bahan kuliah keperawatan (arin)

7/26/2019 Bahan Kuliah Keperawatan (ARIN)

1/24

Bahan Kuliah Keperawatan

Sabtu, 11 Mei 2013

ASUHAN KEPERAWATAN PAA PAS!EN EN"AN TETRA#$"! $%

%A##$T &T$%'

ASUHAN KEPERAWATAN PADA PASIEN DENGAN

TETRALOGI OF FALLOT (TOF)

AKADEMI PERAWATAN MALAHAYATI

MEDAN2012/2013

AKADEMI PERAWAT MALAHAYATI MEDAN
http://akpermalahayatimedan.blogspot.co.id/http://akpermalahayatimedan.blogspot.co.id/


2/24

TAHUN 2012

KATA PENGANTAR

Segala puji bagi Allah a!g "elah #e!$l$!g ha#ba%Na #e!ele&ai'a!

#a'alah i!i (e!ga! pe!uh 'e#u(aha!) Ta!pa pe*"$l$!ga!%Na #u!g'i!

pe!u&u! "i(a' a'a! &a!ggup #e!ele&ai'a! "uga& i!i (e!ga! bai')

Ma'alah i!i (i&u&u! aga* pe#ba+a (apa" #e#pe*lua& il#u "e!"a!g

,A&uha! Kepe*a-a"a! Pa(a Pa&ie! De!ga!Te"*al$gi . all$" T$ a!g 'a#i

&aji'a! be*(a&a*'a! pe!ga#a"a! (a*i be*bagai &u#be*)

Ma'alah i!i #e#ua" "e!"a!g , A&uha! Kepe*a-a"a! Pa(a Pa&ie!

De!ga! Te"*al$gi . all$" T$ a!g #e!gi(e!"i4'a&i'a! (a! #e!jaba*'a!

'$!&ep 'hu&u& a!g be*hubu!ga! (e!ga! hal%hal !a"a (ala# 'epe*a-a"a!)

Pe!uli& #e!a(a*i bah-a #a'alah i!i #a&ih jauh (a*i 'e&e#pu*!aa!5$leh

&ebab i"u '*i"i' a!g #e#ba!gu! (a*i pa*a pe#ba+a &a!ga" 'a#i ha*ap'a!)

Pe!u&u! juga #e!gu+ap'a! "e*i#a 'a&ih 'epa(a D$&e! Pe#bi#bi!g

'a#i a!g "elah #e#bi#bi!g pe!u&u! aga* (apa" #e!ge*"i "e!"a!g

bagai#a!a +a*a 'a#i #e!u&u! #a'alah i!i (e!ga! bai')

Se#$ga #a'alah i!i (apa" be*#a!aa" bagi pa*a pe#ba+a)

Me(a!5 26 Sep"e#be*

Pe!uli&

DATAR ISI

KATA PEN7ANTAR

DATAR ISI

8A8 I PENDAH9L9AN

1)1 La"a* 8ela'a!g:::::::::::::::::::::::):;1)2Tujua!::::::::::::::::::::::::::):);


3/24

8A8 II TIN2)6 P*$g!$&i&::::::::::::::::::::::::::102)? ASKEP Pa(a Pa&ie! De!ga! Te"*al$gi . all$" T$:::::::))11

8A8 III PEN9T9P

3)1 Ke&i#pula!:::::::::::::::::::::::::1>

DATAR P9STAKA::::::::::::::::::::::))20

BAB I

PENDAHULUAN

1.1 Latar Bea!a"#

Te"*al$gi all$" T #e*upa'a! pe!a'i" ja!"u!g &ia!$"i' a!g pali!g

ba!a' (i"e#u'a! (i#a!a "e"*al$gi all$" #e!e#pa"i u*u"a! 'ee#pa"

pe!a'i" ja!"u!g ba-aa! pa(a a!a' &e"elah (ee' &ep"u# @e!"*i'el5(ee'

&ep"u# a"*iu# (a! (u'"u& a*"e*i$&u& pe*&i&"e!5a"au lebih 'u*a!g 10%1 B

(a*i &elu*uh pe!a'i" ja!"u!g ba-aa!5 (ia!"a*a pe!a'i" ja!"u!g ba-aa!

