askep gemilliku
TRANSCRIPT
-
8/19/2019 Askep Gemilliku
1/11
-
8/19/2019 Askep Gemilliku
2/11
%. R2aa- O40-&-r
a. R2aa- M&n0-rua0 :
M&nar1& : Umur "% -a1un S(lu0 : -&ra-u0 -a* 4ulan
Bana(na : Bana( Lamana : ± ' 1ar
D0m&norr1o& : T3a( HPHT : %@ No*&m4&r %!!!
K&lu1an : N&r *nggang6(&luar l&n3r 2arna *u-1.
4. R2aa- K&1amlan
Anak Ke Kehamilan Persalinan Komplikasi Nifas Anak
NO. TAHUN Umur
ke-
hamilan
penyulit jenis Peno
long
peny
ulit
Lase-
rasi
Infeksi pera
rahan
!enis "" pj
I
II
"##%
"##@
# 4ln
# 4ln
T3(
a3a
T3(
a3a
S*on8
-an
S*on8
-an
B3
an
B3
an
T3(
a3a
T3(
a3a
T3(
a3a
T3(
a3a
T3 (
a3a
T3(
a3a
T3(
a3a
T3(
a3a
La(8
la(
La(8
la(
%6#
(g
%65
(g
L
u
*
a
L
u
*
a
. K&1amlan S&(arang
• Dagno0a : G$ P% A ! H ! Mg ! H %
• Imun0a0 : TT" 0u3a1 TT% 0u3a1
• AN : ' Kal -a* 0-a-u0 1lang/-&r0&l*
• K&lu1an 0&lama Haml :
• Mual 3an mun-a1 *a3a -rm&0-&r *&r-ama6*u0ng a 4la 4angun 3ar 3u3u(
a-au -3uran60aa- n 0&rng n&r *nggang 3an (&0ul-an m&la(u(an a(-
-
8/19/2019 Askep Gemilliku
3/11
• KB : Ya
• M&nu0u : Un-u( % a-au l&41 4a 0&(algu0 4&lum -a1u
arana
$. R2aa- K&luarga B&r&nana
M&la(0ana(an KB: a6)&n0 (on-ra0&*0 g 3guna(an : Pl KB60&)a( 0&-&la1 ana(
*&r-ama la1r6-3a( a3a ma0ala1 4&r1u4ungan 3&ngan *&nggunaan PlC
+. R2aa- K&0&1a-an
P&na(- ang *&rna1 3alam 4u : T3a( a3a
P&ngo4a-an ang 33a*a- : T3a( a3a
R2aa- *&na(- (&luarga : DM >8?6,an-ung >8?6H*&r-&n0 >8?6G&m&ll >8?
S&ara (&0&luru1an 3alam (&luarga (l&n -3a( a3a ang m&ml( *&na(-
T&r0&4u- 3a-a0.
'. K&4u-u1an Da0ar K1u0u0
". Pola Nu-r0
r&(u&n0 ma(an : $ 7 0&1ar
Na=0u ma(an : Ba(
,&n0 ma(anan ruma1 : Na06lau( *au(64ua184ua1an (a3ang 0u0u
Ma(anan g -3a( 30u(a/al&rg/*an-angan : T3a( a3a
%. Pola &lmna0
BAK 0&rng ' @ 7/1ar62arna (unng mu3a6(&lu1an -&rlalu 0&rng (&nng
BAB -&ra-ur " 7 1ar62arna (unng64au aga( m&nu0u(6(on00-&n0 l&m8
4&(6(&lu1an -3a( a3a.
$. Pola P&r0onal Hg&n&
Man3 % $ 7/1ar6 *a(a 0a4un man3.
Oral 1g&n&/go0o( gg $ 7/1ar *ag60ang60or& a-au 0&-&la1 ma(an
u ram4u- % 7/mnggu6*a(a 01am*o
+. Pola I0-ra1a- 3an T3ur
Lama -3ur 5 9 )am/1ar60&4&lum -3ur mnum ar *u-160&lama 1am *o00
-3ur -&ru0 -&rl&n-ang6mrng aga( 0ul-
'. Pola a(-
-
8/19/2019 Askep Gemilliku
4/11
@. P&m&r(0aan 0(
K&a3aan umum : Ba( K&0a3aran : om*o0 m&n-0
T&(anan 3ara1 : "+!/#! mmHg Na3 : 9! 7/mn-
R&0*ra0 : %! 7/mn- Su1u : $@65!
