laporan pendahuluan dan asuhan keperawatan kwashiorkor
TRANSCRIPT
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DMBMIMC
MZPCMA B@W@[M_MUMA
WMEM MAMB B_MZCHF[BF[
Ehsusua uatub d`d`auch tuoms dmtm buihmc B`p`rmwmtma Mamb
Ehsusua fi`c >
Maoohc Zcuijcma Xfom Busudm W7?=;7==;755
Ewh [mtam _heymstuth W7?=;7==;705
@llh Ducmrymth W7?=;7==;700
L`krhmath @bm _uimaemrh W7?=;7==;708
Wutrh Mprhihm [hmath W7?=;7==;7?7
\haem Mstrh W`rdmtmsmrh W7?=;7==;737
B@D@AU@[HMA B@Z@CMUMA [@WPKIHB HAEFA@ZHM
WFIU@BB@Z B@D@AB@Z XFOXMBM[UM
NP[PZMA B@W@[M_MUMA
;7=:
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IMWF[MA W@AEMCPIPMA B_MZCHF[BF[
M. E`lhahsh
Bwmschfrbfr memimc sumtu shaerfd bihahb ymao thdkui s`kmomh
mbhkmt memaym b`burmaoma prft`ha ymao pmrmc ema p`dmsubma bmifrh
ymao burmao emrh ymao ehkutucbma (K`crdma, [@. =885).
Bwmschfrbfr memimc e`lhsh`ash prft`ha ymao ehs`rtmh e`lhsh`ash
autrh`a imhaaym ymao khmsm ehnudpmh pmem kmyh dmsm ehsmphc ema mamb
prms`bfimc (kmihtm) (Aomsthymc, ;770).
W`aymbht bwmschfrbfr pmem ududaym t`rnmeh pmem mamb emrh
b`iumrom e`aoma stmtus sfshmi `bfafdh ymao r`aemc bmr`am themb dmdpu
d`ay`ehmbma dmbmama ymao jubup d`aomaeuao prft`ha c`wmah s`p`rth
emohao, t`iur, cmth, susu ema s`kmomhaym. Dmbmama sudk`r prft`ha
s`k`amraym empmt ehp`auch emrh prft`ha amkmth emimd bmjmao-bmjmaoma
t`tmph bmr`am burmaoaym p`ao`tmcuma frmao tum, mamb empmt d`ae`rhtm
e`lhsh`ash prft`ha.
K. @thfifoh
Z`imha fi`c p`aomruc a`omthl lmbtfr sfshf-`bfafdh-kuemym ymao
k`rp`rma t`rcmemp b`nmehma dmiautrhsh ududaym, b`s`hdkmaoma ahtrfo`a
ymao a`omthl empmt puim ehs`kmkbma fi`c ehmr` brfahb, dmimksfrpsh
prft`ha, chimaoaym prft`ha d`imiuh mhr b`dhc (shaerfd a`lrfthb), hal`bsh
d`amcua, iubm kmbmr ema p`aymbht cmth.
J. Wmtflhshfifoh
Wmem e`lhsh`ash prft`ha durah themb t`rnmeh bmtmkfihsd` nmrhaoma
ymao smaomt k`ri`khcma bmr`am p`rs`ehmma `a`roh empmt ehp`auch fi`c
nudimc bmifrh emimd eh`taym. B`imhama ymao d`ajfifb memimc omaoouma
d`tmkfihb ema p`rukmcma s`i ymao ehs`kmkbma `e`dm ema p`ri`dmbma
cmth. Bmr`am b`burmaoma prft`ha emimd eh`t mbma t`rnmeh b`burmaoma
k`rkmomh msmd mdhaf emimd s`rud ymao nudimcaym ymao suemc burmao
t`rs`kut mbma ehsmiurbma b` nmrhaoma ftft, dmbha burmaoaym msmd mdhaf
emimd s`rud hah mbma d`ay`kmkbma burmaoaym prfeubsh mikudha fi`c
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c`pmr ymao b`duehma k`rmbhkmt thdkuiaym fe`dm. W`ri`dmbma cmth t`rnmeh
bmr`am omaoouma p`dk`atubma k`tm ihprft`ha, s`chaoom trmaspfrt i`dmb
emrh cmth b` e`pft t`romaoou e`aoma mbhkmt t`rnmehaym p`ahdkuama i`dmb
emimd cmth.
