asuhan keperawatan klien dengan asthma

8/19/2019 Asuhan Keperawatan Klien Dengan Asthma

1/13

DAFTAR ISI

KATA PENGANTAR

DAFTAR ISI

BAB I : PENDAHULUAN

A. LATAR BELAKANG

B. TUJUAN PENULISAN

C. METODE PENULISAN

BAB II:

- TINJAUAN TEORI

A. KONSEP DASAR PENYAKIT ASTHMA

1. DEFINISI2. ETIOLOGI

3. PATOFISIOLOGI

4. MANIFESTASI KLINIS

5. PENATALAKSANAAN

B. KONSEP ASUHAN KEPERAWATAN KLIEN DENGAN ASTHMA

1. KAJIAN :

A. PENGUMPULAN DATA

1) IDENTITAS KLIEN2) RIWAYAT KEPERAWATAN

. KELUHAN UTAMA

!. R. KESEHATAN SEKARANG

". R. KESEHATAN DAHULU

3) KONSEP DASAR MANUSIA

# 11 KOMPONEN GORDON )

4) PEMERIKSAAN FISIK$ PENUNJANG

B. ANALISA DATA2. DIAGNOSA KEPERAWATAN

3. PERENCANAAN :

A. INTER%ENSI

B. RASIONAL

KATA PENGANTAR

I


2/13

P&'( *&+&, +-( /'0+/ +(,0 TUHAN */ MAHA ESA +,/

0 ,06//7NYA -+6 */ !,'&&6 A&/ K,80/ +6(/

// ASTHMA (/( 0 (6(+/. M+6 (/( -/'6+/ 0/0/

+/ +,80/ A&/ K,80/ +6(/ // ASTHMA.

S- -+6 (/( --!,(+/ !/*+ -/90 + -!".

S6/'&0/* -( +-&,// -+6 (/( /0 (,+/ 6

-&++/ / ,/ */ (90/* --!/&/.

M/ 2; A&0& 2


3/13

I0(6 - !,6 ,( +0 *&//( */ ,0(/* 0,/ = / / !,,0(

,// / /+. M+(&/ &6& (0(6 (/( (&/+/ &/0&+ -/*0+/

-!,/ +6(/( / /+ 0/ --// !!/* +,/ (0(6 (/( /*

(0&/'&+/ &/0&+ +/ = +/ */ -/&/'&+/ ,/ !/,-6 6&,/ /

0, !,!( ,/// */ -/*!!+/ /*-(0/ '6/ / */-6&.

P,&!/ 09((6( */ -/*!!+/ !0,&+( '6/ / 0,'(

!,/+& &+&,/ / / !,/+(6& */ !,(-0, 1 --. /*-(0/ '6/

/ (!!+/ 6 !,/+-- -&+ / (,+,( -&"& */

+/06.

B. TUJUAN PENULISAN

1. T&'&/ U-&- : P/&6( 0 -/,+/ &/ +,80/ +6(/

// -.

2. T&'&/ K&& :. M-& -6+&+/ /+'(/ (/ // -.

!. M-& -//0&+/ -6 0& (/ +,80/ (/ //

-.

". M-& -,/"/+/ 0(/+/ +,80/ (/ // -.

. M-& -6+/+/ 0(/+/ +,80/ (/ // -.

. M-& -6+&+/ >6&( +,80/ (/ -.

9. M-& -/+&-/0(+/ &/ +,80/ ", !(+ / !/,.

C. METODE PENULISAN

[email protected]+67&/7+,80/7-.0-6

00:$$/&,(/!(/."-$0$-$

00:$$+2


4/13

!,/+& 0& !,/+(6& / +,( */ !,6!( = 6!(/ ,( +6/', = +6/',

( -&+ !,/"&.

2. ETIOLOGI. F+0, E+0,(/(+

A- */ 0(-!&6 +,/ ,+( (,/(0(>(0 */ (!!+/ 6

/* IE */ !,+( 0, /0(/ */ 0,0 ( &, #/0(/ =

(/6( ) ,0( !& ,&- ,!&+=,!&+ / !&6& !(/0/.

!. F+0, I/0,(/(+

I/9+( :

1. %(,& */ -/*!!+/ (6 , (/96&/ >(,& ,(,0,* */"*0(6 >(,&

#RS%).