&ia!$"i' Te"*al$gi all$" #e*upa'a! 2/3 !a) Te"*al$gi all$" #e*upa'a!

pe!a'i" ja!"u!g ba-aa! a!g pali!g &e*i!g (i"e#u'a! a!g (i"a!(ai

(e!ga! &ia!$&i& &e!"*al a'iba" a(a!a pi*au 'a!a! 'e 'i*i)

Di RS9 D*) S$e"$#$ &ebagia! be&a* pa&ie! Te"*al$gi all$" (i(apa"

(ia"a& "ahu! (a! p*e@ale!&i #e!u*u! &e"elah be*u#u* 10 "ahu!) Da*i

ba!a'!a 'a&u& 'elai!a! ja!"u!g &e*"a 'ega-a"a! a!g (i"i#bul'a! a'iba"

'elai!a! ja!"u!g ba-aa! i!i5 #a'a &ebagai &e$*a!g pe*a-a" (i"u!"u" u!"u'


4/24

#a#pu #e!ge!ali "a!(a 'ega-a"a! (a! #a#pu #e#be*i'a! a&uha!

'epe*a-a"a! a!g "epa")

1.2 T$%$a"

9!"u' #e!ge"ahui lebih (ala# #e!ge!ai pe!a'i" a!a' ai"u "e"*al$gi

all$")

BAB II

TIN&AUAN TEORI

2.1 Pe"#ert'a"

Tetra#' at (TF) a(alah 'elai!a! ja!"u!g ba-aa! (e!ga!

ga!ggua! &ia!$&i& a!g (i"a!(ai (e!ga! '$#bi!a&i ; hal a!g ab!$*#al

#elipu"i (ee' &ep"u# @e!"*i'el5 &"e!$&i& pul#$!al5 overriding aorta, (a!

hipe*"*$4 @e!"*i'el 'a!a!) K$#p$!e! a!g pali!g pe!"i!g (ala# #e!e!"u'a!

(e*aja" be*a"!a pe!a'i" a(alah &"e!$&i& pul#$!al (a*i &a!ga" *i!ga!

&a#pai be*a") S"e!$&i& pul#$!al be*&ia" p*$g*e&i 5 #a'i! la#a #a'i! be*a")

*e'ue!&i T lebih 'u*a!g 10 B) De*aja" &"e!$&i& pul#$!al &a!ga"

#e!e!"u'a! ga#ba*a! 'elai!a!C pa(a $b&"*u'&i *i!ga! "i(a' "e*(apa"

&ia!$&i&5 &e(a!g'a! pa(a $b&"*u'&i be*a" &ia!$&i& "e*liha" &a!ga" !a"a) Pa(a

'lie! (e!ga! T5 &"e!$&i& pul#$!al #e!ghala!gi ali*a! (a*ah 'e pa*u%pa*u

(a! #e!ga'iba"'a! pe!i!g'a"a! @e!"*i'el 'a!a! &ehi!gga "e*ja(i hipe*"*$pi


5/24

@e!"*i'el 'a!a!) Sehi!gga (a*ah 'aa .2 a!g ha*u&!a (ip$#pa'a! 'e

pa*u%pa*u be*pi!(ah 'e @e!"*i'el 'i*i 'a*e!a a(a!a +elah a!"a*a @e!"*i'el

'a!a! a'iba" SD @e!"*i'el &ep"u# (ee'5 a'iba"!a (a*ah a!g a(a (i

@e!"*i'el 'i*i a!g 'aa a'a! .2 (a! a'a! (ip$#pa'a! 'e &i*'ula&i &i&"e#i'

be*+a#pu* (e!ga! (a*ah a!g be*a&al (a*i @e!"*i'el 'a!a! a!g 'aa a'a!

.2) Sehi!gga pe*+a#pu*a! i!i #e!ga'iba"'a! (a*ah a!g a'a!

(ip$#pa'a! 'e &i*'ula&i &i&"e#i' #e!gala#i pe!u*u!a! 'a(a* .2)

2.2 Et'#' * Pe"+e,a,

Pa(a &ebagia! be&a* 'a&u&5 pe!ebab pe!a'i" ja!"u!g ba-aa! "i(a'

(i'e"ahui &e+a*a pa&"i) (i(uga 'a*e!a a(a!a a'"$* e!($ge! (a! e'&$ge!)

a'"$* Fa'"$* "e*&ebu" a!"a*a lai! G

a'"$* e!($ge!

- 8e*bagai je!i& pe!a'i" ge!e"i' G 'elai!a! '*$#$&$#5 +$!"$h!a ($-!

