 a7n';in9/aa'i+n sa/i,ar4

7/an<

6si%+ pnuhan%>u'uhan nu'risi %uran7

ari %>u'uhan 'u>uh

3. DS:

Pasin n7/uh a suah

sin77u 4an7 /a/u.DO :

- Suhu : 3! #

- 5D 13!! H7

- Nai 1!!Cni'

- Baan 'ra>a han7a'.

- B#: 12.!!!

>i+/+7i$a/ inur4 a7n'


7/an<

Hipr'ri >rhu>un7an

n7an pnin7%a'an /au

'a>+/is: pr+ssin9/aasi.

0.(. Diagnoa Ke#era$atan

Brasarr%an ana/isa a'a ia'as= un$u/ ia7n+sa %pra&a'an >rasar%an uru'an

pri+ri'as %pra&a'an 4ai'u:

a.N4ri a%u' >rhu>un7an n7an >i+/+7i$a/ inur4 a7n' ;in9/aa'i+n sa/i,ar4 7/an<

>. Hipr'ri >rhu>un7an n7an pnin7%a'an /au 'a>+/is: pr+ss in9/aasi.

$.6si%+ pnuhan %>u'uhan nu'risi %uran7 ari %>u'uhan 'u>uh >rhu>un7an

n7an >i+/+7i$a/ inur4 a7n' ;in9/aa'i+n sa/i,ar4 7/anrhu>un7an

n7an >i+/+7i$a/ inur4

a7n' ;in9/aa'i+n

sa/i,ar4 7/an


21/25

- 5apa% in9/aasi

an %rahan paa

pipi >a7ian %anan

>a&ah.

- N4ri '%an paa

arah in9/aasi

n7an s%+r n4ri (-

.

- Ku/i' 'ra>a han7a'

2. M/ap+r%an >ah&an4ri

>r%uran7 n7an n77una%an

anan n4ri.

3. Mapu n7na/i n4ri ;s%a/a=

in'nsi'as= 9r%unsi an 'ana

n4rir%uran7.

(. K+/a>+rasi%an n7an

+%'r a/a p>rian

ana/7'i%.

2. Hipr'ri >rhu>un7an

n7an pnin7%a'an /au

'a>+/is: pr+ss

in9/aasi= 4an7 i'anai

n7an :

DS:

Pasin n7/uh

a suah sin77u

4an7 /a/u.

DO :

- Suhu : 3! #

- 5D 13!! H7

- Nai 1!!Cni'

- Baan 'ra>a han7a'.

B#: 12.!!!

NO#:

Pnurunan suhu 'u>uh

Kri'ria hasi/:

1. %/in apu n/as%an

%>a/i pnii%an %sha'an

4an7 i>ri%an.

2. Mapu 'r+'i,asi un'u%

/a%sana%an pn/asan 4an7

'/ah i>ri%an.

1. Pn7'ahuan pasin an

%/uar7a 'n'an7 $ara

nurun%an suhu 'u>uh.

2. Anur%an %/uar7a un'u%

>a'asi a%'i9i'as

pasin.

3. A'ur /in7%un7an 4an7

%+nusi9.

(. Bri %+prs n7an air

in7in;air >iasa< paa

arah a%si/a= /ipa' paha

an 'p+ra/ >i/a 'rai

panas.

. Anur%an %/uar7a un'u%

a%ai%an pa%aian

4an7 apa' n4rap

%rin7a' spr'i %a'un.". anur%an %/uar7a un'u%

/a%u%an assa7

paa %'ri'as

n77una%an in4a%

%a4u pu'ih.

0. K+/a>+rasi n7an

+%'r a/a p>rian

an'ipir'i%.

2. 6si%+ pnuhan

%>u'uhan nu'risi%uran7 ari %>u'uhan

'u>uh >rhu>un7an

n7an >i+/+7i$a/ inur4

a7n' ;in9/aa'i+n

sa/i,ar4 7/anua4a

an a7aa pasin

3. 5n'u%an a%anan

sis+9' 4an7 uah

i'/an >a7i pasin

(. pi/ih%an sup/nnu'risi 4an7 $+$+%

21


22/25

- 5apa% in9/aasi

an %rahan paa

pipi >a7ian %anan

>a&ah.

