askep anak sehat tumbang lena
TRANSCRIPT
-
8/17/2019 Askep Anak Sehat Tumbang Lena
1/62
ASUHAN KEPERAWATAN ANAK SEHAT
PADA AN.J DI RUANGAN BKIA RUMAH SAKIT SANTA ELISABETH
MEDAN,20 JUNI 2015
D
I
S
U
S
U
N
OLEH:
MARIA LENA BR SITANGGANG
012013023
DOSEN PEMIMBING:
Sr.M.ANCILLA SARAGIH,FSE.S!",NS
PROGRAM STUDI DIII KEPERAWATAN
SEKOLAH TINGGI ILMU KESEHATAN SANTA ELISABETH MEDAN
T.A.2015#201$
-
8/17/2019 Askep Anak Sehat Tumbang Lena
2/62
BAB I
PENDAHULUAN
A.Latar belakang
P!r%&'(&)*+ '!r&"**+ "!++-*%*+ &'/*) *+ &&r*+ !*+-*+ "!r!'(*+-*+
'!+%(!r*%*+ "** "!r&(*)*+ *+- %!r* !*r* (!r%*)*" *+ %+-*% *+- "*/+- r!+*) *+
4'"/! '!/*/& "r4! '*%&r* *+ "!'(!/**r*+ W)*/!6 *+ W4+!.20007
D*/*' T&'(*+- *+* "!r/& /*&*+ (!r(*-* '**' '&+*, '*+* '&+*
'!r&"**+ &*)* '!'(!r*+ !!(*/*+ "** (* *+ *+* !+-*+ '!'*&*+ 8*+ !
*/*' %&(&) *-*r %&(&) '!'(&*% 9*% *+% &+%& '!+!-*) %!r)**" "!+*% %!r%!+%&.
S!*+-*+ *+- '*& 8*+ **/*) (*)*+ *+- "** &+%& '!r*+-*+- "!'(!+%&*+
9*% *+% *+- '*&*+ ! */*' %&(&) '!/*/& &+%*+ !"!r% 8*+ BCG, DPT, C*'"*,
*+ '!/*/& '&/&% !"!r% 8*+ P4/4. T&&*+ (!r*+ '&+* **/*) )*r*"*+ *+*
'!+* !(*/ %!r)**" "!+*% !)+--* *"*% '!+&r&+*+ *+-* '4r(%* *+ '4r%*/%*
!r%* *"*% '!+-&r*+- !**%*+ *(*% "!+*% %!r%!+%&.
B. Tujuan penulisan
1. T&&*+ U'&'
U+%& '!+-!%*)& A&)*+ K!"!r**%*+ P** *+* %&'(&) !'(*+-.
2. T&&*+ K)&&*. U+%& '!+-!%*)& P!+-!r%*+ %&'(&) !'(*+-.
(. U+%& '!+-!%*)& ;*%4r
-
8/17/2019 Askep Anak Sehat Tumbang Lena
3/62
TINJAUAN TEORITIS
A.ONSEP !EDIS
a.pengertian
T&'(&) !'(*+- **/*) &*%& !*%&*+ "r4! '*+* !!4r*+- *+* %* )*+*
%&'(&) '!+* (!*r %*" (!r!'(*+- '!+* /!() %!r*'"/ *+- '!+*&" &* "!r%*
*+- ;*%+* (!r(!* %!%*" */+- (!r*%*+ *+ &/% "*)*+.
1. P!r%&'(&)*+ -r4%)7 (!r*%*+ !+-*+ '**/*) "!r&(*)*+ */*' &'/*), (!*r,
&&r*+#'!+, %+-*% !/ 4r-*+ '*&"&+ +8& *+- (* &&r (!r*%, "*+*+-, &'&r
%&/*+-*+ !!'(*+-*+ !/!%r4/%.
2. P!r!'(*+-*+ !8!/4"'!+%7 **/*) (!r%*'(*)+* !'*'"&*+ */*' %r&%&r *+ ;&+- %&(&)*+- /!() 4'"/! */*' "4/* *+- %!r*%&r *+ *"*% r*'*/*+ !(*-* )*/ *+%*r* /*+
"r4! "!'*%*+-*+ %!r'*& "!r!'(*+-*+ !'4, +%!/!%&*/, *+ %+-*) /*& !(*-* )*/
!+-*+ /+-&+-*+. U+%& %!r"%*+* %&'(&) !'(*+- *+- 4"%'*/ %!r-*+%&+- "** "4%!+
(4/4-, "44*/, *+ "!r/*& *+- '!r&"**+ "r4! *+- &+ *+ )*/ *)r (!r(!*<
(!* *+- '!'(!r rr %!r!+r "** !%*" *+*.
D*+%*r* !*+ (*+*+* '&+* *+- "!r/&*+ *+*, *%& *+%*r*+* **/*)
'&+* BCG.
*. I'&+* BCG B*//& C*/'!%%! G&!r+7
M!r&"**+ '&+* *+- -&+**+ &+%& '!+!-*) %!r*+* "!+*% TBC *+- (!r*%
!(*( %!r*+* "!+*% TBC *+- "r'!r *%*& *+- r+-*+ *"*% %!r* */*&"&+ &*)
/*&*+ '&+* BCG, "!+!-*)*+ '&+* BCG &+%& TBC *+- (!r*% !"!r% TBC "**
!/*"&% 4%*, TBC '/!r "** !/&r&) /*"*+-*+ "*r&7, *%*& TBC %&/*+-. I'&+* BCG +
'!r&"**+ 8*+ *+- '!+-*+&+- &'*+ TBC *+- %!/*) /!'*)*+. Fr!&!+ "!'(!r*+
'&+* BCG **/*) 1 */ *+ *%& "!'(!r*+ '&+* BCG "** &'&r 0 = 11 (&/*+, **+
%!%*" "** &'&'+* (!r*+ "** (* &'&r 2 = 3 (&/*+, !'&*+ *r* "!'(!r*+ '&+*
BCG '!/*/& +%r*!r'*/. E;! *'"+- "** BCG *"*% %!r* &/& "** *!r*) &+%*+ *+
*"*% %!r* /';*!+% r!-4+*/ *+ r!* "*+*.
b."akt#r$"akt#r %ang &e&pengaru'i tu&bu' ke&bang
-
8/17/2019 Askep Anak Sehat Tumbang Lena
4/62
1. F*%4r !%&r&+*+ H!r!%!r7
M!r&"**+ '4*/ **r */*' '!+*"* )*/ *)r "r4! %&'(*+- *+* '!/*/& +%r&
-!+!% *"*% %!+%&*+ &*/%* *+ &*+%%* "!r%&'(&)*+, -*+--&*+ "!r%&'(&)*+ !/*+
!(*(*+ 4/!) !/*+*+ r4'44' 4+%4)> +r4'! 4+, +r4'! %&r+!r7 &-*
*(*%*+ 4/!) ;*%4r /+-&+-*+ *+- &r*+- '!'**.
