kasbes dhf grade ii

7/23/2019 Kasbes DHF Grade II

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LAPORAN KASUS

SEORANG ANAK PEREMPUAN 12 TAHUN DENGAN

DEMAM BERDARAH DENGUE DERAJAT I

Diajukan guna memenuhi uga! Ke"anie#aan K$m"#ehen!i% &iPu!ke!ma! Mijen 1 Demak

Di!u!un $'eh (

Anni!a Ri)*i 22+1+11,21++-.

Eha /$!0 K 22+1+11,21++,

De%ia Rana3ai 22+1+11,21++4,

PUSKESMAS MIJEN 1

DEMAK

2+1.


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HALAMAN PENGESAHAN

Nama Mahasiswa : 1. Annisa Rizqi 22010113210075

2. Etha Yosy K. 220101132100833. Deita Ratnawati 220101132100!3

"a#ian : Kom$%ehensi &'s(esmas Mi)en 1 Dema(

*'+', Kas's : -eo%an# Ana( &e%em$'an 12 ah'n +en#an Demam "e%+a%ah

Den#'e De%a)at /

&emimin# : +%. ie+a -N

&emimin#

+%. ie+a -N

Dema(4 30 *',i 2015

&emimn#

+%.. M. a%yanto

&en#')i

+%#. 6 iti( &.

2


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KATA PENGANTAR

&')i sy'('% (eha+i%at A,,ah - yan# te,ah meme%i(an e%(ah +an %ahmat

Nya4 sehin##a +a$at menye,esai(an ,a$o%an (as's e%)'+',: -eo%an# Ana( &e%em$'an12 ah'n +en#an Demam "e%+a%ah Den#'e De%a)at /

9a$o%an (as's ini +is's'n 'nt'( memen'hi t'#as +an sya%at +a,am menem$'h

Kom$%ehensi 6a(',tas Ke+o(te%an ni;e%sitas Di$one#o%o -ema%an# +i &'s(esmas

Mi)en 1 Dema(.

&a+a (esem$atan ini $en',is menyam$ai(an te%ima (asih (e$a+a :

1. +%#. 6 iti( &. se,a(' $emimin# +an Ke$a,a &'s(esmas Mi)en 1 Dema(yan# te,ah meme%i(an imin#an +an as'$an a#i $en'is +a,am menent'(an

to$i( meny's'n (as's ini.

2. +%.ie+a -N4 sea#ai $emimin# yan# te,ah me,'an#(an wa(t' +a,am

men#e;a,'asi4 meme%i(an sa%an4 +an memimin# +a,am menye,esai(an (as's

ini.

3. +%. . M. a%yanto sea#ai $emimin# yan# te,ah me,'an#(an wa(t' +a,am

men#e;a,'asi4 meme%i(an sa%an4 +an memimin# +a,am menye,esai(an (as's

ini.

. -ta +an $e%awat &'s(esmas Mi)en 1 Dema( yan# te,ah meme%i ant'an +an

+'('n#an a#i $en',is +a,am meny's'n ,a$o%an.

A(hi% (ata4 $en',is e%ha%a$ a#a% ,a$o%an ini +a$at e%manaat.

Dema(4 30 *',i 2015

&en',is

3


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DA5TAR ISI

a,aman )'+',...................................................................................................... i

a,aman $en#esahan........................................................................................... ii

Kata $en#anta% ..................................................................................................... iii

Data% isi ............................................................................................................... i;

"A" /. &en+ah','an.......................................................................................... 1

A. 9ata% "e,a(an# .............................................................................. 1

". ')'an ............................................................................................. 2

?. Manaat .......................................................................................... 3

"A" //. &enya)ian Kas's.................................................................................... 8. -e)a( it' $enya(it te%se't s'+ah

menyea% (e e%a#ai +ae%ah4 sehin##a sam$ai tah'n 1!80 se,'%'h $%o$insi +i

/n+onesia te,ah te%)an#(it $enya(it. /nsi+ensinya =en+e%'n# menin#(at +a%i

tah'n (e tah'n +en#an $'n=a(nya $a+a ',an Deseme% sam$ai 6e%'a%i4 saat

+atan#nya m'sim h')an.243 &a+a tah'n 2000 )'m,ah (as's D"D seanya(

33..500 (as's +emam e%+a%ah +i 31 $%o$insi. Kas's te%tin##i te%)a+i

+i DK/ *a(a%ta +en#an ,eih +a%i 10.000 (as's +imana 57 o%an# +ianta%anya

menin##a,.5.>

Menin#(atnya )'m,ah (as's se%ta e%tamahnya wi,ayah yan#

te%)an#(it +isea(an (a%ena $enin#(atan +ist%i'si #eo#%ais ;i%'s +an

intensitas t%ansmisi ;i%'s +en#'e o,eh nyam'( Aedes aegypti4 (e$a+atan

1


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$en+'+'(4 (ea+aan +ae%ah $em'(iman +iawah stan+a% (esehatan +an

$enin#(atan t%ans$o%tasi mo+e%n yan# menin#(at(an t%ansmisi ;i%'s +en#'e.

