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LAPORAN PENDAHULUAN
DAN
ASUHAN KEBIDANAN
PADA BAYI DENGAN DIARE
PUSKESMAS TRENGGALEK
KECAMATAN TRENGGALEK KABUPATEN TRENGGALEK
Disusun Oleh
APRILIA DWIANA PARAMITASARI
Bd. DH. 200. !2
AKADEMI KEBIDANAN
DARMA HUSADA KEDIRI
TAHUN AJARAN 2009 / 2010
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LAPORAN PENDAHULUAN
DIARE
A. DEFINISI
Bu"n# "i$ %es"$ en&e$ le%ih d"$i se'"li seh"$i( %is" '"$en )en*"'i+ "+"u %is"
+id"'. Te$'"d"n# dise$+"i #e,"l" l"in se)e$+i d"$"h "+"u lendi$ di d"l"- %u"n#
"i$ %es"$( n*e$i )e$u+( )enu$un"n %e$"+ %"d"n( +u'"' -ulu+ -ene+")( "ne-i"
"+"u 'es"l"h"n u-u- *"n# %u$u'.
Ri&h"$d He"+le*( /1
De3e'"si *"n# den#"n +in,"u *"n# le-%e' "+"u &"i$.
K"-us Ked4'+e$"n Pene$%i+ 5"%"+"n( 2006 Di"$e "d"l"h %u"n# "i$ %es"$ de3e'"si den#"n ,u-l"h +in," *"n# le%ih %"n*"'
d"$i %i"s"n*" n4$-"l /007200 -l8,"- +in," den#"n +in," %e$%en+u' &"i$"n
"+"u se+en#"h &"i$ se+en#"h )"d"+.
D")"+ )ul" dise$+"i 3$e'uensi de3e'"si *"n# -enin#'"+
K")i+" Sele'+" Ked4'+e$"n( 2000
Di"$e "d"l"h %u"n# "i$ %es"$ en&e9$ "+"u &"i$ le%ih d"$i 6 '"li seh"$i.
WHO( /0 Di"$e di"$+i'"n se%"#"i %u"n# "i$ %es"$ *"n# +id"' n4$-"l "+"u %en+u' +in,"
*"n# en&e$ den#"n 3$e'uensi le%ih %"n*"' d"$i %i"s"n*" ne4n"+us din*"+"'"n
di"$e %il" 3$e'uensi %u"n# "i$ %es"$ sud"h le%ih d"$i 1 '"li seh"$i( sed"n#'"n
un+u' %"*i %e$u-u$ le%ih d"$i / %ul"n d"n "n"'( %il" 3$e'uensin*" le%ih d"$i 6
'"li.
Il-u Keseh"+"n An"' 5ilid I( /!
B. ETIOLOGI
Pen*e%"% di"$e "d" %e%e$")" 3"'+4$( di"n+"$"n*":
/. ;"'+4$ in3e'si
". In3e'si in+e$n"l
i$us : En+e$4>i$us >i$us e&h4( &4?s"&'ie( )4ll4-*eli+is(
"den4>i$us( $4+">i$us( "s+$4>i$us( ds%
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In3e'si )"$"si+ : C"&in# "s&"$is( +hi&u$is( 4?*u$is( s+$4n#*l4ides(
)$4+4@4" en+"-4e%" his $4li+i&"( #l"sdi" l"-%i"(
+$i&h4-4n"s h4-inis( ,"-u$ &"ndid" "l%i&"ns
%. In3e'si )"$en+e$"l
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K")i+" Sele'+" Ked4'+e$"n( 2000
2. G"n##u"n se'$esiG"n##u"n $"n#s"n#"n +e$+en+u -is"l 4leh +4'sin )"d" dindin# usus "'"n
+e$,"di )enin#'"+"n se'$esi "i$ d"n ele'+$4li+ 'e d"l"- $4n##" usus sel"n,u+n*"
di"$e +i-%ul '"$en" +e$d")"+ )enin#'"+"n isi $4n##" usus
Il-u Keseh"+"n An"' 5ilid I( /!
Dise%"%'"n 4leh in3e'si >i$us( 'u-"n )$4+"#en d"n )"+4#en hi)e$)e$is+"l+i'
usus h"lus "'i%"+ %"h"n 'i-i" "+"u -"'"n"n( #"n##u"n )si'is( #"n##u"ns"$"3( h"9" din#in( "le$#i( d"n de3isiensi i-un +e$u+"-" /A se$e+4$i'.
K")i+" Sele'+" Ked4'+e$"n( 2000
6. G"n##u"n -4+ili+"s usus
Hi)e$)elis+"l+i' "'"n -en#"'i%"+'"n %e$'u$"n#n*" 'ese-)"+"n usus un+u'
-en*e$") -"'"n"n( sehin##" +i-%ul di"$e. Se%"li'n*"( %il" )e$is+"l+i' usus
-enu$un "'"n -en#"'i%"+'"n %"'+e$i +u-%uh %e$le%ih"n *"n# sel"n,u+n*"
d")"+ -eni-%ul'"n di"$e )ul".
Il-u Keseh"+"n An"' 5ilid I( /!
P"+4#enesis di"$e "'u+
/. M"su'n*" ,"s"d $eni' *"n# -"sih hidu) 'e d")"+ usus h"lus se+el"h %e$h"sil
-ele9"+i $in+"n#"n "s"- l"-%un#.