*7 S! : !&&"*+ *+ "!r!'(*+-*+ "** *+* /*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
5/62
U+%& %&'(*+- *+* !*r* 4"%'*/ '!'!r/&*+ +&%r *!&*% *+- *"*% *r '**+*+
(!r-9
?7 I/'#&**
I/' %!r%!+%& *"*% '!'"!+-*r&) %*%& !!)*%*+ *+*
57 O/*)r*-*#/*%)*+ ;
O/*)r*-* (!r*'"* "** "!r%&'(&)*+ *+ "!r!'(*+-*+ "44*/ *+*.
$7 P4 *+* */*' !/&*r-*
P4 *+* !(*-* *+* %&+--*/, &/&+-, *+* %!+-*), *+* (&+-& **+ '!'"!+-*r&) "4/*
*+* !%!/*) *&) *+ */*' !/&*r-*
(. Peri#)e Perke&bangan
M!+&r&% D4++* L. W4+- 20007 "!r!'(*+-*+ *+* !*r* &'&' %!rr *r :
1. P!r4! "r!+*%*/
T!r* "!r%&'(&)*+ *+- !"*% *+ *+-*% "!+%+- *r!+* %!r* "!'(!+%&*+ 4r-*+ *+
%!' 4r-*+ *+*. S!/*+ %& )&(&+-*+ *+%*r* 4+ %& '!'(!r *'"* "**
"!r%&'(&)*++*.
2. P!r4! (*
P!r4! + %!rr *r +!4+*%& 0
-
8/17/2019 Askep Anak Sehat Tumbang Lena
6/62
P!r4! "!+%+- */*' %&'(*+- *+* **/*) '** (*/%*. P!r!'(*+-*+ !'*'"&*+
(!r(*)**, r!*%8%*, *+ !***+ 4*/ !'44+*/ *+ +%!/!-!+ (!r*/*+ *+-*% !"*% *+
'!r&"**+ /*+**+ "!r!'(*+-*+ (!r&%+*. P!r!'=(*+-*+ '4r*/ !r%* **r
-
8/17/2019 Askep Anak Sehat Tumbang Lena
7/62
A. PEN+AJIAN
1. P!+-**+ I!+%%* *+ R**% K!"!r**%*+
I!+%%* A+* *+#*%*& Or*+- T&*
*. N*'*
(. A/*'*%
. T!/!"4+
. T!'"*% *+ %*+--*/ /*)r
!. R*#!/4'"4 !+%r!
;. J!+ !/*'+
-. A-*'*
). T*+--*/ **+*r*
. I+;4r'*+
K!/&)*+ U%*'* KU7
U+%& '!+*/*+ &*%& '&+* *+* )*r*"*+ */*' 4+ !)*% *'*+ *+ r4)*+
*r!+* **+ "!+!%r**+ *+%-!+ */*' '&+* *+- **+ '!'& ;&+- '&++*, +*'&+
!r+- !+-*+ 4+ *+* *+- r!+%*+ %!r)**" 4+%* +;! *r /+-&+-*+, %* '!+&%&"
!'&+-+*+ * **% '!'*& **/ '&+* * (!r** */*' 4+ *% . M** *r %&,
"!r/& %*+**+ *"**) *+* '!'/ !/&)*+ !!)*%*+ (* !*r* /*+-&+- "** *+*
*%*&"&+ 4r*+- %&*#"!+-*&)+* (!(!r*"* **% !(!/&' '&+*. K!/&)*+ + *"*% **+
+*%4r *"**) '&+* )*r& /*+&%*+, %&+* !'!+%*r* *%&, *%*& %* (!r*+
*'* !*/.
R**% P!+*% S!*r*+- RPS7
U+%& '!+*"*%*+ !'&* r+*+ *+- (!r)&(&+-*+ !+-*+ !/&)*+ &%*'*. J* **% +
!!)*%*+ *+* (*, r**% "!+*% !*r*+- '&+-+ %* %!r/*/& '!+* *&*+, **+ %!%*"
* *+* */*' 4+ %* !)*%, )*/ + *"*% **+ **+ /!() /*+&% &+%& '!+-!%*)&
%*%& !!)*%*+ *+* **% +, !/*+ &+%& !"!+%+-*+ '&+*, )*/ + &-* *"*% **+
"*+&*+ *"**) *+* )*r& '!+*"*% "!r**%*+ /!() /*+&% '!+-!+* "!+*%+*.
-
8/17/2019 Askep Anak Sehat Tumbang Lena
8/62
R**% K!!)*%*+ D*)&/& RKD7
U+%& '!'"!r4/!) "r4;/ "!+*% *+*, !!r*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
9/62
;. H&+-
-. M&/&%
). T!+--4r4*+
. L!)!r
. D**
. R!"r*
/. K*r48*&/!r
'. G*%r4+%!%+*/
+. G!+%4&r+*r*
4. G+!4/4-
". M&&/&!/!%*/
. N!&r4/4-
r. E+4r+
R**% "!+-4(*%*+ !/&*r-*
U+%& '!+-!+%;* **+* ;*%4r -!+!%* *%*& "!+*% *+- '!'/ !!+!r&+-*+%!r* */*' !/&*r-* *+ &+%& '!+-* "**+*+ %!r)**" "!+*% '!+&/*r "** *+--4%*
!/&*r-* *+ !(***+ !/&*r-* *+- *"*% '!'!+-*r&) !!)*%*+ *+*, !"!r% '!r44 *+
"!+--&+**+ (*)*+ '* /*+, !r%* %+-*% !*"***+ !/&*r-* **% *+* '!+-*/*' *%.
R**% P44*/
U+%& '!'"!r4/!) +;4r'* %!+%*+- 4+!" r *+*, %!r&%*'* %!r;4& "** r**%
'&+* *+- "!r+*) * *"*%*+, *"*(/* r**% !(!/&'+* '!+**+ !r*&*+ "** *+*
'** **+ /!() (* * **% '&+* (!r&%+* )*/ + "!r(* &+%& '!+-&(*) 4+!"
*+* %!rr)**" '&+*, '!+*+*'*+ "**+* (*)* )*/ + "!+%+- &+%& '!+!-*) "!+*%
*+- '&+-+ '!+*%*+-+*, !r%* "!r/&*+ !%!r/(*%*+ !/&*r-* *+- *"*% '!'(!r*+
&&+-*+ '!+%*/ "** *+*+* !)+--* *+* %* r*& */*' '!+-)**" '&+*.
R**% K!/&*r-*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
10/62
U+%& '!+-!'(*+-*+ "!'*)*'*+ %!+%*+- *+* !(*-* +8& *+ !(*-* *+--4%*
!/&*r-* *+ 4'&+%*. P!+-**+ &-* (!r;4& "** !*&) '*+* !/&*r-* '!'*)*'
%!+%*+- '&+* *+- **+ (!r*+ "** *+*, '!/"&% !+ '&+*, */**+ '&+*,
'*+;**% '&+*, *+ !;! *'"+-+*. H*/ + **+ *+-*% '!'(*+%& * !/&*r-* %!/*)
'!'*)*' "!+%+-+* '&+* !(*-* /*+-*) "!+%+- *+- "!r/&*+ &+%& '!+!-*)
"!+*% "** *+*+*. U+%& (!(!r*"* !/&*r-* *+- (!/&' (!-%& '!'*)*' '&+*, )*/
+ *"*% **+ "*%4*+ &+%& '!'(!r*+ "!+*+ !!)*%*+ */*' "!'*)*'*+ %!r)**"
'&+*.
