tag:blogger.com,1999:blog-76781603659684024132024-03-05T19:42:12.927-08:00Cahayaambil yang berguna dan tinggalkan yg sia-sia.. oke guys, happy reading ! Anonymoushttp://www.blogger.com/profile/04271175526081147094noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-7678160365968402413.post-3364819956614201422014-03-16T15:59:00.002-07:002014-03-16T15:59:28.154-07:00<h5 class="uiStreamMessage" data-ft="{"type":1,"tn":"K"}" style="background-color: white; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 11px; line-height: 11.263999938964844px; margin: 0px 0px 5px; padding: 0px; text-align: center; word-break: break-word; word-wrap: break-word;">
<span class="messageBody" style="color: #333333; font-size: 13px; line-height: 1.38;">Rahasia shalat dan perubahan warna alam</span></h5>
<span style="background-color: white; color: #37404e; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 12.800000190734863px; line-height: 18px;">Sahabat,, di zaman modern n teknologi canggih saat ini kiat-kiat untuk hidup sehat sangat mudah di pelajari dan di akses..begitu juga dengan penyerapan tenaga alam hingga di ciptakan Senam Tai-chi, Gi gong,Yoga dll.</span><br style="background-color: white; color: #37404e; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 12.800000190734863px; line-height: 18px;" /><span style="background-color: white; color: #37404e; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 12.800000190734863px; line-height: 18px;">Kita sbg umat Islam sepa</span><span class="text_exposed_show" style="background-color: white; color: #37404e; display: inline; font-family: 'lucida grande', tahoma, verdana, arial, sans-serif; font-size: 12.800000190734863px; line-height: 18px;">tutnya bersyukur karna tanpa susah payah lagi mempelajari cara2 penyerapan tenaga alam tersebut. Banyak diantara kita yg bertanya mengapa kita sholat 5 kali dalam waktu sehari semalam, kenapa tidak malam saja atau siang saja..<br />Jawaban pertanyaan itu sangat terkait dengan rahasia di balik waktu-waktu di mana kita diperintahkan untuk mengerjakan shalat-shalat tersebut. Rahasia itu terungkap berdasarkan beberapa penelitian dan pengamatan para pakar di bidangnya..<br />Fenomena perubahan warna alam adalah sesuatu yang tidak asing bagi mereka yang akrab dengan dunia fotografi.<br />yuk sahabat Cahaya... simak dan baca yaa... <i class="_4-k1 img sp_d60155 sx_f638a8" style="background-image: url(https://fbstatic-a.akamaihd.net/rsrc.php/v2/y_/r/NrGEgDldkF3.png); background-position: -252px -764px; background-repeat: no-repeat no-repeat; background-size: 314px 800px; display: inline-block; height: 16px; vertical-align: -3px; width: 16px;"></i><br /><br />Shubuh<br />Pada waktu subuh, alam berada dalam spektrum warna biru muda yang bersesuaian dengan frekuensi tiroid (kelenjar gondok). Dalam fisiologi, tiroid memiliki pengaruh terhadap sistem metabolisme tubuh manusia. Warna biru muda juga memunyai rahasia tersendiri berkaitan dengan rezeki dan cara berkomunikasi. Mereka yang masih tertidur pulas pada waktu subuh akan menghadapi masalah rezeki dan komunikasi. Hal ini terjadi karena tiroid tidak dapat menyerap tenaga biru muda di alam ketika ruh dan jasad masih tertidur. Pada saat adzan subuh berkumandang, tenaga alam ini berada pada tingkat optimum. Tenaga inilah yang kemudian diserap oleh tubuh kita terutama pada waktu rukuk dan sujud.<br /><br />Zhuhur<br />Ketika memasuki waktu zhuhur, warna alam menguning dan berpengaruh terhadap perut dan sistem pencernaan manusia secara keseluruhan. Warna ini juga memiliki pengaruh terhadap hati. Di samping itu, warna kuning juga memunyai rahasia yang berkaitan dengan keceriaan seseorang. Jadi, mereka yang selalu ketinggalan atau melewatkan shalat zhuhur berulang-ulang kali akan menghadapi masalah dalam sistem pencernaannya serta berkurang keceriaannya.<br /><br />Ashar<br />Saat ashar, warna alam berubah menjadi oranye. Hal ini memiliki pengaruh yang cukup signifikan terhadap kondisi prostat, uterus, ovary, testis, dan sistem reproduksi secara keseluruhan. Warna oranye di alam juga bisa memengaruhi kreativitas seseorang. Orang yang kerap tertinggal waktu ashar akan menurun daya kreativitasnya. Di samping itu, organ-organ reproduksi juga akan kehilangan energi positif dari warna alam tersebut.