2. ,"s" $eni' +e$se%u+ %e$'e-%"n# %i"' -ul+i)li'"si di d"l"- usus h"lus
6. Oleh ,"s"d $eni' di'elu"$'"n +4'sin +4'sin di"$e#ene+i'1. A'i%"+ +4'sin +e$se%u+ +e$,"di hi)e$se'$esi *"n# sel"n,u+n*" "'"n
-eni-%ul'"n di"$e
Il-u Keseh"+"n An"' 5ilid I( /!
P"+4#enesis di"$e '$4nis
Le%ih '4-)le's d"n 3"'+4$73"'+4$ *"n# -eni-%ul'"nn*" i"l"h in3e'si %"'+e$i(
)"$"si+( -"l"ns4$%si( -"lnu+$isi( dll
Il-u Keseh"+"n An"' 5ilid I( /!
D. PATOFISIOLOGIS
Se%"#"i "'i%"+ di"$e %"i' "'u+ -"u)un '$4nis "'"n +e$,"di:
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/. Kehil"n#"n "i$ d"n ele'+$4li+ dehid$"si *"n# -en#"'i%"+'"n +e$,"din*"
#"n##u"n 'esei-%"n#"n "s"- %"s" "sid4sis -e+"%4li'( hi)4'"le-i"( ds%
2. G"n##u"n #i@i se%"#i"n "'i%"+ 'el")"$"n -"su'n*" -"'"n"n 'u$"n#(
)en#elu"$"n %e$+"-%"h6. Hi)4#li'e-i"
1. G"n##u"n si$'ul"si d"$"h
E. GAMBARAN KLINIS
/. Mul"7-ul" )"sien &en#en#( #elis"h( suhu +u%uh %i"s"n*" -enin#'"+( n"3su
-"'"n %e$'u$"n#8+id"' "d"( 'e-udi"n +i-%ul di"$e.
2. Tin," &"i$( -un#'in dise$+"i lendi$ "+"u lendi$ d"n d"$"h6. W"$n" +in," -"'in l"-" %e$u%"h 'ehi,"u7hi,"u"n '"$en" %e$&"-)u$ den#"n
e-)edu
1. Anus d"n d"e$"h se'i+"$n*" le&e+ '"$en" se$in# de3e'"si
!. Tin," -"'in l"-" -"'in "s"-( se%"#"i "'i%"+ %"n*"' "s"- l"'+"+ *"n# %e$"s"l
d"$i l"'+4s" *"n# +id"' di"%s4$)si 4leh usus sel"-" di"$e
. Ge,"l" -un+"h d")"+ +i-%ul se%elu- 8 sesud"h di"$e d")"+ dise%"%'"n
'"$en" ("-%un# +u$u+ -e$"d"n# 8 "'i%"+ #"n##u"n 'esei-%"n#"n "s"- %"s"
d"n ele'+$4li+
. Ge,"l" dehid$"si -ul"i +"-)"' %il" )"sien %"n*"' 'ehil"n#"n &"i$"n d"n
ele'+$4li+( *"i+u %e$"+ %"d"n +u$un +u$#4$ lendi$ %i%i$ d"n -ulu+ se$+" 'uli+
'e$in#
K")i+" Sele'+" Ked4'+e$"n( 2000
Penil"i"n De$","+ Dehid$"si
Pe!"#!# A B CLih"+: Ke"d""n u-u-
M"+"
Ai$ -"+"
Mulu+ d"n lid"h
R"s" h"us
Pe$i's" : Tu$#4$ 'uli+
H"sil )e-e$i's""n
B"i'( s"d"$
N4$-"l
Ad"
B"s"h
Minu- %i"s" +id"'
h"us
Ke-%"li &e)"+
T"n)" dehid$"si
Gelis"h( $e9el
Ce'un#
Tid"' "d"
Ke$in#
H"us( in#in -inu-
%"n*"'
Ke-%"li l"-%"+
Dehid$"si $in#"n8
Lesu( lun#l"i "+"u
+id"' s"d"$
S"n#"+ &e'un# d"n
'e$in#
Tid"' "d"
S"n#"+ 'e$in#
M"l"s -inu- "+"u
+id"' %is" -inu-
Ke-%"li s"n#"+
l"-%"+
Dehid$"si %e$"+
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Te$")i Ren&"n" +e$")i A
sed"n#
Bil" "d" / +"nd"
di+"-%"h / "+"u
le%ih $end"h l"inRen&"n" +e$")i B
Bil" "d" / +"nd"
Di+"-%"h / "+"u
le%ih +"nd" l"inRen&"n" +e$")i C
Ren&"n" Pen#4%"+"n A
". Di#un"'"n un+u'
/. Men#"+"si di"$e +"n)" dehid$"si
2. Mene$us'"n +e$)"i di"$e di $u-"h
6. Me-%e$i'"n +e$)"i "9"l %il" "n"' +e$'en" di"$e l"#i
%. C"$" d"s"$ +e$")i di $u-"h
/. Be$i'"n "n"' le%ih %"n*"' &"i$"n d"$i)"d" %i"s"n*" un+u' -en&e#"h
dehid$"si se)e$+i &"i$"n 4$"li+( -"'"n"n &"i$ "+"u -"+"n#
2. Be$i "n"' -"'"n"n un+u' -en&e#"h 'u$"n# #i@i
6. B"9" "n"' 'e)"d" )e+u#"s %il" "n"' +id"' -e-%"i' d"l"- 6 h"$i "+"u
-ende$i+" se%"#"i %e$i'u+
Bu"n# "i$ %es"$ &"i$ se$in# '"li
Mun+"h %e$ul"n#7ul"n#
S"n#"+ h"us se'"li
M"'"n "+"u -inu- sedi'i+
De-"-
Tin," %e$d"$"h