P!+-***+ N&%r
U+%& '!'"!r4/!) +;4r'* *+- *!&*% %!+%*+- *&"*+ *+ !(&%&)*+ +&%r *+* */*'
*%*++* !+-*+ !!)*%*+ *+* **% + !(!/&' * '!+*"*%*+ '&+* *+ *"*% **+
(*)*+ &+%& "!+*+ !!)*%*+ "** '&+* *+*. P!+-**+ +&%r '!/"&% "!+-**+
%!r)**" *&"*+ !% *+ "!'!r**+ /+.
2. P!+-**+ P!r%&'(&)*+ *+ P!r!'(*+-*+
P!+-***+ "!r%&'(&)*+ *+ "!r!'(*+-*+ *+* (!r%&&**+ '!+-&'"&/*+ *%*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
11/62
. J* ** (!(!r*"* *+*, '&/*/*) !+-*+ *+* *+- 44"!r*%; !)+--* **+ '!+-&r*+- r**
%*&% *r *+* *+- /*+.
!. L(*%*+ *+* */*' "r4! "!'!r**+. K%* (* '!+!/**+ "** *+* '!+-!+* )*/
-
8/17/2019 Askep Anak Sehat Tumbang Lena
12/62
TB, BB, *+ /+-*r !"*/*. S!*+-*+ /+-*r /!+-*+ *+ /+-*r ** (*r& -&+**+ (/*
&r-* **+* -*+--&*+ "** *+*. A"*(/* "!%&-* **+ '!+-* "!r%&(&)*+ ; *+*,
'** "!%&-* %!r!(&% &&" '!+-&&r BB, TB, *+ /+-*r !"*/*. M!"&+ %* !'&*
&&r*+ *+%r4"4'!%r -&+**+, (!r&% + **+ !/**+ *r* "!+-&&r*+ *r '*+-
-
8/17/2019 Askep Anak Sehat Tumbang Lena
13/62
57 T!+%&*+ )*/ %'(*+-*+ !&* !+-*+ *r&' "!+&+& "** %'(*+-*+
$7 S!/*+&%+*, %!+%&*+ "4 (!r*% (**+ *+* !&* !+-*+ %*+*r *+- (!r/*&, *%& *"**)
%*%& -9 *+* +4r'*/, &r*+-, *%*& (&r&. U+%& '!+!+%&*+ (!r*% (**+ + &-* *"*%
/*&*+ !+-*+ '!/)*% "** &r8* KMS, *"**) (!r*% (**+ *+* (!r** "** &r8* (!r*r+* )*&, &++-, *%*& '!r*).
(7 T+-- B**+ TB7
U+%& '!+!+%&*+ %+-- (**+, *r* "!+-&&r*++* !/4'"4*+ '!+* &+%& &*
&r*+- *r 2 %*)&+ *+ &* 2 %*)&+ *%*& /!(). P!+-&&r*+ %+-- (**+ "** *+* &* &r*+-
*r 2 %*)&+ **/*) !(*-* (!r&% :
17 S*"*+ "*"*+ *%*& '!* "!+-&&r. T* **, *"*% -&+**+ "%* "!+-&&r '!%!r*+7.
27 B*r+-*+ *+* %!r/!+%*+- %*+"* (*+%*/ &"+*7, /&r&*+ /&%&% *'"* '!+!'"!/ "** '!*
"4 !%!+7.
37 L&r&*+ (*-*+ "&+* !"*/* *+ (*-*+ (**) * %!/*"* * %!-* /&r& !+-*+ '!*
"!+-&&r7, /*/& &&r !&* !+-*+ */* *+- %!r%!r*.
?7 A"*(/* %* ** "*"*+ "!+-&&r, )*/ + *"*% /*&*+ !+-*+ *r* '!'(!r %*+* "**
%!'"*% %&r %!'"*% %&r )*r& r*%*#*%*r7 (!r&"* -*r *%*& %% "** (*-*+ "&+* !"*/* *+
(*-*+ %&'% * (*. L*/& &&r *r* *+%*r* !&* %*+* %!r!(&% !+-*+ "%* "!+-&&r.
S!*+-*+ *r* "!+-&&r*+ %+-- (**+ "** *+* &* 2 %*)&+ *%*& /!() **/*) !(*-*
(!r&% :
17 T+-- (**+ &&r !+-*+ "4 (!rr %!-*, !)+--* %&'% r*"*%, !*+-*+ (44+-,
"&+--&+-, *+ (*-*+ (!/**+- !"*/* (!r** */*' *%& -*r 8!r%*/ *+ '!+!'"!/ "** */*%
"!+-&&r.
27 T!+%&*+ (*-*+ *%* !"*/* *+ (*-*+ * '!+--&+**+ !(/*) "*"*+ !+-*+ "4
)4r94+%*/ !+-*+ (*-*+ *, /*/& &&r !&* !+-*+ */* *+- %!r%!r*.
7 L+-*r K!"*/*
U&r*+ !"*/* +*%**+ +4r'*/ (/* (!r** *+%*r* (*%* %!r%+-- *+ %!r!+*) *r
&r8* /+-*r !"*/*. B/* &&r*+ !"*/* (!r** *%* &r8* +4r'*/, (!r*r% &&r*+ !"*/* (!*r
'*r4!")*/7, !*+-*+ (/* &&r*+ !"*/* (**) &r8* +4r'*/, (!r*r% &&r*+ !"*/*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
14/62
!/ 'r4!")*/7. K&r8* /+-*r !"*/* + (!**+ *+%*r* /*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
15/62
!!/&r&)*+. P!'!r**+ ; *"*% '&/* *r r*'(&%, !"*/*, /!)!r, **, "!r&%, -!+!%*/*,
!%r!'%*. S!/*+ %&, %*+*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
16/62
'!+--&+**+ %! DDST, *+* *"*% '!/!*% %&-*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
17/62
. KIE 4r*+- %&* &+%& 4+%r4/ !%*" (&/*+.
R*4+*/: '!+-!%*)& **+* !/&)*+ */*' %&'(*+- *+*
2. P!r/*& '!+*r (*+%&*+ !!)*%*+ (!r)&(&+-*+ !+-*+ &r*+- "!+-!%*)&*+ %!+%*+- "!r*+
!(*-* 4r*+-%&* (*r&.
*. J!/**+ "** 4r*+- %&* %!+%*+- "!r**%*+ *+* !"!r% '**+*+ *+- (* !&* &'&r *+*,
*r* '!+--!+4+-, *r* '!'(!r*+ ASI *+- (* *+ (*-*'*+* '!+!+***+ (*.
R*4+*/: '!++-*%*+ "!'*)*'*+ 4r*+- %&* %!r)**" "!r**%*+*+ *+*
(. J!/**+ (*)* !(!r***+ !&* 4r*+- %&* *+-*% "!+%+- !(*-* r4/! '4!/ *+*+*.