<br /><br />Maghrib<br />Menjelang maghrib, warna alam berubah menjadi merah. Pada waktu itu, kita kerap mendengar nasihat orang-orang tua agar kita tidak berada di luar rumah. Nasihat tersebut ada benarnya karena saat maghrib tiba, spektrum warna alam selaras dengan frekuensi jin dan iblis. Pada waktu ini, jin dan iblis amat bertenaga karena mereka beresonansi atau ikut bergetar dengan warna alam. Mereka yang sedang berada dalam perjalanan sebainya berhenti sejenak dan mengerjakan shalat maghrib. Hal itu lebih baik dan lebih aman karena pada waktu ini banyak interferens atau tumpang tindihnya dua atau lebih gelombang yang berfrekuensi sama atau hampir sama dan dapat menimbulkan fatamorgana yang dapat merusak penglihatan kita.<br /><br />Isya<br />Sedangkan ketika waktu isya’, alam berubah menjadi nila dan selanjutnya menjadi gelap. Waktu isya’ menyimpan rahasia ketenteraman dan kedamaian yang frekuensinya sesuai dengan sistem kontrol otak. Mereka yang kerap ketinggalan waktu isya’ akan sering merasa gelisah. Ketika alam diselimuti kegelapan, kita dianjurkan untuk mengistirahatkan jiwa dan raga. Dengan tidur waktu itu, kondisi jiwa kita berada pada gelombang delta dengan frekuensi di bawah 4 Hz dan seluruh sistem tubuh memasuki waktu istirahat.<br /><br />Qiyamul Lail<br />Selepas tengah malam, alam mulai bersinar kembali dengan warna putih, merah jambu, dan kemudian ungu. Perubahan warna ini selaras dengan frekuensi kelenjar pineal (otak kecil), kelenjar pituitary (bawah otak), thalamus, dan hypothalamus. Maka, kita sepatutnya bangun dari tidur pada waktu ini dan mengerjakan shalat malam.<br /><br />Demikian sebagian kecil dari penjelasan Prof. Riset. DR. Ir. H. Osly Rachman, MS. dalam bukunya, “The Science of Shalat”. Ia menguraikannya secara luas tentang lautan hikmah shalat menurut ilmu pengetahuan atau sains. Bahkan, lebih jauh lagi ia mengupas shalat laksana sebagai suatu kesatuan utuh antara kesehatan, ibadah, rezeki, psikologi, dan lain sebagainya. Tentu nilai manfaat yang terkandung di dalam shalat ini jika diaplikasikan, tidak hanya akan mengantarkan seseorang menuju ketakwaan, tapi juga bisa menggapai hidup yang paripurna dan bahagia..<br /><br />Silakan di share ..<br />Semoga bermanfaat sahabat ;)</span><br />
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<br />Anonymoushttp://www.blogger.com/profile/04271175526081147094noreply@blogger.com0tag:blogger.com,1999:blog-7678160365968402413.post-17992158847603801712012-06-22T07:51:00.001-07:002012-06-22T07:51:16.196-07:00CA COLON<br />
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PENDAHULUAN <o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">KEPERAWATAN
MEDIKAL BEDAH II<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">ASUHAN
KEPERAWATAN PADA CA KOLON<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;">DISUSUN<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;">OLEH <o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">NUR </span></b><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;"> </span></b><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">AZMI </span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;"> PO.71.20.2.10.069</span></b><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">TINGKAT IIB<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">DOSEN
PEMBIMBING : NI KETUT SUJATI, M.Kes<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">KEMENTERIAN</span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;"> KESEHATAN REPUBLIK INDONESIA <o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;">POLITEKNIK KESEHATAN <st1:city w:st="on"><st1:place w:st="on">PALEMBANG</st1:place></st1:city> <o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%;">TAHUN 201</span></b><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;">1<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif";">BAB
I<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif";">LAPORAN
PENDAHULUAN<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">DEFINISI<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tumor adalah suatu benjolan atau struktur
yang menempati area tertentu pada tubuh, dan merupakan neoplasma yang dapat
bersifat jinak atau ganas (FKUI,2008 : 268).<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sedangkan Kanker adalah suatu penyakit yang
di tandai dengan pembagian sel yang tidak teratur dan kemampuan sel-sel ini
untuk menyerang jaringan biologis lainnya, baik dengan pertumbuhan langsung di
jaringan yang bersebelahan (invasi) atau dengan migrasi sel ke tempat yang jauh
(metastasis). Pertumbuhan yang tidak teratur ini menyebabkan kerusakan DNA,
menyebabkan mutasi di gen vital yang mengontrol pembagian sel dan fungsi
lainnya.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kanker kolon adalah suatu bentuk keganasan
dari masa abnormal / neoplasma yang muncul dari jaringan epithelial dari kolon.