Ren&"n" Pen#4%"+"n B
". D"l"- 6 ,"- )e$+"-"( %e$i'"n ! -l8'# BB 4$"li+%. A-"+i "n"' den#"n se's"-" d"n %"n+u i%u -e-%e$i'"n 4$"li+
&. Se+el"h 671 ,"-( nil"i 'e-%"li "n"'
d. Bil" i%u h"$us )ul"n# se%elu- seles"i $en&"n" )en#4%"+"n B
Tun,u''"n ,u-l"h 4$"li+ *"n# h"$us dih"%is'"n d"l"- )en#4%"+"n 6
,"- di $u-"h
Be$i'"n %un#'us 4$"li+ un+u' dehid$"si d"n un+u' 2 h"$i l"#i se)e$+i
di,el"s'"n d"l"- $en&"n" A Tun,u''"n &"$" -en*i")'"n l"$u+"n 4$"li+
o Me-%e$i'"n 4$"li+ "+"u &"i$"n l"in hin##" di"$e %e$hen+i
o Me-%e$i'"n -"'"n "n"'
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o Me-%"9" "n"' 'e )e+u#"s 'eseh"+"n %il" )e$lu
Ren&"n" Pen#4%"+"n C
". Mul"i di%e$i &"i$"n in+$">en" se#e$"/00 -#8'# &"i$"n $in#e$ l"'+"+
Bil" )ende$i+" %is" -inu- %e$i'"n 4$"li+ )"d" "9"l )e-%e$i"n &"i$"n
in+$">en"
%. Ki$i- )ende$i+" un+u' 'e +e-)"+ )en#4%"+"n
&. Mul"i dehid$"si den#"n sel"n# n"s4#"s+$i' %il" )ende$i+" +id"' %is" -inu-
F. PENATALAKSANAAN/. Di"$e &"i$ -e-%u+uh'"n )e$#"n+i"n &"$i"n d"n ele'+$4li+ +"n)" -elih"+
e+i4l4#in*". Tu,u"n +e$")i dehid$"si un+u' -en#4$e'si 'e'u$"n#"n &"i$"n d"n
ele'+$4li+ se&"$" &e)"+ 'e-udi"n -en##"n+i &"i$"n *"n# hil"n# s"-)"i
di"$en*" %e$hen+i.
2. M"'"n"n h"$us di+e$us'"n %"h'"n di+in#'"+'"n sel"-" di"$e( un+u'
-en#hind"$'"n e3e' %u$u' )"d" s+"+us #i@i
6. An+i %i4+i' d"n "n+i)"$"si+ +id"' %4leh di#un"'"n se&"$" $u+in( '"$en" +id"'
"d" -"n3""+n*" un+u' 'e%"n*"'"n '"sus +e$-"su' di"$e %e$"+ d"n di"$e
den#"n )"n"s( 'e&u"li )"d":
Disen+$i( %il" +id"' %e$s)4ns 'e-un#'in"n "-4e%"sis
Sus)e' '4le$" den#"n dehid$"si %e$"+
Di"$e )e$sis+en
1. O%"+74%"+"n "n+idi"$e d"n -un+"h +id"' -e-)un*"i e3e' n*"+" un+u' di"$e
"'u+ d"n ,u#" -e-)un*"i e3e' *"n# -e-%"h"*"'"n.
O%"+74%"+"n ini +id"' %4leh di%e$i'"n )"d" "n"' 'u$"n# d"$i ! +"hun
K")i+" Sele'+" Ked4'+e$"n( 2000
Pe-%e$i"n C"i$"n P"d" Di"$e Dehid$"si Mu$ni
/. 5enis &"i$"n
". C"i$"n $ehl"$"si 4$"l 4$"l $ehid$"+i4n s"l+s
;4$-ul" len#'") -en#"ndun# N"CL( N"HCO6( KCL d"n #lu'4s"
se$in# dise%u+ 4$"li+ ;4$-ul" sede$h"n" +id"' len#'") h"n*" -en#"ndun# N" CL d"n
su'$4s" "+"u '"$%4hid$"+ l"in( -is"l: l"$u+"n #ul" #"$"-
%. C"i$"n )"$en+e$"l
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DG "" / %"#i"n l"$u+"n D"$$49 / %"#i"n #lu'4s" !F
RL / %"#i"n Rin##e$ l"'+"+ / %"#i"n #lu'4s" !F
RL $in#e$ L"'+"+
6 / %"#i"n N"CL 0(F / %"#i"n #lu'4s" !F / %"#i"n N"
L"'+"+ /8 -4l8L
DG /:2 / %"#i"n l"$u+"n D"$$49 2 %"#i"n #lu'4s" !F
RL /:6 / %"#i"n Rin##e$ l"'+"+ 6 %"#i"n #lu'4s" !7/0F
C"i$"n 1:/ 1 %"#i"n #lu'4s" !F / %"#i"n N"HCO6/F "+"u 1
%"#i"n #lu'4s" !7/0 / %"#i"n N"CL 0(F
2. 5"l"n )e-%e$i"n &"i$"n
". Pe$ 4$"l un+u' dehid$"si $in#"n( sed"n# d"n +"n)" dehid$"si d"n %il" "n"'
-"u -inu- se$+" 'es"d"$"n %"i'
%. In+$"#"s+$i' un+u' dehid$"si $in#"n( sed"n# "+"u +"n)" dehid$"si( +e+")i
"n"' +id"' -"u -inu- "+"u 'es"d"$"n -enu$un
&. In+$">en" un+u' dehid$"si %e$"+
6. 5u-l"h &"i$"n
1. 5"d9"l 'e&e)"+"n )e-%e$i"n &"i$"n
Il-u Keseh"+"n An"' 5ilid I( /!