2. B+0,( -(6/* ,0&( / 0,0+++&.

3. J-&, -(6/* ,(66&.

C&" :

P,&!/ 0+// &, && &, /(/ / +6-!!/ (&!&/+/

// ,"0/ (,(0/ !/ +(-( -(/*+ 8/( ,++ 6&0/ &,.

E-(/6 :

0+&0 "- / 0/ +0(9(0 */ !,6!(/ -(6/* !,6,(.

3. PATOFISIOLOGI

A- 6 /*+(0 */ (!!+/ 6 /(/+0/ ,/ ,( 0,"

/ !,/+& 0, !,-"- =-"- 0(-&6( */ (0/( //

/*-(0/ !,/+& 0& !,/+(6& / +,( */ !,6!( = 6!(/ ,(

+6/', = +6/', ( -&+ !,/"&.

A- (6 /*+(0 ,& // "(,( + *+/( 6&,/ / /0

-& !,+( 0, !,!( ,/// 0& /"0& // -/(90(

!,& ,// -. K6(// */ (0+/ 6:

- O00 !,/+& +/ -/+,&0 # 0,'( /*-(0/).

- S6&0 6/(, !,/+& &-.

P,&+( 6/(, -+(/ !/*+ 6/+0 / +/06 (/ +0( 6

0,!&0 -/*!!+/ 6&,/ 6&!/ !,/+& -/'( -(0 / /+ +/

!0&+ !+/ 0 -( + /. S,// 0,!&0 0 (6/ /(,(

0& (6/ // ,06// !0.

P 0(&- ,-&6/ ,// 0,6(0 -&+ &"0 0,0 - /

+,( !,0-!. L&-/ !,/+& -/*-(0 +(!0 -. T,6(0 +/0(

-!&6& , (/9(60,( 6 (/9(6 6- ",0 (6- 6&-/ 6&,/ /.

J(+ ,// ,(/ 0,'( / 6- 0& -/&/ +/ 0,6(0

+&-( #-/6&) (06 /!6/ --!,/ (6(/ !6 *,6(

I


5/13

,0 60(/ '& *,6( / (,0,9( 00 !,/+&. P ,// */

!,0 0& - */ -/&/ 0,0 /*&-!0/ !,/+& 6 -&"&

*/ +/06.

P - */ 0(-!&6 +(!0 ,+( (-&/6(+ ,+( /0(/ =

/0(!* -/*!!+/ 6/* -(0, +(-( */ 0 -/(-!&6+/

+6(// 06( 0(. M(0, +(-( 0,!&0 6:

. H(0-(/

1. K/0,+( 00 6.

2. D(60( -!&6& +(6, / +/0,+( -!&6& >/ (/ 0,'(

-.

3. B,0-!/* +,( +6/', (-&+ !,/"& !,/+(6& -&+

(&/ / -0.

!. B,(+(/(/

1. K/0,+( 00 6 !,/"&.

2. M/(/+0+/ ,-!(6(0 -!&6& ,.3. %,, #/&,&// 0+// ,).

4. B,0-!/* +,( +6/', 6& / 6&.

". P,06/(/

B,/++0,(+( #0,&0- ,06/(/ F).

I


6/13

4. MANIFESTASI KLINIK

1. W(/.

2. D*/ // 6- +(,( /&// 007 00 ,( ,//.

3. P,// "&(/ (&/.

4. B0&+ +,(/ #0(+ ,&+0(9) +,/ +,0 +/06 / 6&-/ '6/ /

-(0 (,(.

5. S(/(

. N*,( !-/ +,/ 0,6(!0/* 00 !-/ 6- ,//.

. K"-/ 6!(6 / /&,&// 0(/+0 +,/.

. T(+ 06,/ 0, +0(9(0 : -+/ !,-(/ !,'6/ !+/ !(",.

5. PENATALAKSANAAN

I


7/13

P/"/ 0, -'// 6,(.

S,// +&0 // +(/ /6 0& -+,

T,( "(,/ ,/0,6

T,( /!0/ &( ,,-

-B0 27/(0 &/0&+ -/&,/( !,/+- -/(60( 00 6

!,/"(6

A6!&0,6 #,>/0(6 >/06(/)

T,!&06(/

E(/9,(/

M0,0/6

− M0(6/0(/ ,0( -(/9(6(/ / 09(6(/ --&/*( 9+ !,/+(60(.