Kanker kolon/usus besar adalah tumbuhnya sel kanker yang ganas di dalam
permukaan usus besar atau rektum. Kanker kolon adalah pertumbuhan sel yang
bersifat ganas yang tumbuh pada kolon dan menginvasi jaringan sekitarnya.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dari beberapa pengertian di atas dapat di
tarik kesimpulan bahwa kanker kolon adalah suatu pertumbuhan tumor yang
bersifat ganas dan merusak sel DNA dan jaringan sehat di sekitar kolon (usus
besar).<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penyakit ini termasuk penyakit mematikan di
Amerika Serikat setelah kanker paru-paru (ACS 1998)<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penyakit ini termasuk penyakit yang mematikan karena penyakit ini sering tidak di
ketahui sampai tingkat yang lebih parah.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">ETIOLOGI<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penyebab dari kanker kolon antara lainny;<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Diet<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Makanan yang mengandung zat kimia menyebabkan
kanker pada usus besar. Makanan tersebut juga mengurangi waktu peredaran pada
perut, yang mempercepat usus besar menyebabkan terjadinya kanker. Makanan yang
tinggi lemak trutama lemak hewan dari daging merah, menyebabkan sekresi asam
dan bakteri anaerob, menyebabkan timbulnya kanker di dalam usus besar. Diet dengan karbohidrat murni yang mengandung
serat dalam jumlah yang banyak dapat mengurangi waktu peredaran dlam usus
besar. Beberapa kelommpok menyarankan diet yang mengandung sedikit lemak hewan
dan tinggi sayuran & buah-buahan (e.g Mormons, seventh Day Adventists).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Makanan
yang harus di hindari ;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Daging merah, lemak hewan, makanan berlemak,
daging atau ikan goreng panggang, karbohidrat yang di saring (example: sari yang
di saring).<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Makanan
yang harus di konsumsi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Buah-buahan dan sayur-sayuran khususnya
Craciferous Vegetables dari golongan kubis (seperti brokoli, brussels sprouts),
butir padi yang utuh, cairan cukup terutama air.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l8 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kelainan kolon<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Adenoma di kolon : degenerasi maligna menjadi
adenokarsinoma.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Familial
poliposis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Polip di usus mengalami degenerasi maligna
karsinoma.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l14 level1 lfo9; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kondisi
ulserative<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penderita colitis ulserativa menahun
mempunyai risiko terkena karsinoma kolon.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l8 level1 lfo8; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Genetik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Anak yang berasal dari orangtua yang menderita
karsinoma kolon mempunyai frekuensi 3 <sup>½</sup><sub> </sub>kali lebih banyak
dari pada anak-anak yang orang tuanya sehat.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">PATOFISIOLOGI<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo13; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Anatomi fisiologi kolon<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Usus besar atau kolon adalah bagian usus
antara usus buntu dan rektum. Fungsi utama organ ini adalah menyerap air dari
feses. Pada mamalia, kolon tediri dari kolon menanjak (ascending), kolon
melintang transverse), kolon menurun
(descending), sigmoid, dan rektum.
Bagian kolon dari usus buntu hingga pertengahan kolon melintng sering di
sebut dengan “kolon kanan”, sedangkan bagian sisanya serng di sebut dengan
“kolon kiri” .<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<!--[if gte vml 1]><v:shape id="_x0000_s1027" type="#_x0000_t75"
alt="" style='position:absolute;left:0;text-align:left;margin-left:-9pt;
margin-top:7.7pt;width:459pt;height:240pt;z-index:-1'>
<v:imagedata src="file:///C:\Users\TOSHIBA\AppData\Local\Temp\msohtmlclip1\01\clip_image003.jpg"
o:href="http://htmlimg2.scribdassets.com/argsuzfnk3918g/images/4-cf11384232/000.jpg"/>
</v:shape><![endif]--><!--[if !vml]--><span style="height: 320px; left: 0px; margin-left: -12px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 612px; z-index: -1;"><img height="320" src="file:///C:/Users/TOSHIBA/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" v:shapes="_x0000_s1027" width="612" /></span><!--[endif]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 8.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="plff3" style="line-height: 14.5pt;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="plff3" style="line-height: 14.5pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt;">Gambar : usus halus dan usus besar <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l15 level1 lfo13; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubhan patologi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Karsinoma kolon sebagian besar menghasilkan
adenomatus polip. Biasanya tumor ini tumbuh tidak terdeteksi sampai gejala-gejala
muncul secara perlahan dan tampak membahayakan.
Penyakit ini menyebar dalam beberapa metode. Tumor mungkin menyebar dalam tempat tertentu pada
lapisan dalam di perut, mencapai serosa dan mesenterikfat, kemudian umor ini
mulai mendekat pada organ yang ada di sekitarnya, kemudian meluas ke dalam
lumen pada usus besar atau menyebar ke limfa atau pada sistem sirkulasi. Sistem
sirkulasi ini langsumg masuk dari tumor utama melewati pembuluh darah pada usus
besar melalui limfa, setelah sel tumor masuk pada sistem sirkulasi, biasanya
sel bergerak menuju liver. Tempat yang kedua adalah tampat yang jauh kemudian
metastase ke paru-paru.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tempat metastase yang lain di antaranya :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kelenjar
Adrenalin, Ginjal, Kulit, Tulang, Otak.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penambahan
untuk infeksi secara langsung dan menyebar melalui limfa dan sistem sirkulasi,
tumor kolon juga dapat menyebar pada bagian peritonial sebelum pembedahan tumor
di lakukan. Penyebaran terjadi ketika tumor di hilangkan dan sel kanker dari
tumor pecah menuju ke rongga peritonial.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 39.3pt;">
<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">D.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">KLASIFIKASI<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klasifikasi kanker kolon menurut modifikasi
DUKES adalah sebagai berikut:<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">A: Kanker hanya terbatas pada mukosa dan
belum ada metastasis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">B1: kanker telah meinfiltrasi lapisan
muskularis mukosa.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">B2: kanker telah menembus lapisan muskularis
sampai lapisan propria.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">C1 : kanker telah mengadakan metastasis ke
kelenjar getah bening sebanyak satu sampai empat buah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">C2 : kanker telah mengadakan metastasis ke
kelenjar getah bening lebih dari lima buah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">D : kanker telah mengadakan metastasis
regional tahap lanjut dan penyebaran yang luas dan tidak dapat di operasi lagi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">E.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">KOMPLIKASI<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Komplikasi terjadi sehubungan dengan
bertambahnya pertumbuhan pada lokasi tumor atau melalui penyebaran metastase
yang termasuk :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l14 level1 lfo9; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perforasi
usus besar yang di sebabkan peritonitis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l14 level1 lfo9; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pembentukn
abses<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l14 level1 lfo9; text-indent: -1.0cm;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pembentukan
fistula pada urinari bladder atau vagina<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Biasanya
tumor menyerang pembuluh darah dan sekitarnya yang menyebabkan perdarahan.