&!(*$#e5 #a*a! &!(*$#e)

- A!a' a!g lahi* &ebelu#!a #e!(e*i"a pe!a'i" ja!"u!g ba-aa! #i&al!a

SD5 pul#$!a* &"e!$&i&5 a!( $@e**i(i!g a$*"a)

- A(a!a pe!a'i" "e*"e!"u (ala# 'elua*ga &epe*"i (iabe"e& #eli"u&5

hipe*"e!&i5 '$le&"e*$l "i!ggi5 pe!a'i" ja!"u!g a"au 'elai!a! ba-aa!a'"$* e'&$ge!

- Ri-aa" 'eha#ila! ibu G &ebelu#!a i'u" p*$g*a# K8 $*al a"au &u!"i'5

#i!u# $ba"%$ba"a! "a!pa *e&ep ($'"e*5 "hali(#i(e5 (e"*$a#phe"a#i!e)

a#i!$p"e*i!5 a#e"h$p"e*i!5 ja#u

- Ibu #e!(e*i"a pe!a'i" i!e'&i G *ubella

- Ee' *a(i$l$gi papa*a! &i!a*

- Ibu #e!g$!&u#&i al+$h$l (a! #e*$'$' &aa" #e!ga!(u!g)

Pa*a ahli be*pe!(apa" bah-a pe!ebab e!($ge! (a! e'&$ge! "e*&ebu"

ja*a!g "e*pi&ah #e!ebab'a! pe!a'i" ja!"u!g ba-aa!) Dipe*'i*a'a! lebih

(a*i >0B 'a&u& pe!ebab a(alah #ul"ia'"$*)

2.- E'/e'#'


6/24

Te"*al$g $ all$" "i#bul pa(a J/% 3%= pe* 10)000 'elahi*a! (a! #e!e#pa"i

a!g'a %6B (a*i 'elai!a! ja!"u!g a'iba" +$!ge!i"al) Sa#pai &aa" i!i pa*a

($'"e* "i(a' (apa" #e#a&"i'a! &ebab "e*ja(i!a5 a'a! "e"api 5pe!ebab!a

(apa" be*'ai"a! (e!ga! a+"$* li!g'u!ga! (a! juga a+"$* ge!e"i+ a"au

'e(ua!a) Dapa" juga be*hubu!ga! (e!ga! '*$#$&$# 22 (ele"i$!& (a! juga

(i7e$*ge &!(*$#e) Ia lebih &e*i!g #u!+ul pa(a la'i%la'i (a*ipa(a -a!i"a)

Pe!ge*"ia! a'a! e#b*$l$g (a*ipa(a pe!a'i" i!i a(alah &ebagai ha&il

'egagala! (ala# +$!al &ep"u# bagia! a!"e*i$*5 #e!gha&il'a! '$#bi!a&i

'li!i' be*upa SD5 pul#$!a* &"e!$&i&5 a!( $@e**i(i!g a$*"a) Pe*'e#ba!ga!

(a*i hipe*"*$pi @e!"*i+le 'a!a! a(alah $leh 'a*e!a 'e*ja a!g #a'i!

#e!i!g'a" a'iba" (ee' (a*i 'a"up pul#$!al) Hal i!i (apa" (i#i!i#al'a!

bah'a! (apa" (ipulih'a! (e!ga! $pe*a&i a!g (i!i)

2. Ma"'eta' !'"'

- Mu*#u* #u!g'i! #e*upa'a! "a!(a pe*"a#a a!g bia&a (i"e#u'a! $leh

($'"e*) Ia #e*upa'a! &ua*a "a#baha! a"au "i(a' bia&a a!g (apa" (i(e!ga*

pa(a (e!u" ja!"u!g &i bai) Keba!a'a! bai a!g #e!(e*i"a "e"a*al$g $

all$" #e#pu!ai &ua*a #u*#u* ja!"u!g)

a!$&i& juga #e*upa'a! pe*"a!(a u#u# pa(a "e"*al$g $ all$")

a!$&i& a(alah &ua"u 'ea(aa! (i #a!a pa(a &i*'ula&i bai 'e'u*a!ga!

(a*ah a!g "elah


7/24


8/24

2.3 Peer'!aa" D'a#"t'!


9/24

La,ratr'$

Pe#e*i'&aa! lab$*a"$*iu# *u"i! pe!"i!g pa(a &e"iap pe!a'i" ja!"u!g

ba-aa! &ia!$"i' u!"u' #e!ilai pe*'e#ba!ga! pe!a'i") He#$gl$bi! (a!

he#a"$'*i" #e*upa'a! i!(i'a"$* a!g +u'up bai' u!"u' (e*aja" hip$'&e#ia)