− A/0(+6(/,(+ ,0( 0,(/ -0(6/(0,0 0& 0,>/0 --&/*( 9+

!,/"(60, */ /0 !(+.

−K,0(+0,( (!,(+/ ", I% #(,+,0(/) ", ,6 #-/(/) (/6(

#+-0/).

A. KONSEP ASUHAN KEPERAWATAN PADA KLIEN DENGAN ASTHMA

I. PENGKAJIAN

A. P/&-&6/ D0

1) I/0(0 P(/ N- +6(/ :U-&, :

J/( +6-(/ :

A- :

P+,'/ :

P/((+/ :

A6-0 :

S&+&$!/ :

S00& ,+8(// :

T6. MRS :

2) R(8*0 K,80/

a. K6&/ &0- : (/ !,+0 + /9

b. R. K0/ S+,/ : +6(/ 0(/ // +6&/ + /9

+-&(/ ((+&0( // '6 6(/ *(0& : 8(/ /&// 00 !/0&

,/9/.

c. R. K0/ D&6& : /*+(0 */ ,/ (,(0 -7- &6&

,0( (/9+( 6&,/ /9 0 +(0 0/,+/ -/6 6( (&/.

3) K/ D, M/&( :

I


8/13

1) P6 P,( / 00 6+/ (& 0 :

G'6 0- 0 --!0( -/&( &/0&+ !,,(6+& (& /,-6

(/ +6(/ // 0- ,& -,&! * (&/* &(

+/(( */ --&/+(/+/ 0(+ 0,'( ,// 0-.

2) P6 N&0,(( M0!6(+ :P,6& (+'( 0/0/ 00& /&0,(( +6(/ -6(&0( '&-6 9,+&/( /

+&6(0/7+&6(0/ 6- --/&( +!&0&//*. S,0 +6(/

+ 0/(6 +6( 0,'(/* ++&,// 6- --/&(

+!&0&/ /&0,(( 6 (/( +,/ (/ 0 -+/ 6'& -0!6(-

,0 /(0 */ (6-( +6(/.

3) P6 E6(-(/( :

P,6& (+'( 0/0/ +!(/ BAB / BAK -/"+& 8,/ !/0&+

+/0,( 9,+&/( '&-6 ,0 +&6(0/ 6- -6+/+//*.

4) P6 P,/ K/(0(9 :

5) P6 T(&, / I0(,0 :

P,6& (+'( 0/0/ !(-/ 0(&, / (0(,0 +6(/ -6(&0( !,

6- +6(/ 0(&, / (0(,0. S,0 !, !, +(!0 +66/ */

(6-( +6(/. A/* 8(/ + / ,0/ 0

--/,&( 6 0(&, / (0(,0 +6(/.

) P6 A+0(>(0 L0(/ :

P,6& (+'( 0/0/ +0(9(0 +,(/ +6(/ ,0( 6 , !+,'/ +0(9(0 6(//*. A+0(9(0 9((+ 0 0,'( 9+0, /"0&

0,'(/* 0- */ (!&0 // E, I/&" A0-.

) P6 P,( / K/ D(,( :

P,6& (+'( 0/0/ ,( +6(/ 0, /*+(0/*. P,( */

6 0 -/-!0 ,/ +,0(9 (,( +6(/. C,

--// (,( */ 6 '& +/ -/'( 0,, 6- +(&/

+6(/. S-+(/ !/*+ 0,, */ +(&/ +6(/ //

0- -/(/+0+/ +-&/+(// ,// 0- */ !,&6/.

) P6 R,&+(7S+&6(0:

;) P6 P,/ / H&!&// :

G'6 0- /0 --!0( '6 +6(/ &/0&+ -/'6/( +(&/

", /,-6. K6(/ ,6& -/*&(+/ +/((/* // &!&//

/ ,/ +6(/ !(+ (6(/+&// ,&- 0/ -*,+0 0&&/

6(/+&// +,'.