E. Dmahl`stmsh Bihahs
=. Z`jmrm udud mamb tmdpmb s`dkmk, i`tmrohb, j`ao`ao ema duemc
t`rmaosmao, pmem tmcmp imanut mamb d`anmeh mpmths ema bfdm.
;. W`rtudkucma t`rimdkmt
:. @e`dm
5. Mafr`bshm ema ehmr`
0. Nmrhaoma ftft d`ao`jhi, tfaus d`aurua, nmrhaoma sukbuts thphs ema
i`dk`b
=. W`rtudkucma t`romaoou (d`rupmbma o`nmim t`rp`athao). Z`imha k`rmt
kmema kmema nuom thaooh kmema burmao eh kmaehao mamb s`cmt
;. W`rukmcma d`atmi, khmsmaym pmsh`a j`ao`ao mtmu mpmths
:. Eht`dubma fe`dm rhaoma dmupua k`rmt
5. U`rnmeh omaoouma omstrfhat`sthami. Mafr`bshm ymao c`kmt chaoom jmrm
p`dk`rhma dmbmaaym cmrus p`rsfae`, ehmr` ema duatmc bmr`am
t`rnmehaym hatfi`rmash dmbmama
0. W`rukmcma rmdkut, tmdpmb busmd, b rhao, cmius, nmrmao ema k`rukmc
wmram
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Bmemr mikudha s`rud r`aemc, bmemr oifkuiha
afrdmi mtmu s`ehbht i`khc thaooh, bmemr bfi`st`rfi s`rud r`aemc
=7. Cmdphr s`dum froma d`aomimdh p`rukmcma s`p`rth> e`o`a`rmsh ftft
nmatuao, fst`fpfrfshs tuimao ema s`kmomhaym.
@. Bfdpihbmsh
Mamb e`aoma bwmschfrbfr mbma i`khc duemc uatub t`rb`am hal`bsh
ehbmr`ambma i`dmcaym shst`d hdua. Uhaooh dmbshdmi ema b`dmdpuma
pft`ashmi uatub tudkuc themb mbma p`ramc empmt ehjmpmh fi`c mamb
e`aoma rhwmymt bwmschfrbfr. Kubth s`jmrm stmthsthb d`ao`dubmbma kmcwm
bwmschfrbfr ymao t`rnmeh pmem mwmi b`cheupma (kmyh ema mamb-mamb)
empmt d`auruabma H] s`jmrm p`rdma`a. Bfdpihbmsh imha ymao empmt
ehthdkuibma emrh bwmschfrbfr memimc>=. E`lhsh`ash zmt k`sh
;. Chp`rphod`atmsh buiht
:. @e`dm mamsmrbm.
L. Wrfoafshs
E`aoma p`aofkmtma me`bumt, ehp`riubma wmbtu ;-: kuima uatub
t`rjmpmhaym k`rmt kmema ymao he`i. W`rtudkucma lhshs cmaym t`rpmut
s`ehbht e`aoma mamb s`kmymaym. Amdua p`rb`dkmaoma hat`i`btumiaym
mbma d`aomimdh b`t`rimdkmtma ymao d`a`tmp, bcususaym b`imhama
d`atmi ema e`lhsh`ash p`rs`psh.