Pe!i!g'a"a! he#$gl$bi! (a! he#a"$'*i" i!i #e*upa'a! #e'a!ie

'$#pe!&a&i a'iba" &a"u*a&i $'&ige! a!g *e!(ah) Pa(a u#u#!a

he#$gl$bi! (ipe*"aha!'a! a!"a*a 1=%1? g/(l5 &e(a!g'a! he#a"$'*i" 0%=B)

8ila 'a(a* he#$gl$bi! (a! he#a"$'*i" #ela#paui ba"a& "e*&ebu" "i#bul

bahaa "e*ja(i!a 'elai!a! "*$#b$ e#b$li5 &ebali'!a bila 'u*a!g (a*i ba"a&

ba-ah "e*&ebu" be*a*"i "e*ja(i a!e#ia *ela"i a!g ha*u& (i$ba"i)

Ga,ara" ra/'#'

a*(i$ "h$*a+i+ *a"i$ pa&ie! "e"*al$gi all$" bia&a!a !$*#al a"au &e(i'i"

#e#be&a*) A'iba" "e*ja(i!a pe#be&a*a! @e!"*i'el 'a!a! (e!ga! '$!u&

pul#$!ali& a!g hila!g5 #a'a "a#pa' ape'& ja!"u!g "e*a!g'a" &ehi!gga

"a#pa' &epe*"i ,&epa"u b$$") Pa(a 2B 'a&u& a*'u& a$*"a "e*le"a' (i 'a!a!

a!g &eha*u&!a (i 'i*i5 (apa" be*a'iba" "e*ja(i!a &ua"u "a*i' baa!ga!

"*a'e$b*$!'ial be*i&i u(a*a (i &ebelah 'i*i5 a!g "e*(apa" pa(a pa!(a!ga!

a!"e*$%p$&"e*i$* a"au (apa" (ipa&"i'a! $leh pe*ge&e*a! e&$phagu& a!gbe*i&i ba*iu# 'e 'i*i) $*a'a! @a&+ula* pa*u be*'u*a!g (a! lapa!ga! pa*u

*ela"i be*&ih5 #u!g'i! (i&ebab'a! $leh ali*a! (a*ah pa*u pa*u a!g

be*'u*a!g (a! #e*upa'a! &ua"u "a!(a (iag!$&"i' a!g pe!"i!g) 8ila

"e*(apa" '$la"e*al a!g ba!a' #u!g'i! +$*a'a! @a&+ula* pa*u "a#pa'

!$*#al5 a"au bah'a! be*"a#bah) Pa(a p*$e'&i la"e*al5 *ua!ga! (epa! a!g

be*&ih a"au '$&$!g (apa" a"au "i(a' (ipe!uhi $leh @e!"*i'el 'a!a! a!g

hipe*"*$4)

Ee!tr!ar/'#ra

Pa(a EK7 &u#bu RS ha#pi* &elalu be*(e@ia&i 'e 'a!a!) Ta#pa' pula

hipe*"*$4 @e!"*i'el 'a!a!) Pa(a a!a' be&a* &e*i!g (iju#pai P pul#$!al)


10/24

E!!ar/'#ra

E'$'a*(i$g*a4 (apa" #e#pe*liha"'a! &e"iap 'elai!a! pa(a "e"*al$gi all$")

Peleba*a! (a! p$&i&i a$*"a be*upa (i&'$!"i!ui"a& &ep"u# @e!"*i'el (a!

(i!(i!g (epa! a$*"a &e*"a peleba*a! @e!"*i'el 'a!a! #u(ah (iliha") Kelai!a!

'a"up pul#$!al &e*i!g'ali &uli" (i!ilai5 (e#i'ia! pula pe!e!"ua! pe*be(aa!

"e'a!a! a!"a*a @e!"*i'el 'a!a! (a! a)pul#$!ali& "i(a' &elalu #u(ah

(ila'u'a!)

Kateter'a' %a"t$"#

Dipe*lu'a! &ebelu# "i!(a'a! pe#be(aha! u!"u' #e!ge"ahui (ee' &ep"u#

@e!"*i'el #ul"iple5 #e!(e"e'&i 'elai!a! a*"e*i '$*$!a*i (a! #e!(e"e'&i

&"e!$&i& pul#$!al pe*ie*) Me!(e"e'&i a(a!a pe!u*u!a! &a"u*a&i $'&ige!5

pe!i!g'a"a! "e'a!a! @e!"*i'el 'a!a!5 (e!ga! "e'a!a! pul#$!ali& !$*#al

a"au *e!(ah)

2.4 Pe"ataa!a"aa"

Pa(a pe!(e*i"a a!g #e!gala#i &e*a!ga! &ia!$&i& #a'a "e*api (i"uju'a!