G. PEMERIKSAAN PENUNJANG
/. Pe-e$i's""n +in,"
M"'$4s'4)is d"n -i'$4s'4)is( PH d"n '"d"$ #ul" ,i'" didu#" "d" in+4le$"nsi
#ul" su#"$ in+4le$"n&e( %i"$'"n 'u-"n un+u' -en&"$i 'u-"n )en*e%"% d"n
u,i $esis+en +e$h"d") %e$%"#"i "n+i%i4+i' )"d" di"$e )e$is+en
2. Pe-e$i's""n d"$"h
D"$"h )e$i3e$ len#'")( "n"lisis #"s d"$"h d"n ele'+$4li+ +e$u+"-" N"( K( C"(
d"n P se$u- )"d" di"$e *"n# dise$+"i 'e,"nu
6. Pe-e$i's""n '"d"$ u$eu- d"n '$e"+inin d"$"h un+u' -en#e+"hui 3""l #in,"l
1. Du4en"l in+u%"+i4n( un+u' -en#e+"hui 'u-"n )en*e%"% se&"$" 'u"n+i+"+i3 d"n
'u"li+"+i3 +e$u+"-" )"d" di"$e '$4ni'
K")i+" Sele'+" Ked4'+e$"n( 2000
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POHON MASALAH
In3e'si M"l"%s4$%si M"'"n"n G"n##u"n Psi'4l4#is
G"n##u"nOs-4+i'
G"n##u"nSe'$esi
G"n##u"nM4+4li+"s Usus
Di"$e
A'u+ K$4nis
Dehid$"si G"n##u"n #i@i hi)4#li'e-i" G"n##u"n si$'ul"si d"$"h
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INTER$ENSI UMUM
T"n##"l 8
5"-
D? 8 M? 8
Ke%u+uh"nINTER=ENSI RASIONAL
..............
Pu'ul .........
D? :
An"' usi" .....
Den#"n GE
Tu,u"n:
7 Men&e#"h se&"$"
dini se%elu- "d"
'4-)li'"si le%ih
l"n,u+7 A#"$ 'e"d""n "n"'
'e-%"li seh"+
7 Pen*"'i+n*" d")"+
di4%"+i
K$i+e$i" H"sil:
7 KU : B"i'
7 Kes"d"$"n:
C4-)4s-en+$is
7 TT=:
N : /00 J /20
?8-eni+
S : 6(! J 6(! C
RR : 60 J 10?8-eni+
7 UUB : +id"' &494n#7 Mu'" : +id"' )u&"+
7 Kel4)"' -"+" : +id"'
)u&"+
7 K4n,un#+i>" : +id"'
"ne-is
7 Tu$#4$ %"i'
7 In)u+ : 4u+)u+
7 BAB : /?8h"$i
7 K4nsis+ensi : le-%e'
7 Anus : 9"$n" -e$"h
-ud"
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7 BB : +id"' +u$un
In+e$>ensi
/. L"'u'"n +e$")i$ehid$"si den#"n
&"$" -e-%e$i'"n
4$"li+
2. Tin#'"+'"n
)e-%e$i"n -"'"n"n
d"n susu $end"h #ul"LM( SGM "+"u
susu un+u' di"$e
6. O%se$>"si TT=
1. O%se$>"si in)u+ d"n
4u+)u+
!. Be$i+"hu i%u d"n
'elu"$#" +en+"n#h"sil )e-e$i's""n
. An,u$'"n i%u
-en,e#" )e$s4n"l
h*#iene "n"'n*"
. K4l"%4$"si den#"n
d4'+e$ un+u'
/. Men##"n+i'"n&"i$"n *"n#
hil"n# -el"lui
3eses *"n#
di'elu"$'"n
2. Pe-%e$i"n
-"'"n"n se&"$"
+e$"+u$ sel"-"di"$e d")"+
-en#hind"$'"n
e3e' %u$u'
+e$h"d") s+"+us
#i@i
6. Men#e+"hui
'4ndisi "n"'
1. Den#"n de-i'i"n
d")"+ -en#e+"hui
'esei-%"n#"n
&"i$"n d"n
ele'+$4li+
!. Den#"n de-i'i"n
i%u d"n 'elu"$#"
+"hu 'e"d""n"n"'n*"(
sehin##" +id"'
'h"9"+i$
. Den#"n de-i'i"n
d")"+ +e$hind"$
d"$i in3e'si
. Men#e+"hui
+ind"'"n
'e)e$"9"+"n
sel"n,u+n*"
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M?:
/. Dehid$"si
2. G"n##u"n #i@i
)en#4%"+"n
Tu,u"n:Den#"n )e-%e$i"n
&"i$"n %"i' )"$en+e$"l
-"u)un 4$"l "n"' +id"'
'ehil"n#"n BB le%ih
d"$i 2 F
K$i+e$i" H"sil:7 Dehid$"si +e$"+"si
7 Tu$#4$ %"i'
7 A'$"l h"n#"+
In+e$>ensi
/. L"'u'"n $ehid$"si
&"i$"n %"i' 4$"l
-"u)un in3us
2. O%se$>"si in)u+ d"n
4u+)u+ )"sien