K`k`rmpm lmbtfr ymao d`dp`aomruch ymhtu >
=. Pdur
;. Msupma ohzh mamb
:. W`aofkmtma
5. Mem thembaym bfdpihbmsh
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O. W`amtmimbsmamma
Wrhashp p`aofkmtma bwmschfrbfr memimc>
=. D`dk`rhbma dmbmama ymao d`aomaeuao kmaymb prft`ha k`rahimh
khfifoh thaooh, thaooh bmifrh, jubup jmhrma, vhtmdha ema dha`rmi
;. Dmbmama cmrus duemc ehj`ram ema ehs`rmp
:. Dmbmama ehk`rhbma s`jmrm k`rtmcmp, bmr`am tfi`rmash t`rcmemp
dmbmama smaomt r`aemc
5. W`amaomama t`rcmemp p`aymbht p`ay`rtm
0. Uhaemb imanut k`rupm p`dmatmuma b`s`cmtma p`ae`rhtm ema
p`ayuiucma ohzh t`rcmemp b`iumrom (M.C. Dmrbud, =88=).
W`dk`rhma t`rmph >
=. Emimd b`memma e`chermsh ema mshefshs p`efdma p`dk`rhma
p`r`at`rmi memimc s`kmomh k`rhbut >
m. Nudimc jmhrma memimc > ;77 di / boKK/ cmrh uatub bwmschfrbfr mtmu
dmrmsdus bwmschfrbfr
k. ;07 di/boKK/ cmrh uatub dmrmsdus
j. Dmbmama thaooh bmifrh thaooh prfth`a :,7-0,7 o/boKKe. Bmifrh =07-;77 bbmi/ boKK/cmrh
`. \htmdha ema dha`rmi, msmd lfimt p`rfrmi :x 0 do/cmrh pmem mamb
k`smr
l. BJI frmi ?0-=07do /boKK/cmrh. Khim chpfbshm k`rhbma BJI
hatrmv`am :-5 do/BoKK/cmrh.
;. W`rkmhbh ehht>
Lfrduim cmrus duemc ehj`ram, durmc, p`bmt bmifrh mtmu prft`ha>
Dfehsjf H, HH, ema HHH d`d`auch symrmt-symrmt t`rt`atu.
Khim mem hatfi`rmash, duimhimc e`aoma susu sbhd ymao eh`aj`rbma (;,0-
0-?,0) + oiubfsm 0%, ehsusui e`aoma dfehsjf . H, HH, HHH.
:. \htmdha M =77.777-;77.777 HP HD = bmih.
\htmdha K bfdpi`b, J, M, E t`t`s p`r frmi.
5. Khim p`riu k`rh trmaslush s`i emrmc d`rmc pmemt (W[J) mtmu pimsdm.
0. W`aofkmtma p`aymbht p`ay`rtm/p`ay`kmk. Khim i`dmc, mem chpft`rdh,
chp`rt`ash ema omaoouma p`dk`buma emrmc mem b`duaobhama hal`bsh
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budma ormd a`omthl s`rtm `aeftfbs`dhm. [`shbf d`ahaobmt khim
ehs`rtmh b`burmaoma vhtmdha M.
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:) [hwmymt b`s`cmtma
[hwmymt pr` amtmi s`imdm dmsm cmdhi, rhwmymt amtmi, b`mema
smmt p`rsmihama, e`aoma d`afifao p`rsmihama, k`rmt kmema
ema pmanmao kmema smmt imchr, b`memma s`t`imc imchr, rhwmymt
a`famtmi, rhwmymt hduahsmsh ema rhwmymt tudkmao.
5) [hwmymt p`aymbht emcuiu
Mpmbmc mamb d`ae`rhtm p`aymbht smdpmh ehfpamd`, p`aymbht
mpm ema k`rmpm imdm ehrmwmt s`rtm kmomhdmam
p`aofkmtmaaym.
0) [hwmymt b`iumrom
Mpmbmc mem maooftm b`iumrom imha ymao d`ae`rhtm p`aymbht
ymao smdm e`aoma pmsh`a, mtmu d`ae`rhtm p`aymbht s`p`rth
msdm, UKJ, nmatuao ema ED.