B&ra- Ba3an : 5! Kg Tngg Ba3an : "'! m.
". S0-&m *&ngl1a-an
Ma-a 0m&-r06 (&lo*a( ma-a normal6g&ra(an ma-a normal6*&rg&ra(aan - 3a(
a3a (&lanan6(on)un-
-
8/19/2019 Askep Gemilliku
5/11
(& II *a3a 0am*ng (r aga( (&a-a0.
• L&o*ol3 III: Bagan 4a2a1 ana( 4&lum ma0u( *n-u a-a0 *anggul.
• L&o*ol3 I: Bagan 4a2a1 ana( a3ala1 4a1u 3an 4&lum ma0u( rongga
*ang8gul.-angan (on
-
8/19/2019 Askep Gemilliku
6/11
ANALISA DATA
DATA ETIOLOGI MASALAH PARA
S: K7.m&ng&lu1 *8
nggangna 0a(-
&*a- l&la1.
D: BBJ 5! Kg6Ha8
ml $5/$9 mgg6 (&8
1amlan (&m4ar6a(8
-
-
8/19/2019 Askep Gemilliku
7/11
RENANA KEPERAWATAN
Nama Kl&n : N.E. No.R&(am M&30 : "!!"$"'' Kun)ungan K& :
NODIAGNOSA
KEPERAWATAN
TU,UAN DAN
KRITERIA HASILINTERENSI RASIONAL
" In-ol&ran0 a(-
-
8/19/2019 Askep Gemilliku
8/11
-3a( lag (1a2a-r.
T3a( lag g&l0a1.
1aml6 *&r0alnan6 *a08a
*&r0alnan6*rogno0a *ro0&3ur
g mung(n 3la (u(an.
m&ng&r- a*a g a(an 31a3a*/)alan na nan-
$ R&0(o -&r)a3 3&ra B/D
(&l&-1an a(4a- *&nng8(a-an
BB6(&1amlan (&m 4ar
3&ra -3a( -&r)a368
0&-&la1 34&r(an
*&nulu1an.
Kr-&ra 1a0l :
Da*a- m&ng3&n-=8(a0
=a(-or8=a(-or g
m&nng(a-(an (&mu
ng(nan -13 3&ra.
Da*a- m&n&rang(an ara
agar -3a( 0am8*a
3&ra.
TDJ "%!/9! mmHg
". An)ur(an (l&n u/ -3a(
m&la(u(an a(-
-
8/19/2019 Askep Gemilliku
9/11
IMPLEMENTASI KEPERAWATAN
Nama Kl&n : N. E. No. R&(am M&30 : "!!"$"'' Kun)ungan K& :
NO.DIAGNOSA TGL ,AM IMPLEMENTASI EALUASI >SOAP?
" "'/9/!" !#.+'
"!.%!
"!.$'
"".$'
M&la(u(an anamn&0a
M&ngu(ur TBJ "'! m 3an m&nm4ang BBJ 5!
Kg6 TDJ"+!/#! mmHg6Na3J 9! 7/mn-6 RRJ %!
7/mn-.
M&nana(an *&n&4a4 (&l&-1an (l&n60a8a-
a(-
-
8/19/2019 Askep Gemilliku
10/11
%
$
"'/9/!"
"'/9/!"
"!.+'
"!."'
"".!!
"!."!
"".'!
M&m4&r(an *&n)&la0an -&n-ang *&ra2a-8an
(&1amlan -&ru-ama (&1amlan (&m4ar6 *ro0&0
*&r0alnan6*a0a *&r0alnan *ro80&3ur nO*&ra0 06auum6or&*?.
M&n3am*ng (l&n 0&lama *&m&r(0aan
M&ng&
-
8/19/2019 Askep Gemilliku
11/11
DATAR PUSTAKA
Bagan O40-&-r gn&(olog K.Un*a36"##$. Obstetri Fisiologi.El&man Ban3ung
ar*&n-o6Ln3a ,uall6 %!!". Buku Saku Diagnosa Keperawatan. E30 9.EG. ,a(ar-a
...%!!". Diktat Kuliah Ilmu Keperawatan Maternitas TA: 2!2" PSIK.K.
Unar6Sura4aa.
Sa=u3n6A43ul Bar 3((6 %!!". Buku A#uan $asional %ela&anan Kesehatan Maternal 'an
$eonatal.Yaa0an Bna Pu0-a(a Sar2ono Pra2ro1ar)o ,NKKR8POGI6
,a(ar-a.