- BB : "8 %7= 5B :

1" $

. +r+n7 in'a% a%anan

4an7 'in77i %a/siu an

%a/iu ;4an7 $+$+%

>a7i pasin<

". Pas'i%an ii' 4an7

i>ri%an 'in77i sra'

un'u% $7ah %+ns'ipasi

0. sai%an a%anan 4an7

nari% /ipu'i

'%s'ur= &arna an

a$an4a.

8. La%u%an +ra/ h47in

s>/u a%an an

ssuai %>u'uhan

9. M+ni'+r hasi/ /a>+ra'

,A, I

PENUTUP

4.*. Keim#u"an

Pn4a%i' par+'i'is a'au 4an7 >iasa is>u' 7+n+n7an ;ups< rupa%an sua'u

pn4a%i' nu/ar iana ss+ran7 'rin9%si +/h ,irus ;Para4C+,irus< 4an7

n4ran7 %/nar /uah ;%/nar par+'is< i an'ara '/in7a an rahan7 shin77a

n4>a>%an p>n7%a%an paa /hr >a7ian a'as a'au pipi >a7ian >a&ah. a/a

4an7 i'i>u/%an >rupa p>n7%a%an= rasa sa%i'= %rahan= an %/>u'an paa

sa/uran %/nar /uah= naun u7a 'rai %/ainan >rupa p/>aran an pn4u>a'an

sa/uran. an77uan par+'i'is $nrun7 n4ran7 ana%-ana% i>a&ah usia 1 'ahun

;s%i'ar 8@ %asus+n= ''api s%aran7 %hasus ini '/ah aran7 'r/iha'= han4a

%aan7-%aan7 'r/iha' paa par+'i'is %r+nis r%urn= ''api 'ia% ssrin7 4an7

ipr%ira%an.

4.(. Saran Ban4a% %+p/i%asi 4an7 i'i>u/%an +/h praan7an %/nar sa/i,a ini

shin77a harus sini un7%in pnan7anan ia&a/i n7an >r>a7ai 's /a>+ra'+riu=

isusu/ paa p>rian an'i>i+'i%= pna>ahan ,+/u $airan a/a 'u>uh= hin77a

a%hirn4a iaa%an +prasi.

22


23/25

DA!TAR PUSTAKA

Anar'+= O>i. ;2!1a$hr= %%. Harris+n: Prinsip-Prinsip I/u Pn4a%i' Da/a. Ja%ar'a: E# 1:2

Suharians4ah. 2!13. 69ra' Mups Apri/ 2!13. Ken)ari: Ba'ian lmu Kesehatan &nak

8akultas Ke)#kteran niersitas "alu#le#

Mups= Pin%>++% 2!12= Epidemiology and Prevention of $accine Preventable %iseases= 12'h

Ei'i+n S$+n Prin'in7 6,is Ma4 2!12

Mups ;Par+'i'is Epii%a


24/25

An77rani= M/isa= D&i Lin77a U'aa= I M . &ondongan "!umps atau Parotitis#.

Ba7SM IKA K UNUD-6SUP San7/ah Dnpasar. Dia%ss ari

h''p:ppsi%a9%unu.$+7+n+n7an-ups-a'au-par+'i'is paa >u/an apri/ 2!1"

5p/r=J=%%. Par+'i'isMups. > MD Pr+9ssi+na/.2!!

D9ni= rain L. !umps. In: 6uss// S'/= #hi99 Ei'+r: Ms$ap 69rn$:

2!12. Dia%ss ari h''p:i$in.s$ap.$+ paa >u/an Apri/ 2!1"

2(

http://ppdsikafkunud.com/gondongan-mumps-atau-parotitis%20pada%20bulan%20april%202016http://emedicine.medscape.com/http://ppdsikafkunud.com/gondongan-mumps-atau-parotitis%20pada%20bulan%20april%202016http://emedicine.medscape.com/


25/25

2

asuhan keperawatan dewasa dengan gangguan sistem pencernaan(1) (repaired)

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