Tumor tumbuh kedalam usus besar secara berangsur-angsur membantu usus besar dan
pada akhirnya tidak bisa sama sekali. Perluasan tumor melebihi perut dan
mungkin menekan pada organ yang berada di sekitarnya (uterus, urinary bladder,
dan ureter) dan penyebab gejala-gejala tersebut tertutupi oleh kanker.</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt;">
<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">F.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">MANIFESTASI KLINIS KANKER KOLON<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Gejala sangat di tentukan oleh lokasi kanker,
tahap penyakit, dan fungsi segmen usus tempat kanker berlokasi. Adanya
perubahan dalam defekasi, darah pada feses, konstipasi, perubahan dalam
penampilan feses, tenesmus, anemia dan perdarahan rectal merupakan keluhan yang
umum terjadi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kanker kolon kanan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Isi kolon berupa cairan, cenderung teteap
tersamar hingga stadium lanjut. Sedikit kecenderungan menimbulkan obstruksi,
karena lumen usus besar dan feses masih encer. Anemia akibat perdarahan sering
terjadi, dan darah bersifat samar dan hanya dapat dideteksi dengan tes Guaiak
(suatu tes sederhana yang dapat di lakukan di klinik). Mucus jarang terlihat,
karena tercampur dalam feses. Pada orang yang kurus, tumor kolon kanan mungkin
dapat teraba, tetapi jarang pada stadium awal. Penderita mungkin mengalami
perasaan tidak enak pada abdomen, dan kadang-kadang pada epigatrium.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l5 level1 lfo10; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kanker kolon kiri dan rectum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Cenderung menyebabkan perubahan defekasi
sebagai akibat iritasi dan respon refleks. Diare, nyeri kejang, dan kembung
sering terjadi. Karena lesi kolon kiri cenderung melingkar, sering timbul
gangguan obstruksi. Feses bisa kecil dan berbentuk pita. Baik mucus maupun
darah segar sering terihat pada feses. Dapat terjadi anemia karena kehilangan
darah kronik. Pertumbuhan pada sigmoid atau rectum dapat mengenairadiks saraf,
pembuluh limfe atau vena, menimbulkan gejala-gejala pada tungkai atau perineum.
Hemoroid, nyeri pinggang bawah, keinginan defekasi atau sering berkemih dapat
timbul sebagai akibat tekanan pada alat-alat tersebut. Gejala yang mungkin
dapat timbul pada lesi rectal adalah evakuasi feses yang tidak lengkapsetelah
defekasi, konstipasi dan diare bergantian, serta feses berdarah.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">G.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">STADIUM KLINIS<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tabel : stadium pada ca. Kolon yang di
temukan dengan system TMN<o:p></o:p></span></div>
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<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 55.05pt; mso-border-alt: solid black .5pt; mso-border-insideh: .5pt solid black; mso-border-insidev: .5pt solid black; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
<tbody>
<tr>
<td style="border: solid black 1.0pt; mso-border-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">STADIUM<o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div align="center" class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">TINGKAT
PENYEBARAN<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">TIS<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Carsinoma in situ<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">T1<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Belum mengenai otot
dinding, polipoid/papiler<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">T2<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sudah mengenai otot
dinding<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">T3<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Semua lapis dinding
terkena, penyebaran ke sekitar<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">T4<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sama dengan T3 dengan
fistula<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">N<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Limfonodus terkena<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid black 1.0pt; mso-border-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 120.45pt;" valign="top" width="161">
<div align="center" class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">M<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid black 1.0pt; border-left: none; border-right: solid black 1.0pt; border-top: none; mso-border-alt: solid black .5pt; mso-border-left-alt: solid black .5pt; mso-border-top-alt: solid black .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 262.25pt;" valign="top" width="350">
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-bottom: .0001pt; margin: 0cm; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ada metastasis<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">H.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">PEMERIKSAAN PENUNJANG<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l22 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Endoskopi<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pemeriksaan endoskopi perlu di lakukan baik
sigmoidoskopi maupun kolonoskopi.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l22 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Radiologis<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pemeriksaan radiologis yang dapat di lakukan
antara lain adalah foto dada dan foto kolon ( barium enema). Pemeriksaan dengan
enema barium mungkin dapat memperjelas keadaan tumor dan
mengidentifikasikan letaknya. Tes ini
menggambarkan adanya kebuntuan pada isi perut, dimana terjadi pengurangan
ukuran tumor pada lumen. Luka yang kecil kemungkinan tidak teridentifikasi
dengan tes ini. Enema barium secara umum
di lakukan setelah sigmoidoscopy dan colonoscopy.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Computer Tomografi (CT) membantu memperjelas
adanya massa dan luas penyakit. Chest X-ray dan liver scan mungkin dapat
menemukan tempat yang jauh yang sudah metastasis.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l22 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Histopatologi<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Biopsy di gunakan untuk menegakkan diagnosis.