Tu,u"n
Men&e#"h "#"$ s+"+us
#i@i )"sien +id"'
-en,"di le%ih %u$u'
l"#i
K$i+e$i" H"sil:
/. Se%"#"i
)en#4%"+"n
u+"-" un+u'
-en##"n+i &"i$"n
+u%uh *"n#
hil"n#
2. Den#"n
4%se$>"si in)u+
d"n 4u+)u+
)"sien( d")"+
di'e+"hui +in#'"+
)e$'e-%"n#"n
)en*"'i+ )"sien
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6. Hi)4#li'e-i"
7 BB +id"' +u$un
7 An"' +id"' -un+"h
7 Mu'" +id"' )u&"+
In+e$>ensi
/. An,u$'"n i%u d"n
'elu"$#" un+u' +e+")
-e-%e$i'"n
-"'"n"n $end"h
se$"+
2. L"'u'"n)eni-%"n#"n BB
se&"$" $u+in
Tu,u"n
Men&e#"h "#"$ )"sien
+id"' ,"+uh 'e 'e"d""n
*"n# le%ih %u$u'
K$i+e$i" H"sil:
7 KU )"sien -en,"di
le%ih %"i'
In+e$>ensi
/. P"n+"u #lu'4s"
d"$"h *"n# 'e+"+
2. Be$i )"sien
-inu-"n l"$u+ #ul"
/0 J 60 #$
6. An,u$'"n i%u d"n
'elu"$#" un+u'
-e-%e$i'"n
-"'"n"n d"n
-inu-"n *"n#
-"nis
/. Den#"n de-i'i"n
'e%u+uh"n nu+$isi+e$)enuhi
2. Men#e+"hui
s+"+us #i@i )"sien
d"n BB
/. Men#e+"hui
'"d"$ #lu'4s"
d"$"h
2. Den#"n de-i'i"n
'"d"$ #ul" d"$"h
d")"+ n"i'6. Me-%"n+u
-en"i''"n '"d"$
#ul" d"$"h
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1. G"n##u"n
si$'ul"si d"$"h
Ke%u+uh"n
/. Asu)"n &"i$"n
2. Asu)"n nu+$isi
Tu,u"n:
Men&e#"h "#"$ +id"'
+e$,"di #"n##u"nsi$'ul"si d"$"h
K$i+e$i" H"sil:
7 P? +id"' s*4'
7 Si$'ul"si d"$"h
l"n&"$
In+e$>ensi
/. P"n+"u P? "#"$ +id"'
s*4'
Tu,u"n:
Den#"n )e-%e$i"n
&"i$"n %"i' )"$en+e$"l
-"u)un )e$ 4$"l
K$i+e$i" H"sil:
Dehid$"si +e$"+"si
In+e$>ensi
/. Be$i'"n &"i$"n )e$
4$"l d"n in3us
Tu,u"n:
/. Me-enuhi
'e%u+uh"n nu+$isi
)"sien
2. Men&e#"h "#"$
)"sien +id"'
-en#"l"-i
-"lnu+$isi
/. Men&e#"h
+e$,"din*" s*4'
/. Se%"#"i
)en##"n+i &"i$"n
in3us
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6. Pe$s4n"l h*#iene
K$i+e$i" H"sil:
7 BB +id"' +u$un
7 Ke%u+uh"n nu+$isi
+e$)enuhi
In+e$>ensi:
/. An,u$'"n i%u d"n
'elu"$#" un+u' +e+")
-e-%e$i'"n
-"'"n"n $end"h
se$"+2. An,u$'"n i%u d"n
'elu"$#" un+u'
-e-%e$i'"n susu
$end"h #ul"
Tu,u"n:
Men&e#"h in3e'si d"n
i$i+"si
K$i+e$i" H"sil:
7 Tu%uh %e$sih
7 Anus +id"' le&e+
7 P"sien -e$"s"
n*"-"n
In+e$>ensi:
/. An,u$'"n i%u un+u'
-en,"#" 'e%e$sih"n
"n"'n*"
2. An,u$'"n i%u un+u'
-en#","$i "n"'n*"
&"$" &e%4' *"n#
/. Den#"n de-i'i"n
'e%u+uh"n nu+$isi
+e$)enuhi
2. Den#"n de-i'i"n
d")"+ -e-enuhi
'e&u'u)"n
nu+$isi
/. Den#"n de-i'i"n
d")"+ +e$hind"$
d"$i in3e'si d"n
)"sien -e$"s"
n*"-"n2. Den#"n de-i'i"n
"n"' d")"+
-en,"#"
'e%e$sih"n di$i
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8/11/2019 LP & Askeb (Diare)
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%en"$
DAFTAR PUSTAKA
M"ns,4e$( A$i3. 2000.Kapita Selekta Kedokteran Jilid 2. 5"'"$+": Medi" Aes&ul")ius
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S+"3 Pen#","$ ;KUI( /!.Ilmu Kesehatan Anak Jilid 1. 5"'"$+": In34-edi'"
He"+le+( Ri&h"$d( /1.