u!"u' #e#u"u& pa"$4&i$l$gi &e*a!ga! "e*&ebu"5 a!"a*a lai! (e!ga! +a*a G1) P$&i&i lu"u" 'e (a(a aga* ali*a! (a*ah 'e pa*u be*"a#bah

2) M$*phi!e &ula" 051%052 #g/'g S5 IM a"au I@ u!"u' #e!e'a! pu&a"

pe*!aa&a! (a! #e!ga"a&i "a'ip!eu)

3) 8i'a*b$!a& !a"*i'u& 1 Me/'g 88 I u!"u' #e!ga"a&i a&i($&i&

;) .'&ige! (apa" (ibe*i'a!5 -alaupu! pe#be*ia! (i&i!i "i(a' begi"u "epa"

'a*e!a pe*#a&alaha! bu'a! 'a*e!a 'e'u*a!ga!$'&ige!5 "e"api 'a*e!a ali*a!

(a*ah 'e pa*u #e!u*u!) De!ga! u&aha (ia"a& (iha*ap'a! a!a' "i(a' lagi

"a'ip!ea5 &ia!$&i& be*'u*a!g (a! a!a' #e!ja(i "e!a!g) 8ila hal i!i "i(a'

"e*ja(i (apa" (ila!ju"'a! (e!ga! pe#be*ia! G

2)=)1 P*$pa!$l$ l 0501%052 #g/'g I pe*laha!%laha! u!"u' #e!u*u!'a! (e!u"

ja!"u!g &ehi!gga &e*a!ga (apa" (ia"a&i) D$&i& "$"al (ila*u"'a! (e!ga! 10 #l


11/24

+ai*a! (ala# &pui"5 ($&i& a-al/b$lu& (ibe*i'a! &epa*$h!a5 bila &e*a!ga!

belu# "e*a"a&i &i&a!a (ibe*i'a! pe*laha! (ala# %10 #e!i" be*i'u"!a)

2)=)2 Ke"a#i! 1%3 #g/'g *a"a%*a"a 252 #g/'g I pe*laha!) .ba" i!i be'e*ja

#e!i!g'a"'a! *e&i&"e!&i @a&'ule* &i&"e#i' (a! juga &e(a"i@e

2)=)3 pe!a#baha! @$lu#e +ai*a! "ubuh (e!ga! i!u& +ai*a! (apa" ee'"i (ala#

pe!ga!a! &e*a!ga! &ia!$"i') Pe!a#baha! @$lu#e (a*ah juga (apa"

#e!i!g'a"'a! +u*ah ja!"u!g5 &ehi!gga ali*a! (a*ah 'e pa*u be*"a#bah (a!

ali*a! (a*ah &i&"e#i' #e#ba-a $'&ige! 'e &elu*uh "ubuh juga #e!i!g'a")

La'u'a! &ela!ju"!a ai"u G

1) P*$pa!$l$l $*al 2%; #g/'g/ha*i (apa" (igu!a'a! u!"u' &e*a!ga!

&ia!$"i'

2) 8ila a(a (e4&ie!&i a" be&i &ege*a (ia"a&i

3) Hi!(a*i (ehi(*a&i

T'"/a!a" Be/a5

Me*upa'a! &ua"u 'eha*u&a! bagi &e#ua pe!(e*i"a T) Pa(a bai

(e!ga! &ia!$&i& a!g jela&5 &e*i!g pe*"a#a%"a#a (ila'u'a! $pe*a&i pi!"a&a!

a"au la!g&u!g (ila'u'a! peleba*a! &"e!$&i& "*a!&%@e!"*i'el) K$*e'&i "$"al

(e!ga! #e!u"up SD e!"*i'el Sep"u# Dee' &elu*uh!a (a! #eleba*'a!PS pa(a -a'"u i!i &u(ah #u!g'i! (ila'u'a!) 9#u* $p"i#al u!"u' '$*e'&i

"$"al pa(a &aa" i!i ialah 6%10 "ahu!) Walaupu! 'e#ajua! "elah ba!a'

(i+apai5 !a#u! &a#pai &e'a*a!g $pe*a&i &e#a+a# i!i &elalu (i&e*"ai *e&i'$

be&a*)

Pe"#,ata" K"er6at'

A!a' (e!ga! &e*a!ga! a!$'&ia (i"$l$!g (e!ga! '!ee%+he&" p$&i"i$!5

($&i& 'e+il #$*4! 1/?%1/; #g (i&e*"ai (e!ga! pe#be*ia! $'&ige!) De!ga!