R*4+*/: '!'(!r "!'*)*'*+ 4r*+- %&* &"** (* '!'(!r 4+%4) *+- (* (*- *+*+*
. J!/**+ "** 4r*+- %&* %!+%*+- %*)*"*+ %&'(&) !'(*+- *+- )*r& /!*% *+* !&*
!+-*+ &'&r+*
R*4+*/: '!++-*%*+ "!'*)*'*+ 4r*+- %&* %!r)**" %&'(*+-
3. R4 %!r)**" !!r* (# !***+ %&'(*+- *+ /+-&+-*+.
*. A* *+* **% '**+, '*+, (!r'*+, !/'+*
R*4+*/: '!+-&r*+- r4 !!r* "** **% *+* (!r*%8%*
(. L+&+- * *+* !+-*+ *+*/# !"*%&
R*4+*/: '!+-&r*+- r4 !!r* "** * *+*
. B!r '**+*+ *+- *'*+ &+%& &* *+*
R*4+*/: '!+!-*) r4 !r*&+*+ '**+*+
. P!r* &)& *r '*+ !(!/&' '*+*+
R*4+*/: '!+-&r*+- r4 !!r* *+- *(*%*+ 4/!) *r '*+ *+- %!r/*/& "*+*
?. P4%!+*/ 4r*+- %&* */*' '!++-*%*+ !!)*%*+ *+* (!r**r*+ %&'(&) !'(*+-+*.
*. J!/**+ "** 4r*+- %&* %!+%*+- "r4! %&'(*+- *+- %!r*
R*4+*/: '!++-*%*+ "!'*)*'*+ 4r*+- %&* %!r)**" %&'(*+-
(. B*+%& ( 4r*+- %&* &+%& '!+-!r% *+ '!+-!%*)& %!+%*+- %*)*"*+ %&'(*+- *+- /!*%
*+* !+-*+ '** "!r%&'(&)*+*+ "!r!'(*+-*+
R*4+*/: *-*r 4r*+- %&* '!+-!%*)& %!+%*+- %&'(&) !'(*+- *+*+*
. A+&r*+ (& '!'(** (!r(*-* %" "!r**%*+ *+*
R*4+*/: '!++-*%*%*+ "!'*)*'*+ %!+%*+- "!r**%*+ *+*+*
5. G*+--&*+ r** *'*+ !'*7 (# &r*+- "!+-!%*)&*+ (& %!+%*+- %&'(*+- *+*
*. B*+%& (& '!+-!%*)& %*)*"*+ *+- !)*r&+* %!r* "** *+* **% + !&* &'&r
-
8/17/2019 Askep Anak Sehat Tumbang Lena
18/62
R*4+*/: *-*r (& "*)*' %!+%*+- %&'(*+- *+*+*
(. B*+%& '!+&r&+*+ %+-*% !!'**+ !+-*+ +;4r'* *+- (!r*+
R*4+*/: '!+-&r*+- !!'**+ (&
. B!r &&+-*+ "** (& &+%& %!%*" '!+*-* !!)*%*+ *+*+* *+ %!%*" '!'*+%*&
"!r%&'(&)*+ *+ "!r!'(*+-*+ *+*
R*4+*/: *-*r !!)*%*+ *+* %!%*" %!r*-*
$. K!*"*+ '!++-*%*+ %*%& '&+* (#
*. M!'(!r "!+!/**+ %!+%*+- '&+* *+- !)*r&+* *"*%*+ 4/!) *+*+*
R*4+*/: '!++-*%*+ "!'*)*'*+ %!+%*+- '&+* *+- )*r& *"*%*+ 4/!) *+*
(. M!'(!r "!+!/**+ %!+%*+- '&+* %*'(*)*+ *+- *"*% (!r*+ !"** *+*+* !/*+
'&+* *+- )*r&+* *"*%*+
R*4+*/: '!'(!r*+ "!'*)*'*+ %!+%*+- '&+* %*'(*)*+
. M!+-*+&r*+ (& &+%& '!'(!r*+ '&+* %*'(*)*+ &+%& '!+!-*) "!+*% *+- (*
!r%* 4/!) *+*+*
R*4+*/: '!+!-*) "!+*% *+- '&+-+ !r%* *+*.
BAB III
TINJAUAN ASUS
A.PEN+AJIAN
a.pengu&pulan )ata
I.BIODATA
A.I!+%%* *+*:
1. I+*/ *+* :B.2. T!'"*% ,%*+--*/,/*)r :(+*,25 ;!(r&*r 2015
3. J!+ !/*'+ :"!r!'"&*+
-
8/17/2019 Askep Anak Sehat Tumbang Lena
19/62
?. A-*'* :/*'
5. P!+*+ :<
$. A/*'*% :/+.(+*. T-/ '*& :2$ &+ 2015
@. T-/ "!+-**+ :2$ &+ 2015
. D*-+4* '! :
-
8/17/2019 Askep Anak Sehat Tumbang Lena
20/62
R*'(&% (!r*r+* )%*','!+!(*r '!r*%* *%* !"*/* "*!+,&%&r* "*!+ &*) '!+*%& *+
!r* ,%!%&r )*/&,%* %*'"* **+* /!,*+ %* %*'"* **+* 4%4r*+ &/% !"*/*.
2.&/%
K&/% !"*/* (!r*r+* "&%),%!%&r )*/&,%&r-4r &/% "** **% &(% *"*% !'(*/2 !%.3.&&
D**r && (!r*r+* %r*+"*r*+,%!%&r )*/&,(!+%& !'(&+-,%* %*'"* **+*
*+4,%* %*'"* **+* 4%4r*+,&& "!+!,"!+-*+ *"/!r (*,%!r(&% !%!/*)
/*&*+ "!+!*+*+ *"*% !'(*/ 2 !%.
3. %!' "!+-/)*%*+'*%* *+*+ *+ '*%* r '!%r,4+&+-%8* (!r*r+* '!r*) '&*,/!r* (!r*r+*
"&%),4r+!* %*'"* !r+),"&"/ '!+-!/ **% r*+*+- 4/!) *)**,!***+ '*%* %*'"*
!'(&+-,%* %*'"* **+* !r&'!+,"** !&* '*%* "*!+.
?. %!' "!+!+-*r*+
%!/+-* *+*+ *+ r "*!+ %*'"* '!%r,%!%&r )*/&,*r+*+* *'* !+-*+ *r+*
&/%,;&+- "!+!+-*r*+ "*!+ (*,%*'"* "** **% "*+--/ +*'* "*!+,*+ "*!+
'!+4/!) !* r*) *+- '!'*+--/ +*'*+*.
5.%!' "!r+*;**+
"4 )&+- '!%r,)&+- *+*+ *+ r,*r+* *'* !+-*+ *r+* &/% '&*,%!%&r )*/&,%* %*'"* **+* !r&'!+ /&(*+- )&+- )&+- "*!+,"!r+*;**+:50 */
"!r'!+%,!+-*+ (&+ 8!&/!r.
$.%!' *r48*&/!r
"4 ** '!%r *+%*r* ** *+*+ *+ ** r,"** **% +"r*.+*10? */ "!r'!+%
.%!' -*%r4!+%!%*/
((r "*!+ (!r*r+* '!r*) '&*,'4* ((r%*'"* /!'(*(,%* %*'"* r) %* *
4%4r*+.
@. %!' r!"r4&
"** */*% -!+%/* "*!+ *'"* (*)* /*(* '*4r '!+&%&" /*(* '+4r*.