Gambar histopatologis karsinoma kolon adalah adenokarsinoma dan perlu
ditentukan diferensiansi sel.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l22 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Laboratorium<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pemeriksaan Hb penting untuk memeriksa
kemungkinan pasien mengalami perdarahan. Nilai hemoglobin dan hematocrit
biasanya turun dengan indikasi anemia. Hasil tes Gualac positif untuk accult
blood pada feces memperkuat perdarahan pada GI Tract. Pasien harus menghindari
daging, makanan yang mengandung peroksidase (tanaman lobak dan gula bit)
aspirin dan vitamin C untuk 48 jam sebelum diberikan feces spesimen.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l22 level1 lfo11; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ultrasonografi
(USG)<b><o:p></o:p></b></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sulit dilakukan untuk memeriksa kanker pada
kolon, tetapi digunakan untuk melihat ada tidaknya metastasis kanker ke
kelenjar getah bening di abdomen dan
hati.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto; mso-list: l6 level1 lfo7; text-indent: -18.0pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">PENATALAKSANAAN MEDIS<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 21.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bila sudah pasti karsinoma kolon, maka
kemungkinan pengobatan adalah sebagai berikut ;<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l9 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pembedahan (operasi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Operasi adalah penanganan yang paling efektif
dan cepat untuk tumor yang diketahui lebih awal dan masih belum metastasis ,
tetapi tidak menjamin semua sel kanker
telah terbuang. Oleh sebab itu dokter bedah biasanya juga menghilangkan
sebagian besar jaringan sehat yang mengelilingi sekitar kanker.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l9 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penyinaran (Radioterapi)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Terapi radiasi memakai sinar gelombang
partikel berenergi tinggi misalnya sinar X, atau sinar gamma, di fokuskan untuk
merusak daerah yang di tumbuhi tumor, merusak genetik sehingga membunuh kanker.
Terapi radiasi merusak se-sel yang pembelahan dirinya cepat, antara lain sel
kanker, sel kulit, sel dinding lambung dan usus, sel darah.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kerusakan sel tubuh menyebabkan lemas,
perubahan kulit dan kehilangan nafsu makan.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; mso-list: l9 level1 lfo12; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kemotherapy<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Chemotherapy memakai obat anikanker yang kuat, dapat masuk ke dalam sirkulasi
darah, sehingga sangat bagus untuk kanker yang telah menyebar. Obat
chemotherapy ini ada kira-kira 50 jenis. Biasanya di injeksi atau di makan,
pada umumnya lebih dari satu macam obat, karena digabungkan akan memberikan
efek yang lebih bagus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">d.
Kolostomi </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kolostomi merupakan tindakan pembuatan lubang (stoma)
yang dibentuk dari pengeluaran sebagian bentuk kolon (usus besar) ke dinding
abdomen (perut), stoma ini dapat bersifat sementara atau permanen. </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Tujuan Pembuatan Kolostomi adalah. </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Untuk tindakan dekompresi usus pada kasus sumbatan /
obstruksi usus. Sebagai anus setelah tindakan operasi yang membuang rektum
karena adanya tumor atau penyakit lain. Untuk membuang isi usus besar sebelum
dilakukan tindakan operasi berikutnya untuk penyambungan kembali usus (sebagai
stoma sementara). </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Jenis-Jenis Kolostomi. </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">1. Jenis
kolostomi berdasarkan sifatnya: </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 35.45pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"> a.
Sementara </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Indikasi untuk kolostomi sementara : </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">1). Hirschprung disease </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">2). Luka tusuk atau luka tembak </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">3). Atresia ani letak tinggi </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">4). Untuk
mempertahankan kelangsungan anastomosis distal usus setelah tindakan operasi (mengistirahatkan usus). </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 92.15pt; text-align: justify; text-indent: -21.25pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">5). Untuk
memperbaiki fungsi usus dan kondisi umum sebelum dilakukan tindakan operasi
anastomosis.</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 34.9pt; text-align: justify; text-indent: 36.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">b.
Permanen </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Indikasi untuk kolostomi permanen : </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: 1.1pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Penyakit tumor ganas
pada kolon yang tidak memungkinkan tindakan operasi reseksi-anastomosis usus.</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">2. Jenis
kolostomi berdasarkan letaknya : </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; margin-left: 40.85pt; mso-padding-alt: 0cm 0cm 0cm 0cm;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Colostoy Asendens</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Colostomy Transversal</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.45pt;" valign="top" width="130">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Colostomi Desendens</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Lokasi</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Colon Asendens</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Colon Tansversum</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.45pt;" valign="top" width="130">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Colon Desendens</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Konsistensi feses</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Cair atau lunak</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Lunak</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.45pt;" valign="top" width="130">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Padat</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Iritasi kulit</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Mudah terjadi, karena kontak dengan enzim pencernaan</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Mungkin terjadi karena lembab terus menerus</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 97.45pt;" valign="top" width="130">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kadang terjadi</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Komplikasi</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Striktur atau retraksi stoma</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">3. Jenis
kolostomi berdasarkan tekhnik pembuatan :<b> </b></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">a.