Kmomhdmam pfim dmbma s`cmrh-cmrh mamb,
n`ahs dmbmama ymao ehbfasudsh ema kmomhdmam amlsu
dmbma.
k) Wfim @ihdhamsh > Kmomhdmam mbthvhtms `ihdhamsh mivh emadhbsh s`cmrh-cmrh, mpmbmc mem b`iucma, membmc ehmr`,
k`rmpm imdm.
j) Wfim mbthvhtms > B`khmsmma mbthvhtms b`ohmtma ymao
ehimbubma s`cmrh-cmrh, mpmbmc mem omaoouma mbthvhtms
s`t`imc smbht.
e) Wfim hsthrmcmt ema theur > k`rmpm imdm mamb khmsm theur,
mpmbmc mem omaoouma mtmu themb.
k. W`aobmnhma lhshb
=) B`memma udud ymao d`ihputh> b`smemrma jfdpfsd`aths,
i`dmc, r`w`i, b`k`rshcma burmao, k`rmt kmema, thaooh kmema,
ameh, sucu ema p`rampmsma.
;) B`pmim> ihaobmr b`pmim, wmram rmdkut, PPK suemc d`autup
mtmu k`iud
:) Dubm > s`dkmk bmr`am `e`dm, tmdpmb dffalmj
5) Dmtm > mpmbmc mem hbt`rus, ma`dhm mtmupua hal`bsh pmem dmtm
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0) U`ihaom > mpmbmc mem tmaem-tmaem hal`bsh
mpmbmc mem s`br`t, kmomhdmam p`rampmsmaaym,
t`rpmsmao sfae`
?) Duiut > stfdmthths, i`sh, dubfsm khkhr, ohoh tudkuc
3) U`aoofrfbma > mpmbmc mem tmaem p`dk`smrma tfashi, tmaem-
tmaem p`rmemaoma.
8) I`c`r > mpmbmc mem p`dk`smrma b`i`anmr thrfhe, bmbu bueub,
p`dk`smrma b`i`anmr ihdl`.
=7) Ufrmx > mpmbmc mem ihaobmr emem, membmc tmrhbma ehaehao
emem, wc``zhao, rfajch.
==) Mkefd`a > mpmbmc mem d`t`frhsdus, msht`s, khshao usus,
mpmbmc mem p`dk`smrma c`pmr.
=;) @xtr`dhtms mtms> ihaobmr i`aoma mtms, mbrmi cmaomt, fe`dm
=:) @xtr`dhtms kmwmc > `e`dm
=5) Buiht > membmc jrmzy pmv`d`at e`rdmtfshs, b`memma turofr
buiht, e`dm.
j. W`d`rhbsmma W`auanmao=) Wmem p`d`rhbsmma imkfrmtfrhud, ma`dhm s`imiu eht`dubma
t`rutmdm n`ahs afrdfshthb afrdfbrfd bmr`am memaym
omaoouma shst`d `rhtrfpf`shs mbhkmt chpfpimshm brfahs sud-
sud tuimao eh smdphao bmr`am msupma zmt k`sh ymao burmao
emimd dmbmama, b`rusmbma cmth ema omaoouma mksfrksh.
Z`imha htu empmt eht`dubma bmemr mikudha s`rud ymao
d`aurua.
;) W`d`rhbsmma rmehfifohs nuom p`riu ehimbubma uatub
d`a`dubma memaym b`imhama pmem pmru.
:) W`d`rhbsmma urha
W`d`rhbsmma urha d`ihputh urha i`aobmp ema buitur urha
m) Pnh lmmi cmth
k) @BO
j) S lftf pmru
e) Bfasui UCU > memaym fthths d`ehs
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Uunuma> Bih`a mbma d`auanubbma p`ahao-bmtma stmtus ohzh.