-
8/17/2019 Askep Anak Sehat Tumbang Lena
21/62
.%!' '&&/4/!%*/
%*+-*+ *+*+ *+ %*+-*+ r "*!+ *"*% -!r**+ !*r* (!r*'**+,*+ !+-*+
(!(*,(!-%& "&/* !+-*+ !%r!'%* (**),*%& !&* * "*!+.
10.r**% "!r*/*+*+ *+ !)*'/*+
1. "r!+*%*/
I(& "*!+ '!+-*%**+ %* '!+-*/*' "!+*% "** '** !)*'/*+,*+ (& "*!+
'!+-*%**+ )*+* '!+-*/*' '&*/
-
8/17/2019 Askep Anak Sehat Tumbang Lena
22/62
12. R**% +&%r
(* '*) '+&' * !/&;.
13. r**% '&+*
(& "*!+ '!+-*%**+ "*!+ &*) '!+*"*%*+ '&+* BCG,"4/4,1,2,DPT1,2,*+
!*r*+- **+ '!+*"*%*+ '&+* DPT III.
3. P!'!r**+ ;
A.!***+ &'&':
K!**r*+ :4'"4 '!+%.
P!+*'"/*+ :"*!+ %*'"* !)*%.
T*+*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
23/62
2. P4/* !'4
I(& "*!+ '!+-*%**+ *+* '!+*+- *"*(/* "!-*+- 4/!) 4r*+- %* * !+*/.
3. P4/* "!r%*)*+*+ !/&*r-*I(& "*!+ '!+-*%**+ !'&* !(&%&)*+ *+*+* %!r"!+&) *r!+* *+*+* **/*)
*+* "!r%*'*+*,*+ !&* 4r*+- %&* "*!+ *+-*% '!'*+**+ "*!+.
(. K!!)*%*+ !/&*r-*I(& "*!+ '!+-*%**+ (*)* !/&*r-*+* %* '!'"&+* "!+*% !%&r&+*+.
. A"! "r%&*/
I(& "*!+ '!+-*%**+ *+*+* !r+- (** ! '! &+%& '!+!+-*r !r*'*)*+
'!.
. T)!r*"
A*+ (!r*+ 8*+ DPT III:0,5 8#'
b.pengel#&p#kkan )ata
a.)ata subjekti"
-
8/17/2019 Askep Anak Sehat Tumbang Lena
24/62
-
8/17/2019 Askep Anak Sehat Tumbang Lena
25/62
N
O
DATA ETIOLOGI PROBLEM
1 DO:"** "!r4+*/ 4*/:"*!+
&*) *"*% '!+--*"* '*+*+.
-
8/17/2019 Askep Anak Sehat Tumbang Lena
26/62
NO DIAGNOSA KEPERAWATAN TANGGAL PARAF
DI TEMUKAN TERATASI
1 K!!*)%!r**+ (!r)&(&+-*+ !+-*+
P!r%&'(&)*+ *+ "!r!'(*+-*+ *+*
*+- +4r'*/ !&* !+-*+ &*+*%*+* !+-*+ :"** "!r4+*/
4*/:"*!+ &*) *"*% '!+--*"*
'*+*+.
-
8/17/2019 Askep Anak Sehat Tumbang Lena
27/62
'*+*+.
-
8/17/2019 Askep Anak Sehat Tumbang Lena
28/62
2 0.00
0.10
-
8/17/2019 Askep Anak Sehat Tumbang Lena
29/62
-
8/17/2019 Askep Anak Sehat Tumbang Lena
30/62
-
8/17/2019 Askep Anak Sehat Tumbang Lena
31/62
DA/TAR PUSTAA
B!r)r'*+,K/!-'*+,Ar8+.2000. Ilmu Kesehatan Anak Nelson.J**r%*.B&& K!4%!r*+ EGC.
C*r"!+%4,L+* J&*//.2000. Buku Saku Diagnosa Keperawatan Edisi8.J**r%*: EGC
H**%,A..2011. PengantarIlmuKesehatanAnakuntukPendidikanKebidanan.J**r%*.S*/!'(*
M!*.
Kriteria Hasil NO .J**r%*.B&& K!4%!r*+ EGC.
M&*r,M*r.E.2005. Keperawatan Pediatrik .J**r%*.B&& K!4%!r*+ EGC.
S&"*r%+.200?. KonsepDasarKeperawatanAnak .J**r%*.B&& K!4%!r*+ EGC.
S4!%++-).15.!umbuhKembang Anak .J**r%*.B&& K!4%!r*+ EGC.
W4+-,D.L,.200?. Pedoman Klinik Keperawatan Pediatrik"#akarta.B&& K!4%!r*+ EGC.
-
8/17/2019 Askep Anak Sehat Tumbang Lena
32/62
DEN+AN +ASTROENTERITIS AUT DI RUAN+AN ST.THERESIA A!AR 00$
RU!AH SAIT SANTA ELISABETH !EDAN102 JUNI 023
D
I
S
U
S
U
N
OLEH4
!ARIA LENA BR SITAN++AN+
2025205
DOSEN PE!I!BIN+4
Sr.!.AN,ILLA SARA+IH1/SE.Skep1NS
PRO+RA! STUDI DIII EPERA*ATAN
SEOLAH TIN++I IL!U ESEHATAN SANTA ELISABETH !EDAN
T.A.0236027
-
8/17/2019 Askep Anak Sehat Tumbang Lena
33/62
BAB I
Pen)a'uluan
. Latar Belakang
D*r! '!r&"**+ &*%& "!+*% !+-*+ ;r!&!+ !&* %!r(*+* !/&r&) &+*
!%!/*) +;! */&r*+ "!r+*;**+ *&% ISPA7. P!rr**+ "*r* "!+!/%, "!+*% *r! %!'&*+
!%*r *%& '/*r *& "!r%*)&+ *+ '!r&"**+ "!+!(*( &%*'* '4r(%* *+ '4r%*/%*
*+*
S!r! *r*+ *+ !/!%r4/% '!++--, !(&% *r! !r!%4r >
I+;! ++- &&, !(&% *r! +;!> *+ /*+
-
8/17/2019 Askep Anak Sehat Tumbang Lena
34/62
P!+*%*/**+**+ *r! *&% '!+&r&% WHO %!rr *r r!)r* *r*+ 4r*/% 4'4/*r%*
r!+*)7, !%, 9+, *+%(4% !/!%; !&* +*7, *+ !&* !"** 4r*+- %&* "*!+.
S!/*+ %&, (!(!r*"* r*+4'9! 4+%r4//! %r*/ RCT7 *+ '!%*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
35/62
TINJAUAN TEORITIS
A.ONSEP !EDIS
0. pengertian
D*r! **/*) (&*+- *r (!*r !;!*7 !+-*+ &'/*) %+* *+- /!() (*+* *r
(**+* +4r'*/ 100 M4r/!, 137 (!r"!+*"*% (*)* %/*) -*%r4!+%!r% )!+*+!*'"+-*+ **, *r!+* '!'(!r*+ !*+ %!r*"*%+* &*%& r**+- !)+--* !/*'* +
"!+!/*+ %!+%*+- *r! !+!r&+- /!() %!*+*+ "** "!+!(*(+*.