"i!(a'a! i!i &e*a!ga! a!$'&ia &e*i!g hila!g (e!ga! +epa") Pa(a -a'"u i!i

(ibe*i'a! pula $ba"%$ba" pe#bl$' be"a p*$pa!$l$l u!"u' #e!gu*a!gi

'$!"*a'"ili"a& #i$'a*() Pe!+egaha! "e*ha(ap a!$'&ia (ila'&a!a'a! pila

(e!ga! #e!+egah/#e!g$ba"i a!e#ia (e4&ie!&i be&i *ela"i@e5 'a*e!a hal i!i


12/24

&e*i!g #e!a#bah *e'ue!&i &e*a!ga!) A&i($&i& #e"ab$li+ ha*u& (ia"a&i

&e+a*a a(e'ua")

2.7 Pr#"'

Pa(a 'lie! (e!ga! T Te"*al$gi all$" "a!pa #ela'u'a! &ua"u "i!(a'a!

$pe*a&i p*$g!$&i& a"au *a#ala! pe!a'i" 'e(epa! a(alah bu*u' a"au "i(a'

bai') Ra"a%*a"a 'lie! a'a! #e!+apai u#u* 1 "ahu!5 "e"api &e#ua i!i

"e*ga!"u!g pa(a be&a*!a 'elai!a! a!g (iala#i) A!+a#a! pa(a a!a'

(e!ag! T a(alah ab&e& $"a' pa(a u#u* &e'i"a* 2 &a#pai (e!ga! 3 "ahu!)

7ejala !eu*$l$gi& (i&e*"ai (e#a# (a! leu'$&i"$&i& #e#be*i'a! 'e+u*igaa!

a'a! a(a!a ab&e& $"a')


13/24

e'&"*e#i"a&)

*e'ue!&i ja!"u!g G "a'i'a*(

Te'a!a! !a(i G #u!g'i! &e#pi"5 #e!u!ju'a! pe!u*u!a! @$lu#e

&e'u!+up

Hepa* G pe#be&a*a!/(apa" "e*aba

8u!i !aa& G *$!g'i

I*a#a ja!"u!g G (i&*i"#ia5 #i&al!a 4b*ila&i a"*iu#5 '$!"*a'&i

@e!"*i'el

p*e#a"u*/"a'i'a*(i5 bl$' ja!"u!g)

Pu!ggu!g 'u'u G pu+a" a"au &ia!$"i' (e!ga! pe!gi&ia! 'apile* la#ba")

Mu*#u* &"e!$&i& @al@ula*5 (i&"e!&i @e!a jugula*i&

I"te#r'ta :

7ejala G a!&ie"a&5 "a'u"

Ta!(a G be*bagai #a!ie&"a&i pe*ila'u5 #i&al!a G a!&ie"a&5 #a*ah5 'e"a'u"a!)

Ee'"a' :

7ejala G pe!u*u!a! be*'e#ih5 be*'e#ih (i #ala# ha*i5

Ma!a"a" ata$ ;a'ra" :

7ejala G 'ehila!ga! !a&u #a'a!5 #ual/#u!"ah5 pe#be!g'aa! e'&"*e#i"a&

ba-ah5

Ta!(a G (i&"e!&i ab($#e!5 e(e#a u#u#5 (epe!(e!5 "e'a!a!5 pi""i!g

Nere"r' :

7ejala G 'ele#aha!5 pe!i!g5 epi&$(e pi!g&a!

Ta!(a G Le"a*gi5 (i$*ie!"a&i5 pe*ubaha! pe*ila'u

N+er' ata$ !e"+aa"a" :


14/24

7ejala G Ne*i (a(a5 a!gi!a a'u" a"au '*$!i&5 !e*i ab($#e! 'a!a! a"a&5

&a'i" pa(a $"$"

Ta!(a G "i(a' "e!a!g5 geli&ah5 $+u& #e!e#pi" #e!a*i' (i*i

Per"aaa" :

7ejala G Dip&!ea &aa" a'"i@i"a&5 "i(u* &a#bil (u(u' a"au (e!ga! bebe*apa

ba!"al5 pe!ggu!aa! ba!"ua! pe*!apa&a! #i&&al $'&ige! a"au #e(i'a&i

Ta!(a G pe*!apa&a! G "a'ip!ea5 !apa& (a!g'al5

8u!i !apa& G #u!g'i! "i(a' "e*(e!ga*5 (e!ga! #e!gi

u!g&i #e!"al G 'egeli&aha!