( 2006.Kamus Kedokteran. 5"'"$+": 5"-%"+"n
MANAJEMEN KEBIDANAN
PADA BAYI DENGAN DIARE
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8/11/2019 LP & Askeb (Diare)
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T"n##"l M"su' RS 8 P4li'lini' 8 Pus'es-"s : 2 A)$il 20/0
5"- : 0.00 WIB
T"n##"l Pen#'",i"n : 2 A)$il 20/0
5"- : 0./0 WIBN4. Re#is+e$ :
Di"#n4s" M"su' : B"*i usi" %ul"n den#"n di"$e
I. PENGKAJIAN
A. D#%# S&'(e)%!*
1. IDENTITAS +BIODATA,
". B"*iN"-" B"*i : B*. R
U-u$8T"n##"l L"hi$ : 2 %ln 8 / N4>e-%e$ 20/0 5"- 2/.1! WIB
5enis Kel"-in : Pe$e-)u"n
An"' 'e : II
Pendidi'"n : 7
%. O$"n# Tu"
N"-" i%u : N* 5
U-u$ : 2! T"hun
Su'u8B"n#s" : 5"9"8Ind4nesi"
A#"-" : Isl"-
Pendidi'"n : SMA
Pe'e$,""n : IRT
Pen#h"sil"n : 7
N"-" A*"h : Tn. S
U-u$ : 2 +"hun
Su'u8B"n#s" : 5"9"8Ind4nesi"
A#"-" : Isl"-
Pendidi'"n : SMA
Pe'e$,""n : S9"s+"
Pen#h"sil"n : R).00.0008%lnAl"-"+ Ru-"h: Ds. N#"+$u RT. Ke&"-"+"n T$en##"le'
K"%u)"+en T$en##"le'
2. KELUHAN UTAMA
I%u -en#"+"'"n sud"h 2 h"$i "n"'n*" di"$e( BAB &"i$( )e$u+ 'e-%un#.
An"' +e+") -"u -en*usu
-. RIAYAT KESEHATAN
". Ri9"*"+ Pen*"'i+ D"hulu
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7 Pen*"'i+ 9"'+u 'e&il : I%u -en#"+"'"n "n"'n*" +id"'
)e$n"h -ende$i+" )en*"'i+ se$ius.
H"n*" de-"- %i"s"
7 Pe$n"h MRS : I%u -en#"+"'"n "n"'n*" %elu-)e$n"h -"su' Ru-"h S"'i+. H"n*"
s""+ l"hi$ s","
7 Ale$#i -"'"n"n( : I%u -en#"+"'"n "n"'n*" +id"'
de%u( 4%"+ -e-)un*"i )en*"'i+ "le$#i
7 I-unis"si :
5enis
I-unis"si
Pe-%e$i"n 'e 8 T"n##"l
Pe-%e$i"nKe+e$"n#"n
I II III I=BCG
He)"+i+is B
P4li4
DPT
C"-)"'
7
7
7
7
7
7
7
7
/ ?
1 ?
1 ?
6 ?
7
7 I-unis"si ul"n# : 7 T"n##"l : 7
%. Ri9"*"+ Pen*"'i+ Se'"$"n#
7 Keluh"n U+"-" :
I%u -en#"+"'"n sud"h 2 h"$i "n"'n*" di"$e( BAB &"i$( )e$u+
'e-%un#. Di"$e -ul"i 'e-"$in si"n# +"n##"l 21 A)$il 20/0.