Single Barreled Colostomy </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">b.
Double Barreled Colostomy </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">c.
Loop Colostomy</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0cm; mso-add-space: auto;">
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<div align="center" class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 39.3pt; mso-add-space: auto; text-align: center;">
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<b><span lang="IN" style="font-family: "Arial","sans-serif";">BAB II<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-family: "Arial","sans-serif";">KONSEP ASUHAN
KEPERAWATAN<o:p></o:p></span></b></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pengkajian<o:p></o:p></span></b></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l19 level2 lfo15; tab-stops: list 63.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">A.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Identitas
pasien<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nama : Tn “A” <o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Umur :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">TTL :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Jenis kelamin :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Agama :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Alamat :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tanggal masuk :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tanggal pengkajian :<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; tab-stops: list 63.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Identitas penanggung
jawab<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nama :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Umur :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; tab-stops: list 63.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Jenis kelamin :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; tab-stops: list 63.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Agama :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pekerjaan :<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Hubungan dengan
pasien :<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; tab-stops: list 63.0pt;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">No telp. :<o:p></o:p></span></div>
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<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l19 level2 lfo15; tab-stops: list 54.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">B.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Riwayat kesehatan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">keluhan
utama<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">klien mengatakan adanya darah di dalam feses,
berat badan menurun serta mudah kelelahan dalam beraktivitas.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l20 level1 lfo16; tab-stops: list 57.3pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Riwayat
perjalanan penyakit<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Awalnya klien hanya merasakan tubuhnya cepat
lelah dalam beraktivitas, namun ia hanya menganggapnya hanya kelelahan biasa.
Pasien pertama kali mengetahui kesehatannya bermasalah ketika ia menemukan
darah di dalam feses nya. Lalu ia dan keluarga memeriksakannya ke perawat dekat rumah, lalu perawat desa
merujuknya ke RSUD Ibnu Sutowo Baturaja untuk penanganan lebih lanjut.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klien tiba di RSUD Ibnu Sutowo dalam keadaan
pucat dan di bantu keluarga untuk berjalan. Keluarga mengatakan sangat cemas
akan keadaan pasien.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Therapi oleh dokter dan perawat : IVFD NaCl1b
13 tetes micro, injeksi serta rujukan pembedahan, Radiotherapi serta
Kemotherapy.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l20 level1 lfo16; tab-stops: list 57.3pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Riwayat
kesehatan keluarga<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Didalam keluarga pasien belum pernah
mengalami penyakit yang sama seperti yang dialami pasien saat ini.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l20 level1 lfo16; tab-stops: list 57.3pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data
psikologis<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien cukup mendapatkan perhatian dari
keluarga terdekat, dan saat di rawat di RSUD Ibnu Sutowo ia di tunggu oleh
keluarganya dan sangat cemas akan kesehata klien sehingga sering menanyakan “ Pak,
apakah keluarga saya bisa di sembuhkan?”<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l20 level1 lfo16; tab-stops: list 57.3pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Riwayat
kesehatan masa lalu<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klien sering mengalami sakit perut dan susah
buang air besar, nyeri kejang pada perut dan diare yang terus-menerus. Serta
pernah mengalami polip di usus dan colitis ulserativa yang menahun<o:p></o:p></span></div>
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<br /></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">C.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Aktivitas
sehari-hari<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">pola
nutrisi minum<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">sebelum sakit pasien minum dengan lancar,
namun setelah masuk ke RSUD Ibnu Sutowo pasien di puasakan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pola
eliminasi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">BAK :
Frekuensi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">sebelum
sakit tidak teratur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">setelah
sakit tidak teratur<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">BAB :
Frekuensi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">sebelum
sakit tidak teratur<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">setelah
sakit susah BAB<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pola
istirahat<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tidur :
Sebelum sakit tidur 8 jam / hari<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">
Setelah sakit susah BAB<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Spiritual<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Semua Keluarga beragama Islam dan mereka taat
menjalankan ibadah, serta selalu mendoakan klien agar cepat sembuh.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Psikososial<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klien tinggal bersama keluarganya sendiri
terutama istri dan anaknya.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pemeriksaan fisik<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">keadaan
umum : lemah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">kesadaran : lemah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">tanda-tanda
vital<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> suhu tubuh :
38<sup>0</sup> C<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Nadi :
120 X / menit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> RR :
22 x / menit<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Tinggi badan :
165 cm<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Berat badan :
50 kgs<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">kepala
<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- keadaan rambut : kusam dan mudah patah<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- warna rambut : coklat<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">mata<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- posisi : simetris<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- Konjungtiva :
Anemis<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- alat bantu :
-<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- Pupil :
isokor<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- sclera :
lcteric<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- Radang :
-<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- Operasi :
Belum pernah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Telinga<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- posisi :
simetris<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- cairan telinga : -<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- alat bantu dengar: -<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- serumen :
Ya<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Hidung<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- Penampilan umum : simetris<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- mukosa :
lembab<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- polip :