Wa*!a 'uli" G pu+a" a"au &ia!$&i&

Peer'!aa" D'a#"t'! :

EK7 G hipe*"*$4 a"*ial a"au @e!"*i'ule*5 i&'e#ia5 (i&*i"#ia #i&al "a'i'a*(i5

4b*ila&i a"*ia)

E'$'a*(i$g*a# G Dapa" #e!u!ju''a! (i#e!&i pe#be&a*a! bili' (a! &e*a#bi5

pe*ubaha! (ala# u!g&i a"au &"*u'"u* 'a"up a"au a*ea '$!"*a'"ili"a&

@e!"*i+ula*)

R$!"ge! (a(a G Dapa" #e!u!ju''a! pe#be&a*a! ja!"u!g5 baa!ga!#e!+e*#i!'a! (ila"a&i a"au hipe*"$pi bili' a"au &e*a#bi5 a"au pe*ubaha!

(ala# pe#buluh (a*ah #e!+e*#i!'a! pe!i!g'a"a! "e'a!a! pul#$!al)

E!i# Hepa* G Me!i!g'a" (ala# gagal a"au '$!ge&"i hepa*)

A7D G gagal @e!"*i'el 'i*i (i"a!(ai (e!ga! al'al$&i& *e&pi*a"$*i' *i!ga! (i!i

a"au hip$'&e#ia (e!ga! pe!i!g'a"a! P.2 a'hi*)

2. DIAGNOSA KEPERAWATAN

a) Re&i'$ pe!u*u!a! +a*(ia+ $u"pu" b/( a(a!a 'elai!a! &"*u+"u*al ja!"u!g)

b) I!"$le*a!&i a'"i@i"a& b/( 'e"i(a'&ei#ba!ga! pe#e!uha! .2 "e*ha(ap

'ebu"uha! "ubuh)

+) 7a!ggua! pe*"u#buha! (a! pe*'e#ba!ga! b/( $'&ige!a&i "i(a' a(e'ua"5

'ebu"uha! !u"*i&i ja*i!ga! "ubuh5 i&$la&i &$+ial)


15/24

() Re&i'$ i!e'&i b/( 'ea(aa! u#u# "i(a' a(e'ua")

-. REN;ANA INTER0 F 1;0 /#!"

- Klie! "i(a' "e*liha" pu+a")

- Klie! "i(a' "e*liha" le#ah)

- #e!gala#i &ia!$&i& pa(a

"ubuh!a)

Kaji *e'ue!&i

!a(i5 RR5 TD

&e+a*a "e*a"u*

&e"iap ; ja#)

a"a" bu!i

ja!"u!g)

Kaji pe*ubaha!-a*!a 'uli"

"e*ha(ap &ia!$&i&

(a! pu+a")

Pa!"au i!"a'e (a!

$u"pu" &e"iap 2;

ja#)

8a"a&i a'"i4"a&

&e+a*a a(e'ua")

Me#$!i"$* a(a!a

pe*ubaha! &i*'ula&i

ja!"u!g &e(i!i

#u!g'i!)

Me!ge"ahui

a(a!a pe*ubaha!

i*a#a ja!"u!g) Pu+a"

#e!u!ju''a!

a(a!a pe!u*u!a!

pe*u&i pe*ie*

"e*ha(ap "i(a'

a(e'ua"!a +u*ah

ja!"u!g) Sia!$&i&

"e*ja(i &ebagai

a'iba" a(a!a

$b&"*u'&i ali*a!

(a*ah pa(a

@e!"*i'el)


16/24

8e*i'a! '$!(i&i

p&i'$l$gi&

li!g'u!ga! a!g

"e!a!g)

7i!jal be*e&p$!

u!"u' #e!u*u!'!a

+u*ah ja!"u!g

(e!ga! #e!aha!

p*$(u'&i +ai*a! (a!

!a"*iu#)

I&"i*aha" #e#a(ai

(ipe*lu'a! u!"u'

#e#pe*bai'i

e4&ie!&i '$!"*a'&i

ja!"u!g (a!

#e!u*u!'a!

'$#&u#&i .2 (a!

'e*ja be*lebiha!)

S"*e& e#$&i

#e!gha&il'a!

@a&$'$!"*i'&i

a!g#e!i!g'a"'a!

TD (a!

#e!i!g'a"'a! 'e*ja

ja!"u!g)

b. Intolerans aktivitas b/d ketidakseimbangan pemenuhan O2 terhadap

kebutuhan tubuh.