Brht`rhm cmshi> B`iumrom bih`a empmt d`an`imsbma p`ay`kmk
omaoouma autrhsh ymao ehmimdh bih`a,b`kutucma autrhsh p`duihcma,
susuama d`au ema p`aofimcma dmbmama s`cmt
s`hdkmao.E`aoma kmatuma p`rmwmt, b`iumrom bih`a empmt
d`ae`dfastrmshbma p`dk`rhma eh`t (p`r sfae`/p`r frmi) s`sumh
prformd eh`t`thb.
HAU@[\@AZH [MZHFAMI
=. N`imsbma b`pmem b`iumromt`atmao p`ay`kmk dmiautrhsh,
b`kutucma autrhsh p`duihcma,
susuama d`au ema
p`aofimcma dmbmama s`cmt
s`hdkmao, tuanubbma jfatfc
n`ahs sudk`r dmbmama
`bfafdhs s`sumh stmtus sfshmi
`bfafdh bih`a.;. Uuanubbma jmrm p`dk`rhma
dmbmama p`r sfae`, k`rh
b`s`dpmtma b`iumrom uatub
d`imbubmaaym s`aehrh.
:. Imbsmambma p`dk`rhma
rfkfrmas s`sumh prformd
t`rmph.
5. Uhdkmao k`rmt kmema, ubur
ihaobmr i`aoma mtmsema t`kmi
ihpmtma buiht s`thmp pmoh.
=. D`ahaobmtbma p`dmcmdmab`iumrom t`atmao p`ay`kmk ema
b`kutucma autrhsh uatub
p`duihcma bih`a s`chaoom empmt
d`a`rusbma upmym t`rmph
eh`t`thb ymaot`imc ehk`rhbma
s`imdm cfsphtmihsmsh.
;. D`ahaobmtbma pmrthshpmsh
b`iumrom emimd p`d`aucma
b`kutucma autrhsh bih`a,
d`dp`rt`oms p`rma b`iumrom
emimd upmym p`duihcma stmtus
autrhsh bih`a.
:. [fkfrmas d`ahaobmtbma amlsu
dmbma, prfs`s mksfrksh ema
d`d`auch e`lhsht ymao
d`ay`rtmh b`memma dmiautrhsh.
5. D`ahimh p`rb`dkmaoma dmsmimc
bih`a.
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k. B`burmaoma vfiud` jmhrma tukuc k/e p`auruama msupma p`rfrmi
ema p`ahaobmtma b`chimaoma mbhkmt ehmr`.
Uunuma> Bih`a mbma d`auanubbma b`memma chermsh ymao me`bumt.
Brht`rhm cmshi> Msupma jmhrma me`bumt s`sumh b`kutucma ehtmdkmc
e`lhsht ymao t`rnmeh.Uhemb mem tmaem/o`nmim e`chermsh (tmaem-tmaem
vhtmi emimd kmtms afrdmi, lr`bu`ash e`l`bmsh = x/;5 nmd e`aoma
bfashst`ash pmemt/s`dh pmemt).
HAU@[\@AZH [MZHFAMI
=. Imbubma/fks`rvmsh p`dk`rhmajmhrma p`r halus/sfae`/frmi
s`sumh prformd r`chermsh.
;. N`imsbma b`pmem b`iumrom
t`atmao upmym r`chermsh ema
pmrthshpmsh ymao ehcmrmpbma
emrh b`iumrom emimd
p`d`ihcmrma pmt`ash p`dk`rhmahalus/s`imao sfae`.
:. Bmnh p`rb`dkmaoma b`memma
e`chemrms hbih`a.
5. Chtuao kmimaj`jmhrma.
=. Ppmym r`chermsh p`riuehimbubma uatub d`aomtmsh
dmsmimc b`burmaoma vfiud`
jmhrma.
;. D`ahaobmtbma p`dmcmdma
b`iumrom t`atmao upmym
r`chermsh ema p`rma b`iumrom
emimd p`imbsmamma
t`rphr`chermsh.