D*r! *&% : B&*+- *r (!*r !+-*+ ;r!&!+ *+- '!++-*% *+ 4+%!+ *+- /!()
/!'(! *%*& *r *+ (!r;*% '!+** *%*+-+* *+ (!r/*+-&+- */*' *%& &r*+- *r 2
'+--&.
D*r!**/*) (&*+- *r (!*r !+!r /!() *r 3 6 !)*r WHO [email protected]*r! %!r(*- 2 (!r**r*+ '&/* *+ /*'*+* , *%& diare *&% *+ r4+ M*+4!r,A.1,5017.
0.0 Eti#l#gi
1. F*%4r +;! : B*%!r S)-!//*, S)*/'4+!//*, (r4 )4/!r*7, r& E+%!r48r&7,
"*r*% *+-7, K*+* C*+* A/(*+7.
2. F*%4r "*r!+%r*/ : I+;! (*-*+ %&(&) /*+ OMA !r+- %!r* "** *+*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
36/62
&%*+- '*%*+-.
5. F*%4r P4/4- : R** %*&%, !'*
0.5 Pat#"isi#l#gi
D*r! *"*% !(*(*+ 4/!) *%& *%*& /!() "*%4;4/4-, *+%*r* /*+ :
17. O'4/*r%*+%r*/&'+*/ *+- '!++--, !(&% *r! 4'4% >
27. S!r! *r*+ *+ !/!%r4/%'!++--, !(&% *r! !r!%4r >
37. I+;! ++- &&, !(&% *r! +;! >
?7.M*/*(4r( **' !'"!& >
57. D!;! %!' "!r%&*r*+ *+4+#%r*+"4r% !/!%r4/% *%; !+%!r4%>
$7. M4%/%* *+ *%& %r*+% && *(+4r'*/ >
7. G*+--&*+ "!r'!*(/%* &&>
@7.+;/*'* ++- &&, !(&% *r! +;/*'*%4r.
D!)r* '!+&r&% !***+ /++* *"*% (*- *%* %-* %+-*%*+:
*. D!)r* r+-*+ )/*+- *r*+ 2 = 3 BB7: -*'(*r*+ /++* %&r-4r &r*+-, &*r*
!r*, "*!+ (!/&' *%&) */*' "r!4.
(. D!)r* !*+- )/*+- *r*+ 5 = @ BB7: %&r-4r (&r&, &*r* !r*, "*!+ *%&)
*/*' "r!4 *%*& 4, +* !"*%, +*"* !"*% *+ */*'.
. D!)r* (!r*% )/*+- *r*+ @ = 10 BB7: %*+* !)r* !*+- %*'(*) !**r*+
'!+&r&+ *"*% *'"* 4'*7, 4%4%
-
8/17/2019 Askep Anak Sehat Tumbang Lena
37/62
D*r! *&% *r!+* +;! *"*% !r%* '&+%*)
-
8/17/2019 Askep Anak Sehat Tumbang Lena
38/62
*. M!+& %*+-*+ "** *(&+ !+-*+ (!+*r "** /'* *%& "!+%+-:
!(!/&' '**+,
!%!/*) (&*+- *r (!*r,
!(!/&' '!'!-*+- (*,
!%!/*) '!+!(4 *+* *+
!(!/&' '!+*"*+ '**+*+>
( . M+&' * r '+&' !)*% * %& * r *+ - % ! /*) 4 /*)
. P!+-!/4/**+ *'"*) *+- (* &"** '**+*+ %* %!r!'*r !r*+--*/*/*%, !4*, &%&,
/"*, *+ /*+
. '!'(&*+- *r !/ *%*& *r (!*r !(*+* "** %!'"*%+*, !(*+* '!+--&+**+ *'(*+
!+-*+ %*+- !"%. M!+&r&% WHO 157, 4r*+- *"*% '!+!-*) *r! (/* '!r!*
'!'*)*' !(*(*+ 4/!) *"* *r! %& *+ (*-*'*+* !r%* %+**+ *"* *+- *"*%
/*&*+ %!r)**" "!+*% %&. M!r!* *"*% '!+-)!+%*+ *r! *+ '!+!/*'*%*+ *+*
*r !'*%*+ *(*% "!+*% + (/* '!r!* (!/**r (*-*'*+* '!+-4(*% *r!, '**
4r*+-
-
8/17/2019 Askep Anak Sehat Tumbang Lena
39/62
1. M!'(!r*+ *+* /!() (*+* *r*+ *r "** (**+* &+%& '!+!-*) !)r*.
G&+**+ *r*+ r&'*) %*+--* *+- *+&r*+ !"!r% 4r*/%, '**+*+ *+- *r *+ *%*& *r
'*%*+-. J* *+* (!r&* &r*+- *r $ (&/*+ *+ (!/&' '**+ '**+*+ "**% /!() (*
(!r*+ 4r*/% *+ *r '*%*+- *r"** '**+*+ *r.B!r*+ /*r&%*+ + !(*+* *+* '*&
*+ %!r&*+ )+--* *r! (!r)!+%.
B. KONSEP KEPERAWATAN
1. Pengkajian epera9atan
1. I!+%%*
P!r/& "!r)*%*+ **/*) &*. E"4! *r! %!r* "** 2 %*)&+ "!r%*'* !)&"*+. I+!+ "*/+- %+-- **/*) -4/4+-*+ &'&r $
-
8/17/2019 Askep Anak Sehat Tumbang Lena
40/62
P!r+*) '!+-*/*' *r! !(!/&'+*, "!'**+ *+%(4% *%*& 4r%4%!r4 *+-* "*+*+-
"!r&(*)*+ *+* */(*+ *r *"r4;% '!+* "*r*%7, */!r- '**+*+, ISPA, ISK, OMA
*'"*.
5. R**% N&%r
P** *+* &* %4/!r '**+*+ *+- (!r*+ !"!r% "** 4r*+- !**, "4r *+- (!r*+
3 */ !%*" )*r !+-*+ %*'(*)*+ (&*) *+ &&. !&r*+-*+ -9 "** *+* &* %4/!r *+-*%
r!+%*+,. C*r* "!+-!/4/*)*+ '**+*+ *+- (*, '!+*-* !(!r)*+ *+ *+%* '**+*+,
!(**+ & %*+-*+,
$. R**% K!!)*%*+ K!/&*r-*
A* */*) *%& !/&*r-* *+- '!+-*/*' *r!.
. R**% K!!)*%*+ L+-&+-*+
P!+'"*+*+ '**+*+ "** &)& *'*r, &r*+- '!+*-* !(!r)*+, /+-&+-*+ %!'"*%
%+--*/.
@. R**% P!r%&'(&)*+ *+ "!r!'(*+-*+
*. P!r%&'(&)*+
K!+**+ BB *r!+* &'&r 1
-
8/17/2019 Askep Anak Sehat Tumbang Lena
41/62
F*! *+*/ :
P!+-!/&*r*+ %+* '!+* &'(!r !"&**+ /(4, '!&/* '!+&+&*+ !*&*++*, +%* r
!+r# !-4%, '&/* !+*/ !+-*+ %&(&)+*, %&-* &%*'*+*+ **/*) /*%)*+ !(!r)*+,
"!r!'(*+-*+ (r* *+ (*)** '!+r& *+ '!+-&/*+- *%* !!r)*+*, )&(&+-+* +%!r"!r4+*/,
(!r'*+7.