Tujua!G Pa&ie! a'a! #e!u!ju''a! 'e&ei#ba!ga! e!e*gi a!g a(e'ua")

K*i"e*ia ha&ilG Pa&ie! (apa" #e!gi'u"i a'"i4"a& &e&uai 'e#a#pua!5 i&"i*aha"

"i(u* "e*+u'upi)

Re!+a!a i!"e*@e!&i (a! *a&i$!alG


17/24

T9


18/24

'elua*ga)

Re&p$!

pe*ubaha!

'ea(aa!

p&i'$l$gi& pa&ie!

#e!a!gi&5

#u*u!g (ll

(e!ga! bai')

*e&p$! p&i'$l$gi&

a!g #e*a!g&a!g

pe!i!g'a"a!

'$*"i&$l (a!

#e!i!g'a"'a!

&uplai .2)

S"*e& (a!

'e+e#a&a!

be*pe!ga*uh

"e*ha(ap

'ebu"uha! .2

ja*i!ga!)

c. Gangguan pertumbuhan dan perkembangan b/d oksigenasi tidak adekuat,

kebutuhan nutrisi jaringan tubuh, isolasi social.

Tujua!G Pe*"u#buha! (a! pe*'e#ba!ga! (apa" #e!gi'u"i 'u*@a "u#buh

'e#ba!g &e&uai (e!ga! u&ia)

K*i"e*ia ha&ilG Pa&ie! (apa" #e!gi'u"i "ahap pe*"u#buha! (a!

pe*'e#ba!ga! a!g &e&uia (e!ga! u&ia5 pa&ie! "e*beba& (a*i i&$la&i &$+ial)GRe!+a!a i!"e*@e!&i (a! *a&i$!alG


19/24

d. Resiko infeksi b/d keadaan umum tidak adekuat.

Tujua!G I!e'&i "i(a' "e*ja(i)

K*i"e*ia ha&ilG 8eba& (a*i "a!(a F "a!(a i!e'&i)

Re!+a!a i!"e*@e!&i (a! *a&i$!alG

T9


20/24

T9


21/24

BAB III

PENUTUP

-.1 Ke'$a"

Tepatnya penanganan dan pemberian asuhan epera!atan pada ana dengan e"ainan

#antung ba!aan sian$ti % tetra"$gi &a""$t sangat menentuan untu e"ansungan hidup ana

mengingat masa"ah yang $mp"it yang dapat ter#adi pada ana T' bahan dapat menimbu"an

ematian yang diaibatan arena hip$sia ( sy$ maupun gaga". O"eh arena itu pera!at harus

memi"ii eterampi"an dan pengetahuan $nsep dasar per#a"anan penyait T' yang bai agar

dapat menentuan diagn$sa yang tepat bagi ana yang menga"ami tetra"$gi &a""$t sehingga anga

esaitan dan ematian dapat ditean.


22/24

DAFTAR PUSTAKA

A.) *arum(+,,+(Bu(u A)ar !l*u Ke+ehatan Ana((#i"id +(aarta('au"tas ed$teran I

/ambang *(Sri endah R(Rubian S(2005(Penananan Pen-a(it .antun pa/a Ba-i /an Ana(

1arpenit$ .Lynda(200+(ian+a Keperawatan(edisi 8(aarta(31

1$"$mbr$ 3era"din 1(+,,8(Pe/iatri re ntent AtA "lane(Lippin4$tt-

hi""ade"phia(Ne! $r

7$eng$es( *ary"in . 20009. Renana A+uhan an (u*enta+i Keperawatan4 disi :

31. aarta

Ngastiah.+,,;.Perawatan Ana( Sa(it( aarta(31

Ne"s$n( +,,2. !l*u Ke+ehatan ana((aarta( 31

Sa4harin(R$sa *( +,,6. Prin+ip Keperawatan Pe/iatri( disi II,aarta(31

Sami /ambang.+,,?(Bu(u A)ar (ar/ili Ana((aarta(I7AI

Shar$n(nnis A@t$n +,,:9( Pe/iatri are plan+,1umming ub"ishig 1$mpany(1a"i&$rnia


23/24

Share

C1ara *embuat /"$gD

Ar+ip Bl E 20+: +29

o E *ei +29

Aspe )uum 7a"am rate epera!atan

AS)AN RA


24/24

Agus rasety$

Lihat pr$&i" "engapu

Tran+late

$!ered by Trans"ate

Submit your site to20+ search engines

RL%

Name%

mai"%

I agree t$ theterms%

Powered by FreeWebSubmission.com

Ttal Ta-anan #a*an

25(858Temp"ate i4ture

bahan kuliah keperawatan (arin)

Documents