-<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- cairan hidung : -<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- septum :
simetris (baik)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- sinus :
simetris (baik)<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l19 level3 lfo15; tab-stops: list 63.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">h.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mulut
dan tenggorokan<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bibir : simetris<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Warna :
coklat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lidah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kelembaban :
kering<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Gerakan :
baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Warna :
merah muda<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mukosa<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Warna :
pucat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perdarahan :
tak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pembengkakan :
tak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Peradangan :
tak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lesi :
tak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Palatum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Warna :
merah muda<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Simetris :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">gigi
geligi : baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tonsil<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Simetris :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pembesaran :
tak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Operasi :
tidak pernah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Warna :
coklat<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ulvula<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Posisi :
berada di tengah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Faring<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Warna :
merah muda<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Laring
/ suara<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Volume suara :
lemah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kehilangan suara : tidak<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kebersihan suara : kurang baik<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nafas<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Berbau :
Ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto; mso-list: l3 level1 lfo14; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Calibri;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Leher<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kelenjar limfe : tidak ada pembesaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 72.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kelenjar tiroid : tidak ada pembesaran<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l19 level3 lfo15; tab-stops: list 63.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">i.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Simetris :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kelainan :
tak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Paru-paru<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Batuk :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sesak :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sputum :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Oksigenasi :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Suara tambahan : wheezing.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l19 level3 lfo15; tab-stops: list 63.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">j.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Abdomen<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penampilan umum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Simetris :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Warna kulit :
sawo matang<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Hati :
tidak teraba<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Hernia :
tidak teraba<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Massa :
tidak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bising usus :
ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto; mso-list: l19 level3 lfo15; tab-stops: list 63.0pt; text-indent: -27.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">k.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Genetalia
laki-laki<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- penis
di sunat : ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Lesi : tidak ada<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- uretra
meatus<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Terbuka :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Cairan
yang keluar: urine<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Letak : di tengah<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">- Scrotum<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> Simetris :
ya<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 63.0pt; mso-add-space: auto;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%;">
<br /></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 57.3pt; mso-add-space: auto; mso-list: l19 level1 lfo15; text-indent: -57.3pt;">
<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Analisa data, Diagnosa Keperawatan<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Diagnosa
keperawatan adalah suatu penyatuan dari masalah pasien yang nyata maupun
potensial berdasarkan data yang telah di kumpulkan (Boedihartono, 1994 : 17).<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Diagnosa
keperawatan yang muncul. Meliputi<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">a.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan
proses pikir berhubungan dengan perubahan kimia misalnya penggunaan obat-obat
farmasi, hipoksia, lingkungan terapeutik yang terbatas misalnya stimulus
sensori yang berlebihan ; stress fisiologis.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">b.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kekurangan
volume cairan berhubungan dengan pembatasan pemasukan cairan tubuh secara oral,
pengeluaran integritas pembuluh darah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">c.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nyeri
berhubungan dengan insisi pembedahan, trauma muskuloskletal, kehancuran yang
terus-menerus (misalnya lokalisasi)<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">d.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kerusakan
integritas kulit berhubungan dengan luka pembedahan.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">e.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan mual / muntah<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">f.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Konstipasi
berhubungan dengan penurunan asupan cairan dan serat, kelemahan otot abdomen
sekunder akibat mekanisme kanker kolon.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">g.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ansietas
berhubungan dengan ancaman terhadap konsep diri, ancaman terhadap perubahan
status kesehatan, ancaman terhadap pola interaksi dengan orang yang berarti, krisis
stuasi atau krisis maturasi<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">4.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Rencana asuhan keperawatan</span></b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">No<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Diagnosa
keperawatan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan
dari kriteria hasil<o:p></o:p></span></div>
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<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Rencana
Tindakan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Rasional<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">1.</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan proses piker
berhubungan dengan gangguan aktivitas dan kerja kognitif (misalnya, pikiran
sadar, orientasi realita, pemecahan masalah, dan penilaian yang terjadi pada
individu)<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan : meningkatkan
tingkat kesadarn.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Criteria hasil: pasien
mampu mengenali keterbatasan diri dan mencari sumber bantuan sesuai
kebutuhan.<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Orientasikan kembali pasien secara terus-menerus
setelah keluar dari pengaruh anastesi ; nyatakan bahwa operasi telah selesai
dilakukan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Bicara dengan pasien dengan suara yang jelas dan normal