1


9/13

S0, / +0// -(/6 -,&+/ 9+0, (/0,(/(+ /"0&

,// 0- -+ ,6& (+'( /*!! 0,'(/* 0,. F,+&/(

/ /,& 0, +(&/ +6(/ ,0 ", //&6//

0, 0,,.

11) P6 T0 N(6( / K,"*/ :

K+0/ +6(/ &0& */ ( *+(/( &/( ,"*( 0

-/(/+0+/ ++&0/ '(8 +6(/. K*+(// +6(/ 0, T&/

Y/ M E ,0 /+0/ (,( N* -,&+/ -0

//&6// 0, */ +/0,&+0(9.

4) P-,(+/ F((+$ P/&/'/ :

. 00& +0/ &-&- : ,6& (+'( 0/0/ +,/ +6(/

+"-/ 6( +6-/ &, !(", 0+// , /(

9,+&/( ,// */ -/(/+0.

!. I/0&-/ : (+'( /* ,-&+/ */ +, +,(/ +6(//

(-/0( 0&,, +&6(0+6-!!/ -/6& 0& !,((+.". K6 : (+'( 0/0/ !/0&+ +6 (-0,( /* //'6/

,(8*0 0,&- /* +6&/ +(0 +6 0& &(/.

. M0 : /* /&,&// +0'-/ /6(0/ +/ -/-!

0, */ (,+/ +6(/.

. H(&/ : A/* ,/9/ -/&/+/ "&(/ (&/,(/(0(

6,( / 9&/( 69+0,(.

9. M&6&0 / 6,(/ : D(+'( /* ,,/ &(. G/&/

, -/6/ / -/&/* / +(0 0/,+ ,0 +

0& ,&!/ &,.

. L, : D(+'( /* /*,( 6, ++& ,,+/ -!,/

0(,( ,0 /&// 00700 ,/9/.

. T,+

. I/+(

- K6-/

- T-+ +

- P,/9/ "&(/ (&/$/&// 00 0-!/

- T-+ 6( !,+,(/0 (/(/

-

B0&+ ,&+0(9 - B(!(, +,(/

!. A&+&60(

B&/*( /9 -/( / ,/"( /'/ , ,& +(,(

/&,&/$0(+ !&/*( /9 0 (/(,(.

". P6(

- K&6(0 0,! (/(/

- T+(+,(

- P-,(+/ P/&/'/ :

1. R/0/ : (,(/96( / /0,/ (9,-

I


10/13

2. P-,(+/ &0&- / , : (/9(6( #+/(+/ +, (/9(6).

P/(/+0/ +, ,&- I E - 6,(+.

3. AGD : (+( 6- ,// +&0.

4. F&/( &6-/,( :

− B(/* /,-6

−S,// +&0 : P/(/+0/ TLC / FR% FE% / F%C + -/&,&/.

B. A/6( D0

NO D0 /&/'/ E0(6( -6

1 DS : +6(/ -/6& + /9

!0&+7!0&+ +,0 & +6&,.

DO : 7 RR : 3


11/13

- K'( RR &+&60( !&/*( /.

R$: !( &-!, 0 /* ,&!/ !6&- / & ,80/

(!,(+/.

- B,( (( ( 986, 0& -(7986,

R$: -/-!/+/ +/( ,&

- D,/ (/ &/0&+ 60(/ / 6- / !0&+ 9+0(9

R$: --!/0& --!,(+/ -&"& ,( ,& / / 6- --,!(+(

+(/(.

- L+&+/ &"0(/ '(+ ,6&

R$: --!/0& -/6&,+/ ",0 */ 0(+ 0 (+6&,+/ 6 /+

/(,(.

- L+&+/ 9((0,(

R$: --!/0& /6&,/+,( -/-(/+0+/ +/( ,&

- B,(+/ +(/ &( ,,-

R$ : --,!(+( +(/( / -/&,/( +,(

- M/(0, /(/+0/ /6&,/ &0&-

R$: !( (/(+( /* +6/ ,&

- B,(+/ !,/"(60, &( (/(+(

R$: 00 ,// -/'( ,6+ / 0,( -/&,/( (/96-(

2. K66/ !.. (+( / /(/+0/ +,' ,//

T&'&/ : K6(/ -/&/'&++/ /&,&// +66/ (0/( // 0(+ (,(0!6

0 !,,0((( / /(/+0/ +--&/ 6- !,+0(9(0

I/0,>/( :