"n"' "#"' $e9el( +")i +e+") -"u -en*usu
7 Tind"'"n Pe$+"-"
I%u -en#"+"'"n "n"' +e$us di%e$i ASI
&. Ri9"*"+ Pen*"'i+ Kelu"$#"
7 Pen*"'i+ Ke+u$un"n:
I%u -en#"+"'"n +id"' "d" )en*"'i+ 'e+u$un"n d"l"- 'elu"$#"
se)e$+i DM( hi)e$+ensi dll
7 Pen*"'i+ Menul"$
I%u -en#"+"'"n +id"' "d" 'elu"$#" *"n# -e-)un*"i )en*"'i+
-enul"$ se)e$+i AIDS( "s-"( he)"+i+is( TBC dll
d. Ri9"*"+ Keh"-il"n
7 M"s" 'eh"-il"n : Bul"n
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7 Keluh"n sel"-" 'eh"-il"n : I%u -en#"+"'"n +id"' "d"
'eluh"n sel"-" h"-il
7 ANC : Te$"+u$ se+i") %ul"n di BPS 4leh
%id"n7 I-unis"si TT : 6 '"li
2 ? se%elu- -eni'"h
/ ? s""+ h"-il
7 Pen*"'i+ sel"-" h"-il : I%u -en#"+"'"n +id"' )e$n"h
-ende$i+" )en*"'i+ ")")un
sel"-" h"-il
7 K4-)li'"si i%u : I%u -en#"+"'"n +id"' "d"'4-)li'"si sel"-" h"-il
7 K4-)li'"si ,"nin : I%u -en#"+"'"n +id"' +e$,"di
'4-)li'"si )"d" ,"ninn*" sel"-"
h"-il
e. Ri9"*"+ Pe$s"lin"n
7 5enis Pe$s"lin"n : S)4n+"n
7 Di+4l4n# 4leh : Bid"n RS
7 K4-)li'"si )e$s"lin"n
I%u : I%u -en#"+"'"n -el"hi$'"n "n"'
'e-%"$
5"nin : I%u -en#"+"'"n +id"' +e$,"di
'4-)li'"si ")")un )"d" "n"'n*"
sel"-" )e$s"lin"n
3. Ri9"*"+ Ne4n"+"l
7 K4ndisi %"*i Nil"i APGAR B"*i l"hi$ seh"+( l"n#sun#
-en"n#is 'e$"s
7 BB 9"'+u l"hi$ : 2100 #$"-
7 PB 9"'+u l"hi$ : 1 &-
#. Ri9"*"+ Gi@i
7 ASI e's'lusi3 :
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8/11/2019 LP & Askeb (Diare)
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7 Ins)e'si : Kuli+ 'e)"l" : Be$sih( +id"' "d" 'e+4-%e
R"-%u+ : Be$sih( 9"$n" hi+"-
7 P"l)"si : Kuli+ 'e)"l" : Tid"' "d" %en,4l"n( +id"' "d"
n*e$i +e'"nR"-%u+ : Tid"' $4n+4'
7 Lin#'"$ 'e)"l" : Tid"' di'",i
%. Mu'"
7 Ins)e'si : Si-e+$is : en" ,u#ul"$is : Tid"' "d" 'i8'"
#. D"d"
7 Ins)e'si : Ben+u' : Si-e+$is 'i8'"
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Pe$n"3"s"n : +e$"+u$ 7 +id"' +e$"+u$
7 Aus'ul+"si R4n&hi : Tid"' "d"
Whee@in# : Tid"' "d"
Re+$"'si : Tid"' "d" 'i8'"
Den*u+ ,"n+un# : N4$-"l( +e$"+u$
Mu$-u$ : Tid"' "d"
h. A%d4-en
7 Ins)e'si : Si-e+$is( +id"' "d" lu'" %e'"s
4)e$"si( +id"' "d" ,"$in#"n )"$u+
7 P"l)"si : N*e$i +e'"n : Tid"' "d"
Pe-%es"$"n he)"$ : Tid"' "d"
7 Aus'ul+"si : Bisin# usus : Ad"(
-enin#'"+
7 Pe$'usi : Ke-%un# : Ad"
i. Gene+"li"
7 Ins)e'si: Pe$s4n"l h*#iene : B"i'( %e$sih
Anus : 7
7 Eli-in"si
BAB : W"$n" : Kunin#
K4nsis+ensi : C"i$
;$e'uensi : 1 J !?8h"$i
BAK : W"$n" : Kunin# ,e$nih
B"u : Kh"s "$4-"+i'
;$e'uensi : ! J ?8h"$i
,. E's+$e-i+"s
T"n#"n
7 Ins)e'si Ben+u' : Si-e+$is 'i8'"
Ge$"'"n : A'+i3 'i8'"
Ku'u : Be$sih 'i8'"
5u-l"h ,"$i : Len#'") 'i8'"
7 P"l)"si A'$"l : H"n#"+ 'i8'"
N*e$i +e'"n : Tid"' "d" 'i8'"
7 Kel"in"n : Tid"' "d"
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K"'i
7 Ins)e'si Ben+u' : Si-e+$is 'i8'"
Ge$"'"n : A'+i3 'i8'"Ku'u : Be$sih 'i8'"
5u-l"h ,"$i : Len#'") 'i8'"
7 P"l)"si A'$"l : H"n#"+ 'i8'"
Oede-" : Tid"' "d" 'i8'"
N*e$i +e'"n : Tid"' "d" 'i8'"
7 Kel"in"n : Tid"' "d"
'. Kuli+
7 P"l)"si Tu$#4$ : B"i'
Kel"in"n : Tid"' "d"
-. PEMERIKSAAN TINGKAT PERKEMBANGAN
". M4+4$i' '"s"$ : An"' d")"+ -en##e$"''"n '"'i d"n +"n#"n