= T*)*" "!r!'(*+-*+ "44*/ '!+&r&% Er Er4+.
P!r!'(*+-+ !%r*'"/*+ '4%4r *+ (*)** "!/**r *+* %4/!r *r /+-&+-*+ *+
!&+%&+-*+ *+- * "!r4/!) D*r4 !'*' "&*++* &+%& '*+r %* %!r-*+%&-7. M!/*/&
4r4+-*+ 4r*+- %&* &+%& '**+, (!r"***+, BAB !+r, * 4r*+- %&* %!r/*/& 48!r "r4%!%;
'!+&+%&% )*r*"*+ *+*- %!r/*/& %+-- '** *+* **+ '!r** '*/& *+ r*-&
-
8/17/2019 Askep Anak Sehat Tumbang Lena
42/62
M*%* : !&+-, !r+-, *+-*% !&+-
S%!' "!+!r+**+ : '&4* '&/&% !r+-, %!+ *(4'!+, "!r%*/% '!++-*% 35 6#'+%,
+*;& '**+ '!+&r&+, '&*/ '&+%*), '+&' +4r'*/ *%*& %* )*&, '+&' /*)*" *+ !/)*%*+
)*&, '+&' !% *%*& !/)*%*+ (* '+&'
S%!' P!r+*;**+ : "+!*, "!r+*;**+ !"*% ?0 6#'+% *r!+* *4 '!%*(4/ 4+%r*
4%4% "!r+*;**+7
S%!' *r48*&/!r : +* !"*% 120 6#'+% *+ /!'*), %!+ '!+&r&+ "** *r! !*+- .
S%!' +%!-&'!+ : *r+* &/% "&*%, %&r-4r '!+&r&+ 2 %, &)& '!++-*% 35 !r**%
!/&, *r*/ )*+-*%, *r*/ +-+ *"** 47, *"//*r r!;// %'! '!'**+- 2 %,!'!r*)*+ "** *!r*) "!r*+*/.
S%!' "!r!')*+ : &r+ "r4& 4/-&r* *'"* *+&r* 200
-
8/17/2019 Askep Anak Sehat Tumbang Lena
43/62
1. K!&r*+-*+ 84/&'! *r*+ (# !)/*+-*+ 84/&'! *r*+ *%;
2. P!r&(*)*++&%r&r*+-*r!(&%&)*+%&(&) (# 4&%"&% *+- (!r/!()*+
3. +!r *&% (# *r! )"!r"!r%*/7
I+%!r8!+ K!"!r**%*+
N
O
DIAGNOSA NOC NIC
1
.
K!&r*+-*+
84/&'! *r*+ (#!)/*+-*+ 84/&'!
*r*+*%;
K!&r*+-*+ 84/&'!
*r*+*"*%%!r*%**/*'*%& 22? *'
!+-*+r%!r*:
<
;r!&!++**+r*'**+
%&+-*/*'r!+%*+- +4r'*/
<;r!&!+*+r*'*+*;**
/*'r!+%*+- +4r'*/
-
8/17/2019 Askep Anak Sehat Tumbang Lena
44/62
*!&*%
-
8/17/2019 Askep Anak Sehat Tumbang Lena
45/62
BAB III
TINJAUAN ASUS
A.PEN+AJIAN
I.BIODATA
A.I!+%%* *+*:
12. I+*/ *+* :A+.A
13. T!'"*% ,%*+--*/,/*)r :N*,1$ '! 201?
1?. J!+ !/*'+ :"!r!'"&*+15. A-*'* :"r4%!%*+
1$. P!+*+ :<
1. A/*'*% :/+.(+*1@. T-/ '*& :20 &+ 2015
1. T-/ "!+-**+ :21 &+ 2015
20. D*-+4* '! :-*%r4!+%!r% *&%21. N4 RM :00
-
8/17/2019 Askep Anak Sehat Tumbang Lena
46/62
!7 A-*'* :"r4%!%*+
;7 A/*'*% : /+.*+*/* r** +4.10 (+*
C. GENOGRAM
I(& "*!+ '!+-*%**+,(*)* %* '!'"&+* "!+*% !%&r&+*+ (* *r *! '*&"&+
+!+! "*!+,(!-%& "&/* !+-*+ (*"* "*!+,(& "*!+ '!+-*%**+,(*)* "*!+ '!'"&+*
2 *&*r* *+&+- ,(& "*!+ '!+-*%**+ "*!+ **/*) *+* !&* *r 3 (!r*&*r*,**
"*!+ (!r&'&r 5 %*)&+ !+-*+ !***+ !)*%,"*!+ (!r&'&r 1 %*)&+ *+- !*+- '!+-*/*'
*r!,*+ * "*!+ (!r&'&r 2 (&/*+,*/*' !***+ !)*%.
D.P!+-**+ D**r
*.P!+-&'"&/*+ *%*
1. "4/* '*+*!'!+ !!)*%*+
-
8/17/2019 Askep Anak Sehat Tumbang Lena
47/62
(.(& "*!+ '!+-*%**+ !* *% "*!+ (&*+- *r (!*r $ */#)*r,!+-*+ 4+%!+
*r,(!r*'"*,*+ (!r(*&,*+ (&*+- *r !/ 5 */# "!r)*r.
?."4/* *%8%* /*%)*+
*.(& "*!+ '!+-*%**+ *+* &*) (* '+&' !+-*+ *+-r !+r*+ (!r'*+ (4/* !+r
r&'*).
(.(& "*!+ '!+-*%**+ *+* &*) (* (*r* 3 *%*.
5. "4/* %&r *+ %r*)*%
*.(& "*!+ '!+-*%**+ *+* %&r *' "** **% '*/*' )*r,*+ 2 *' "** **% *+- )*r.
$. "4/* "!r!"
-
8/17/2019 Askep Anak Sehat Tumbang Lena
48/62
*.(& "*!+ '!+-*%**+ *+* !r+- (** !-!r!* (!r*'* ** *+ *+*.
E. P!'!r**+ ;
1. K!***+ &'&' :*+* !*+- '!+-*/*' *% !*+-.
2. K!**r*+ :4'"4 '!+%3. T*+*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
49/62
/!!%,(!r*r+* !'!r*)*+ .
1$. E%!r'%* *%* :*. '4%4r
A%8%* "*!+ !&* !+-*+ "4/* *%8%* *+ /*%)*+.
H*/ /*(4r*%4r&' %-/:20 &+ 2015 *':10.00
N*'* )*/ +4r'*/
L!&4%! $,110#''3 3.$
-
8/17/2019 Askep Anak Sehat Tumbang Lena
50/62
< TD:0#50M')-. N*:112*/# '!+%,"!r+*;**+:2$ */ "!r'!+%,&)&:3@.
< %&-4r &/% !'(*/ /*'* 3 !%,P** "&+--&+- %*+-*+ *+ *!r*) *(4'!+.
< "!r%*/% ?0 */ "!r'!+%.
-
8/17/2019 Askep Anak Sehat Tumbang Lena
51/62
(!r*+ '**+ *%*& '+&' *+*
/*+-&+- '&+%*).