:. D`ahimh p`rb`dkmaoma
dmsmimc bih`a.
5. W`athao uatub d`a`tmpbma
prformd r`chermsh
s`imanutaym.
j. Omaoouma p`auruama k`rmt kmema k`rcukuaoma e`aoma msupma
prft`ha ymao themb me`bumt.
Uunuma> Bih`a mbma d`ajmpmh p`rtudkucma ema p`rb`dkmaoma
s`sumh stmaemr ushm.
Brht`rhm Cmshi > W`rtudkucma lhshb (uburma matrfpfd`trhb) s`sumh
stmaemr ushm. W`rb`dkmaoma dftfrhb, kmcmsm/bfoahthl ema
p`rsfami/sfshmi s`sumh stmaemr ushm.
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HAU@[\@AZH [MZHFAMI
=. Mnmrbma b`pmem frmao tum
t`atmao stmaemr p`rtudkucma
lhshb ema tuoms-tuoms
p`rb`dkmaoma s`sumh ushm
mamb.
;. Imbubma p`dk`rhma
dmbmama/dhaudma s`sumh
prformd t`rmph eh`t
p`duihcma.
:. Imbubma p`aouburma
matrfpfd`trhb s`jmrm
k`rbmim.
5. Imbubma sthduimsh thaobmt
p`rb`dkmaoma s`sumh
e`aoma ushm bih`a.
0. Imbubma runubma b` i`dkmom
p`aeubuao sthduimsh
p`rtudkucma ema
p`rb`dkmaoma
(Wusb`sdms/Wfsymaeu)
=. D`ahaobmtbma p`ao`tmcuma
b`iumrom t`atmao
b`t`rimdkmtma p`rtudkucma
ema p`rb`dkmaoma mamb.
;. Eh`t bcusus uatub p`duihcma
dmiautrhsh ehprformdbma
s`jmrm k`rtmcmp s`sumh
e`aoma b`kutucma mamb emab`dmdpuma tfi`rmash shst`d
p`aj`ramma.
:. D`ahimh p`rb`dkmaoma
dmsmimc bih`a.
5. Zthduimsh ehp`riubma uatub
d`ao`nmr b`t`rimdkmtma
p`rb`dkmaoma mamb emimdmsp`b dftfrhb, kmcmsm ema
p`rsfami/sfshmi.
0. D`dp`rtmcmabma
b`shamdkuaoma prformd
sthduimsh p`rtudkucma ema
p`rb`dkmaoma mamb e`aoma
d`dk`remymbma shst`d
p`aeubuao ymao mem.
e. Omaoouma hat`orhtms buiht k`rcukuaoma e`aoma e`lhsh`ash prft`ha,
e`chermsh ema pfshsh bih`a.
Uunuma> Hat`orhtms buiht b`dkmih afrdmi.
Brht`rhm cmshi> Omtmi chimao/k rburmao, buiht b`dkmih cmius, b`aymi
ema utuc.
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EMLUM[ WPZUMBM
M.C. Dmrbud, ebb. =88=. Hidu B`s`cmtma Mamb. Nmbmrtm> LBPH
Mrhsdma. ;7=7. Ohzh Emimd Emur B`cheupma. Nmbmrtm> @OJ
K`crdma, [@. ebb. =885. Hidu B`s`cmtma Mamb. Nmbmrtm> @OJ
Enm`ah, ZM. ;7=7. Hidu Ohzh Patub Dmcmshswm Ema Wrfl`sh. Nmbmrtm> @OJ
Aomsthymc. ;770. W`rmwmtma Mamb Zmbht. @ehsh ;.Nmbmrtm> @OJ
Zf`tnhahaoshc. =883. Uudkuc B`dkmao Mamb. Nmbmrtm> @OJ
Xuihmaah [htm & Zurhymeh. ;77 Zmouao Z`tf