- K'( 0/ = 0/ (+( $ *,"/ +66/ (0( /(/+0/ HR

/(/+0/ RR

R$: 0+( (/( &/0&+ -/" (+( 0 -/" +60(/ 6!( 6/'&0

- H(/,( ,(//* -6+&+/ (/0,>/( */ 0(+ /0(/ */ 0 --!&0

/+ 66 !,(+/ (0(,0 */ "&+&

R$: I0(,0 */ "&+& 0 -/&,&/+/ 0, / -/(/+0+/ +/*-//

- M(/0 ,/ 0& &/0&+ 66& -/-/( /+

R$: M/&,&/+/ +0+&0/ / +"-/

- B,(+/ (0(,0 "&+& / 0(&, = 1< '- 0( -6-

R$: (0(,0 "&+& / 0(&, "&+& -/&,&/+/ +66/ / -/(/+0+/

,(0/( 0, (/9+(

-

A',+/ 0+/(+ -/'-/ 0,R$ : B,/+- -&/+(/ (!!+/ 6 -(/6 / 0,

I


12/13

3. P,&!/ 00& /&0,(( +&,/ ,( +!&0&/ !.. (0, GI

T&'&/ : A/+ +/ -/&/'&++/ /&,&// (0, GI (0/( //:

P/&,&// /& / >-(0(/ /* ,!(+/ /&0,(( $ (/0+

I/0,>/(:

- B,(+/ ,( -+/ +"(6 0( ,(/ 5 = +6( ,( // -+// */

(&+(/*

R$: -+// +"(6 0( ,(/ -/*(+/ /,( */ (!&0&+/ 6-!&/

0(+ 0,66& /& (/ --!,(+/ +-0/ &/0&+ /*,/

-+//. M+// */ (&+( -/,/ /+ &/0&+ -+/ /

-/(/+0+/ (/0+

-B,(+/ -+// 6& ,/ 6-+ &/+/ 8,/R$: M+// !,!&-!& / 0(/( 6-+ 0 -/(/+0+/ (0, GI

(/ &6(0 (",/

- A/'&,+/ -/(/,( -+// */ -/*!!+/ 6,(

R$:D0 -/(-!&6+/ ,// +&0 /+ */ /(0(>

4. R(+ ++&,// >6&- "(,/ !.. -/(/+0/* ,// / -/&,&//*

(/0+ ,6

T&'&/ :

A/+ 0 --,0/+/ (,( */ +&0 (0/( // 0&,, +&6(0 60(--!,/ -&+ 6-!! (/0+ "(,/ &( // &( / !,0 !/ &0&0

&,(/ : 172 -6$+ BB$'-

I/0,>/(:

- K'( 0&,, +&6(0 -/(0, &,(/ &0&0 0( 4 '-

R$: &/0&+ -/0&( 0(/+0 (,( / +!&0&/ "(,//*.

- P,0/+/ 0,( ,/0,6 &( (/(+( / -/(0, +6!(/ "(,/

R$: +6!(/ "(,/ 0 -/*!!+/ &- &6-/,.

- S06 9 +&0 /'&,+/ /+ / ,/0& &/0&+ -(/&- 37 6 $ ,(

0,/0&/ &( / !,0 !/ /+

R$: /+ --!&0&+/ "(,/ */ "&+& &/0&+ --,0/+/ (,( /

+(-!// - ! &/0&+ -/" *+

5. K"-/ !.. (06(( / (0, ,//

T&'&/ : K"-/ -/&,&/ (0/( // /+ 0// / 0

-/+,(+/ ,//*.I/0,>/(:

I


13/13

- A',+/ 0+/(+ ,6+( 60(/ / 6- (-'(/( 0,!(-!(/

R$: /6(/ ,0(/ 6- ( - 0 -/&,&/+/ +0+&0/ /

+"-/.

- B,(+/ 0,( !,-(/ &( (/(+(

R$: 0,( !,-(/ 0 -/&,&/+/ 9+ (06(( / +"-/

- I/9,-(+/ 0/0/ ,80/ /!0/ / +/(( /+

R$: -/&,&/+/ , 0+&0 / +(6// "/0,6 +/ (,(/*.

I

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