De$a%temen Kesehatan te,ah men#'$aya(an e%a#ai st%ate#i +a,am men#atasi

(as's ini. &a+a awa,nya +i#'na(an st%ate#i $en#asa$an4 (em'+ian +i$e%,'as

+en#an men##'na(an ''( aate tomo$hos $a+a tem$attem$at

$enam$'n#an ai%. -e,ain it' +isosia,isasi(an semoyan 3M men't'$4

men#'%as4 m'n#''% +a,am (am$anye (e$a+a masya%a(at.3.5.>

/ne(si ;i%'s Den#'e $a+a man'sia men#a(iat(an s$e(t%'m

maniestasi (,inis yan# e%;a%iasi anta%a $enya(it $a,in# %in#an4 +emam

+en#'e4 +emam e%+a%ah +en#'e D"D +an +emam e%+a%ah +en#'e +ise%tai

syo( D--.34 )am sam$ai (ea+aan (,inis $asien stai,

. . As$e( Me+i(amentosa

&en#oatan D"D e%siat s'$o%ti4 yait' men#atasi (ehi,an#an =ai%an

$,asma sea#ai a(iat $enin#(atan $e%meai,itas (a$i,e% +an sea#ai a(iat

$e%+a%ahan. &emi,ihan =ai%an 'nt'( $en+e%ita D"D +e%a)at / +en#an

$enin#(atan hemato(%it4 men'%'t $e+oman tata,a(sana +a%i B +ie%i(an

in's R9FNa?, 04! P ata' De(st%osa 5 P +a,am R9FNa?, 04! P se)'m,ah >7

m,F(#""F*am. -etia$ > )am +imonito% tan+a ;ita, +an (a+a% hemato(%it se%ta

t%omosit. Kem'+ian +i e;a,'asi 122< )am. *i(a se,ama ose%;asi (ea+aan

'm'm memai( yait' ana( nam$a( tenan#4 te(anan na+i ('at4 te(anan +a%ah

stai,4 +i'%esis ='('$4 +an (a+a% t =en+e%'n# t'%'n minima, +a,am 2 (a,i

$eme%i(saan e%t'%'t t'%'t4 ma(a tetesan +i('%an#i men)a+i 5 m,F(#""F)am.

A$ai,a +a,am ose%;asi se,an)'tnya tan+a ;ita, teta$ stai,4 tetesan +i('%an#i

men)a+i 3 m,F(#""F)am +an a(hi%nya =ai%an +ihenti(an sete,ah 2


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D"D // +en

R9FNa ?Na ?, 04!

Monito% @4

&e%ai(ani+a( #e,isahNa+i ('at

e(anan +a%ah stai,Di'%esis ='('$

12 m,F(#""F)amt t'%'n 2 $eme%i(saan

etesanDi('%an#i

5 m,F(#""F)am

aM

&e%ai(an3 m,F(# ""F)am

/@D6 sto$ $a+a 2< I


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a%i $e%tama $e%awatan +ie%i(an in's R9 20 t$m /n's R9 7

m,F(#""F)am se,ama 2 )am4 5 m,F(#""F)am se,ama < )am4 3m,F(#""F)am se,an)'tnya

a%i (e24 (ea+aan (,inis memai(4 teta$i ni,ai hemato(%it 3740P +an

t%omosit ! )am.

-ete,ah > )am4 +i+a$at(an ni,ai hemato(%it men)a+i 334


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(e't'han =ai%an ,ewat in's +i('%an#i +an a(hi%nya +ihenti(an. Kem'+ian

as'$an =ai%an se$en'hnya e%asa, +a%i as'$an ma(anan $e%o%a,. Demi(ian $',a

+en#an (e't'han (a,o%i +an $%oteinnya.

K%ite%ia $asien +i$',an#(an +a%i %'mah sa(it a$ai,a memen'hi sem'a

(ea+aan e%i('t : tam$a( $e%ai(an se=a%a (,inis4 ti+a( +emam se,ama 2< )am

tan$a anti$i%eti(4 hemato(%it stai,4 )'m,ah t%omosit =en+e%'n# nai(

G50.000F',4 nas' ma(an memai(. &asien ini +i$',an#(an $a+a ha%i (e54

(a%ena te,ah memen'hi sem'a (%ite%ia te%se't +iatas.