%. M4+4$i' h"lus : 7
&. B"h"s" : 7
. DATA PSIKOLOGIS
An"' +e$lih"+ &e$i"
. PEMERIKSAAN PENUNJANG
Tid"' dil"'u'"n
II. INTERPRETASI DATA
TANGGAL
JAM
DATA DASAR D/M/
KEBUTUHAN
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271720/0
Pu'ul 0./0
WIB
Ds : I%u -en#"+"'"n sud"h 2 h"$i
"n"'n*" di"$e( BAB &"i$(
)e$u+ 'e-%un#. An"' +e+")
-"u -en*usui. Di"$e -ul"i'e-"$in si"n# +"n##"l 21
A)$il 20/0. An"' "#"' $e9el
D4 :
7 KU : B"i'
7 Kes"d"$"n : K4-)4s-en+$us
7 TT=S : 6 0C
N : //2 ?8-eni+
RR : 10 ?8-eni+
7 BB se'"$"n#: (2 '#
7 BB se%elu- s"'i+ : (1 '#
7 TB : Tid"' di'",i
7 Mu'" : Tid"' )u&"+
7 Kel4)"' -"+": +id"' &494n# 'i8'"
7 BAB
W"$n" : Kunin#
K4nsis+ensi : C"i$
;$e'uensi : 17!?8h"$i
7 A%d4-en : Ke-%un#( %isin#
usus -enin#'"+
7 Tu$#4$ : B"i' 7 Anus : W"$n" -e$"h +")i
+id"' le&e+
D? : "n"' usi" 2
+"hun den#"n GE
III. INTER$ENSI
T"n##"l 8
5"-
D? 8 M? 8
Ke%u+uh"nINTER=ENSI RASIONAL
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271720/0
Pu'ul
/./0
WIB
D? :
B"*i usi" %
%ul"n
Den#"ndi"$e
Tu,u"n:
7 Men&e#"h se&"$" dini
se%elu- "d" '4-)li'"si
le%ih l"n,u+7 A#"$ 'e"d""n "n"'
'e-%"li seh"+
7 Pen*"'i+n*" d")"+
di4%"+i
K$i+e$i" H"sil:
7 KU : B"i' 7 Kes"d"$"n:
C4-)4s-en+$is
7 TT=:
N : /000 J /20 ?8-n+
S : 6(! J 6(! 0C
RR : 60 J 10?8-eni+
7 UUB : Tid"' &494n#
7 Mu'": Tid"' )u&"+
7 Kel4)"' -"+" : +id"'
)u&"+
7 K4n,un#+i>" : +id"'
"ne-is
7 Tu$#4$ : %"i'
7 In)u+ : 4u+ )u+
7 BAB : /?8h"$i7 K4nsis+ensi : le-%e'
7 Anus : 9"$n" -e$"h
-ud"
7 BB : +id"' +u$un
In+e$>ensi
/. L"'u'"n +e$")i $ehid$"si
den#"n &"$"
-e-%e$i'"n 4$"li+
/. Men##"n+i'"n
&"i$"n *"n# hil"n#
-el"lui 3eses *"n#
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2. Tin#'"+'"n )e-%e$i"n
ASI
6. O%se$>"si TT=
1. An,u$'"n i%u -en,"#"
)e$s4n"l h*#iene"n"'n*"
di'elu"$'"n
2. Pe-%e$i"n
-"'"n"n 8 ASI
se&"$" +e$"+u$ sel"-"di"$e d")"+
-en#hind"$'"n e3e'
%u$u' +e$h"d")
s+"+us #i@i
6. Men#e+"hui '4ndisi
"n"'
1. Den#"n de-i'i"n(d")"+ -en#e+"hui
'4ndisi "n"'
I$. IMPLEMENTASI
TANGGAL
5AM
D?8M?8
KEBUTUHANIMPLEMENTASI
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271720/0
Pu'ul 0.2!
WIB
D? :
B"si usi"
%ul"n den#"n
di"$e
/. Mel"'u'"n +e$")i $ehid$"si den#"n
-e-%e$i'"n 4$"li+
2. Menin#'"+'"n )e-%e$i"n ASIMel"n,u+'"n i%u un+u' +e$us
-e-%e$i'"n ASI
6. Men#4%se$>"si TT=
7 S : 6 0C
7 N : //2 ?8-eni+
7 RR : 10 ?8-eni+
1. Men#"n,u$'"n i%u un+u' -en,"#"
)e$s4n"l h*#iene
7 Ce%4' se+el"h BAB 8 BAK d"n
di'e$in#'"n
$. E$ALUASI
T"n##"l : 2 J 1 7 20/0
5"- : 0.!0 WIB
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D? : B"*i usi" %ul"n den#"n di"$e
S : I%u -en#"+"'"n sud"h -en#e$+i )en,el"s"n %id"n
O : 7 KU : B"i'
7 Kes"d"$"n : C4-)4s-en+$us
7 TT= : S : 6 0C RR : 10 ?8-eni+
N : //2 ?8-eni+
7 BB se'"$"n# : (2 '#
7 BB se%elu- s"'i+ : (1 '#
7 Mu'" : Tid"' )u&"+7 Kel4)"' -"+" : Tid"' &494n# 'i8'"
7 BAB : W"$n" : Kunin#
K4nsis+ensi : C"i$
;$e'uensi : 17!?8h"$i
7 A%d4-en : Ke-%un#
7 Tu$#4$ : B"i'
7 Anus : W"$n" -e$"h +")i +id"' le&e+
AP : B"*i usi" %ul"n den#"n di"$e
P : L"n,u+'"n in+e$>ensi
Be$i'"n 4$"li+ d"n +in#'"+'"n )e-%e$i"n ASI