DO:
-
8/17/2019 Askep Anak Sehat Tumbang Lena
52/62
(!r(*&,*+ (&*+- *r !/ 5 */# "!r)*r.
%&-4r &/% !'(*/ /*'* 3 !%,P** "&+--&+-
%*+-*+ *+ *!r*) *(4'!+,*+ "!r%*/% ?0
*/ "!r'!+%,*+* %*'"* %* !/!r* '**+
*+ ** r** '*& '&+%*) !%*" '*& '**+ *+
'+&'.
A
L
E
N
A
2 K!%*!'(*+-*+ +&%r &r*+- *r
!(&%&)*+ %&(&) (!r)&(&+-*+ !+-*+
*+4r!*,%*+* !+-*+ (& "*!+
'!+-*%**+ !* *% "*!+ (&*+- *r (!*r $
*/#)*r,!+-*+ 4+%!+ *r,(!r*'"*,*+ (!r(*&,*+ (&*+- *r !/ 5 */# "!r)*r.
(& "*!+ '!+-*%**+ !* *% *+*
'!+* %* !/!r* '**+,*+ !%*"
(!r*+ '**+ *%*& '+&' *+* /*+-&+-
'&+%*),*+ "*!+ %*'"* /!'*),%*
(!r!'*+-*%,"!r%*/% ?0 */ "!r'!+%
3 K!r&**+ +%!-r%* &/% (!r)&(&+-*+ !+-*+
!/!'(*"*+ %*+* !+-*+ (& "*!+
'!+-*%**+ *+& %* /*+-&+- (!r)*+
"** **% *+* (*(,*+ *+& %*'"*
/!!%,(!r*r+* !'!r*)*+ .
-
8/17/2019 Askep Anak Sehat Tumbang Lena
53/62
REN,ANA EPERA*ATAN
N*'* #&'&r >AN.A#1 %*)&+ r.*+- '!r**% >P4;.(%4 *+-
K*'*r #r&*+-*+ :%.%)!r!*#22
-
8/17/2019 Askep Anak Sehat Tumbang Lena
54/62
DO:
-
8/17/2019 Askep Anak Sehat Tumbang Lena
55/62
%4/!r*+ &+%&
"r4-r*' !!)*%*+
"*!+.
DS:
-
8/17/2019 Askep Anak Sehat Tumbang Lena
56/62
*/ "!r'!+% "!+%'&/* +*;&
'**+ "*!+.
DS:< (& "*!+
'!+-*%**+ *+&
%* /*+-&+-
(!r)*+ "**
**% *+* (*(.
DO:<
-
8/17/2019 Askep Anak Sehat Tumbang Lena
57/62
I!PLE!ENTASI DAN E-ALUASI
N*'* #&'&r >AN.A#1 %*)&+ r.*+- '!r**% >P4;.(%4 *+-
K*'*r #r&*+-*+ :%.%)!r!*#22
-
8/17/2019 Askep Anak Sehat Tumbang Lena
58/62
10.?0
11.30
12.00
13.30
!/&*r-* '!+-&% *+&r*+ "!r**%.
?. '!+-+%r&*+ !"** (& "*!+ *+
!/&*r-* *-*r "*!+ %*
'!+-4+&' *r*+ !r+) !"!r% &.
5. '!+-4+%r4/ %!%!*+ +;&! "*!+,%!%!*+ +;&! (!r*/*+ !+-*+
/*+*r 30 %% "!r'!+%,*+
'!'(!r%*)&*+ !"** !/&*r-* *-*r
'!'(!r%*)& "!r**% *"*(/* *r*+
+;&! )*(.
$. '!'(!r*+ *+* '+&',*+* '+&'
500,'&+%*) %* **,!++- /!()
&r*+-100 ,;!! *r,(!r*'"* /!()
&r*+-200.
. '!'*+%*& %*%& )r* "*!+ !+-*+
'!+-4+%r4/ %*+*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
59/62
10.00
11.00
11.00
11.30
13.00
'!+-*+&r*+ "*!+ '**+."*!+
%*'"* !*+- '**+.
?. M!+-4+%r4/ '**+ "*!+,"*!+
%*'"* '!+-)*(*+ '**+*+ "4r.
5. M!+-**r*+ *+ '!+!/**+ !"**!/&*r-* '!+-!+* '**+*+ (!r-9 *+
%* )*r& '*)*/,*+ '!+-*+&r*+
"*!+ &+%& '!'** '**+*+
!&**+ "*!+,(& *+ !/&*r-*
%*'"* *+%&* */*' '!+!**+
&*"*+ &+%& "*!+.$. M!+-)&(&+- *)/ -9 *+
(!r4/*(4r* */*' '!+&*+
'**+*+ *+- !&* !+-*+ !/!r*
"*!+,*+ !&* !+-*+ "!+*%
"*!+.*)/ -9 !%&& **+ '!'(!r*+
&*"*+ *+ '**+*+ !&* !+-*+
!(&%&)*+ "*!+.. M!+**+ '**+ *+- "*!+,*+
'!+-*+&r*+ "*!+ '**+."*!+
'!+-&% *+&r*+ "!r**%.
@. M!+-4+%r4/ '**+ "*!+,"*!+ '*)
%*'"* )*+* *"*% '!+-)*(*+
'**+*+ "4r,*+ '+&' !% 200
,*+ ** r!* '&+%*) /!() &r*+-
200 .
. B!r4/*(4r* !+-*+ 4%!r '!+-!+*
4(*% *%*& 8%*'+ *+- *"*%
'!+%'&/* !/!r* '**+ "*!+.
D4%!r '!+-!+&r*+ &+%&
'!'(!r*+ 4% '&/%4+ 50 !%*"
!(!/&' *%*& !%!/*) '**+.*+ "!r**%
'!/**+**++*.
*+* "*!+ %*'"* %*
!/!r* '**+.
O:
-
8/17/2019 Askep Anak Sehat Tumbang Lena
60/62
10. M!+-4+%r4/ !'(*/ !***+
"*!+,"!r%*/% && "*!+ 2@ */
"!r'!+%,"*!+ '*) %*'"* /!'*.
23
-
8/17/2019 Askep Anak Sehat Tumbang Lena
61/62
Da"tar Pustaka
B*%!. B, 15. Pemeriksaan $isik % &iwa'at Kesehatan" E 2. EGC. J**r%*
C*r"!+%%4.LJ. 2000. Diagnosa KeperawatanAplikasi Pada Praktek Klinis" E $. EGC. J**r%*.
L*(# UPF IKA, 1?. Pedoman Diagnosa dan !erapi " RSUD Dr. S4!%4'4. S&r*(**.
M*r&'.AH. 1. Ilmu Kesehatan Anak" B*/* P!+!r(% FKUI. J**r%*.
N-*%*). 1" Perawatan Anak sakit" EGC. J**r%*
S4!%++-), 15. !umbuh Kembang Anak" EGC. J**r%*
S&r*+*),2000. Keperawatan Anak" EGC. J**r%*
D4!+-4!,2000. Asuhan Keperawatan (aternal) Ba'i" EGC. J**r%*
-
8/17/2019 Askep Anak Sehat Tumbang Lena
62/62