+. As$e( E+'(asi

&a+a (e+'a o%an# t'a $asien +i)e,as(an tentan# $enya(it D"D se%ta

=a%a=a%a yan# +a$at +i,a('(an +a,am %an#(a $eme%antasan +an $en=e#ahan

$enya(it te%se't.

a. &en)e,asan tentan# $enya(it D"D me,i$'ti :

&enyea +a%i $enya(it ini a+a,ah ;i%'s +en#'e yan# +it',a%(an +en#an

$e%anta%aan nyam'( Ae+es ae#y$ti. Nyam'( te%se't hitam e%inti(inti($'tih +i se,'%'h t''h +an (a(i4 e%(e,ia%an $a+a wa(t' sian# sam$ai so%e

ha%i yait' ('%an# ,eih $'(', 10.00 sam$ai $'(', 17.00 +an ,eih s'(a $a+a

tem$at #enan#an ai% yan# e%sih. Di)e,as(an $',a ahwa $enya(it te%se't

san#at e%ahaya (a%ena +a$at memati(an.

. &e%,in+'n#an $e%o%an#an 'nt'( men=e#ah #i#itan nyam'( +en#an =a%a :

&emasan#an (asa nyam'(4 sehin##a nyam'( ti+a( a(an mas'( (e

%'mah. Men##'na(an mos2uito repellentata' inse(tisi+a ent'( s$%ay.

=. &eme%antasan ;e(to% )an#(a $an)an# F $eme%antasan sa%an# nyam'(

&-N

Men't'$ tem$attem$at $enyim$anan ai%

Men#''% a%an#a%an# e(as se$e%ti (a,en#4 oto, ata' an e(as

se%ta sem'a a%an# e(as yan# mem'n#(in(an nyam'( e%sa%an#.

Men#'%as a( man+i F tem$at menam$'n# ai%.


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+. Men##'na(an ahan (imia aate $a+a tem$at $enyim$anan ai%4 o##in#

+en#an ma,ation.

7 PROGNOSIS

&%o#nosis $a+a $asien ini 'nt'( (ehi+'$an q'o a+ ;itam a+a,ah ai(

a+ onam o,eh (a%ena ti+a( te%)a+i +an ti+a( a+a (om$,i(asi yan# e%at.

&%o#nosis 'nt'( (esem'han q'o a+ sanam a+a,ah +'ia a+ onam

yan# nam$a( +a%i (ea+aan 'm'm4 tan+a ;ita,4 $eme%i(saan e%(a,a +a%i 4

t4 t%omosit (a%ena $asien s'+ah +ie%i te%a$i ses'ai (ea+aannya +an se#e%a

+i,a('(an %')'(an (e R- 'nt'( men+a$at(an $e%awatan yan# ,eih ai(.

&%o#nosis memai(nya aa, t''h q'o a+ 'n#sion'm a+a,ah ai( a+

onam (a%ena ti+a( a+a an=aman a+anya se('e,e ata'$'n (e=a=atan t''h.

K%ite%ia mem',an#(an $asien men'%'t &an Ame%i=an ea,th

B%#anization: Dengue and Dengue Hemorrhagic Fever- /uidelines "or

3revention and &ontrol. &AB: ashin#ton4 D.?.4 1!!! a+a,ah :

i+a( +emam se,ama 2< )am tan$a anti$i%eti(.

am$a( $e%ai(an se=a%a (,inis

emato(%it stai,

3 ha%i sete,ah syo( te%atasi

*'m,ah t%omosit T 504000Fmm3

i+a( a+a +ist%ess %es$i%asi a(iat e'si $,e'%a ata' asites.


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BAB I;

RINGKASAN

&a+a t',isan ini te,ah +i,a$o%(an (as's seo%an# ana( $e%em$'an 'sia 12 tah'n+en#an Demam "e%+a%ah Den#'e De%a)at / +en#an $emahasan +ia#nosis4

$en#e,o,aan +an $%o#nosisnya.

e,ah +i,a$o%(an seo%an# ana( $e%em$'an4 12 tah'n4 e%at a+an


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DA5TAR PUSTAKA

1. a+ine#o%o -R4 -oe#i)anto -4 '%ya+i -4 -'%oso . Tatala#sana Demam

Dengue4Demam Berdarah Dengue. De$a%temen Kesehatan R/4 Di%e(to%at *en+e%a,&eme%antasan &enya(it Men',a% +an &enyehatan 9in#('n#an &em'(iman 2001:1

kasbes dhf grade ii

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