tanpa membentak, sadar penuh akan apa yang di ucapkan<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Gunakan bantalan pada tepi tempat tidur, lakukan
pengikatan jika diperlukan<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : karena pasien telah meningkat kesadarannya, maka dukungan dan jaminan
akan membantu menghilangkan ansietas.<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : tidak dapat di tentukan kapan pasien akan sadar penuh, namun sensori
pendengaran merupakan kemampuan yang pertama kali akan pulih<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : berikan keamanan bagi pasien selama tahap darurat, mencegah
terjadinya cedera pada kepala dan ekstermits bila pasien melakukan perlawanan
selama masa disorientasi<o:p></o:p></span></div>
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<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">2.<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kekurangan volume cairan
berhubungan dengan pembatasan pemasukan cairan tubuh secara oral<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan : keseimbangan
cairan tubuh adekuat<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Criteria hasil : tidak ada
tanda-tanda dehidrasi (tanda-tanda vital stabil, kualitas denyut nadi baik,
turgor kulit normal, membrane mukosa lembab dan pengeluaran urine yang
sesuai)<o:p></o:p></span></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt; mso-list: l17 level1 lfo23; text-indent: -14.1pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Ukur dan catat pemasukan dan pengeluaran. Tinjau ulang
catatan intra operasi.<o:p></o:p></span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt; mso-list: l17 level1 lfo23; text-indent: -14.1pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji pengeluaran urinarius, terutama untuk tipe prosedur
operasi yang di lakukan<o:p></o:p></span></div>
<div class="MsoListParagraph" style="margin-left: 10.8pt; mso-add-space: auto;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt; mso-list: l17 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Pantau tanda-tanda vital<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt; mso-list: l17 level1 lfo23; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"> Pantau suhu
kulit, palpasi denyut perifer.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 223.65pt;" valign="top" width="298">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : dokumentasi yang akurat akan membantu dalam mengidentifikasi
pengeluaran cairan/kebutuhan penggantian dan pilihan yang mempengaruhi
intervensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : mungkin akan terjadi penurunan ataupun penghilangan setelah prosedur
pada sistem genitourinarius dan struktur yang berdekatan mengindikasikan
malfungsi ataupun obstruksi sistem urinarius<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : hipotensi, takikardi, peningkatan pernapasan mengindikasikan kekurangan
cairan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : kulit yang dingin/lembab, denyut yang lemah mengindikasikan penurunan
sirkulasi perifer dan di butuhkan untuk penggantian cairan tumbuhan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.4pt;" valign="top" width="55">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">3.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nyeri berhubungan dengan
insisi pembedahan, trauma musculoskeletal<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan : pasien mengatakan
bahwa rasa nyeri telah terkontrol atau hilang.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Criteria hasil : pasien
tampak rileks, dapat beristirahat / tidur dan melakukan pergerakan yang
berarti sesuai toleransi.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt; mso-list: l17 level1 lfo23; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"> Evaluasi rasa
sakit secara reguler, catat karakteristik, lokasi dan intensiltas (0-10)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.8pt; mso-list: l17 level1 lfo23; text-indent: -14.15pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"> Kaji
tanda-tanda vital, perhatikan takikardi, hipertensi dan peningkatan
pernapasan, bahkan jika pasien menyangkal adanya rasa sakit.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l17 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Berikan iinformasikan mengenai sifat ketidaknyamanan,
sesuai kebutuhan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l17 level1 lfo23; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Observasi efek analgetik<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 223.65pt;" valign="top" width="298">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : sediakan informasi mengenai kebutuhan/efektivitas intervensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : dapat mengindikasikan rasa sakit akut dan keidaknyamanan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : pahami penyebab ketidaknyamanan , sedangkan jaminan emosional<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : respirasi mungkin menurun pada pemberian narkotik, dan mungkin
menimbulkan efek-efek sinergestik dengan zat-zat anastesi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.4pt;" valign="top" width="55">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">4.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kerusakan integritas kulit
berhubungan dengan perubahan keadaan kulit yang tidak di inginkan<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan : mencapai
penyembuhan luka pada waktu yang sesuai.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Criteria hasil :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">tidak ada
tanda-tanda infeksi seperti pus<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">luka bersih tidak
lembab dan tidak kotor<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">tanda-tanda vital
dalam batas normal atau dapat di toleransi.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l7 level1 lfo22; tab-stops: list 17.9pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji kulit dan identifikasi pada tahap perkembangan
luka<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l7 level1 lfo22; tab-stops: list 17.9pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji lokasi, ukuran, warna, bau, serta jumlah dan tipe
cairan luka<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l7 level1 lfo22; tab-stops: list 17.9pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Pantau peningkatan suhu tubuh<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l7 level1 lfo22; tab-stops: list 17.9pt; text-indent: -17.9pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Jika pemulihan tidak terjadi kolaborasi tindakan
lanjutan, misalnya debridement.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l7 level1 lfo22; tab-stops: list 17.9pt; text-indent: -17.9pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Setelah debridement, ganti balutan sesuai dengan
kebutuhan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.9pt; mso-list: l7 level1 lfo22; tab-stops: list 17.9pt; text-indent: -17.9pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kolaborasi pemberian antibiotik sesuai indikasi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 223.65pt;" valign="top" width="298">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : mengetahui sejauh mana perkembangan luka mempermudah dalam melakukan
tindakan yang tepat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : mengindentifikasi tingkat keparahan luka akan mempermudah intervensi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : suhu tubuh yang meningkat dapat diidentifikasikan sebagai adanya
proses peradangan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : agar benda asing atau jaringan terinfeksi tidak menyebar luas pada
area kulit normal lainnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : balutan dapat di ganti satu atau dua kali sehari tergantung kondisi
parah/tidaknya luka, agar tidak terjadi infeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : antibiotik berguna untuk mematikan mikroorganisme patogen pada daerah
yang beresiko terjadi infeksi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.4pt;" valign="top" width="55">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">5.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan nutrisi kurang
dari kebutuhan tubuh berhubungan dengan mual / muntah<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan : klien mampu
mempertahankan & meningkatkan intake nutrisi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Criteria hasil :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">klien akan
memperlihatkan perilaku mempertahankan atau meningkatkan berat badan dengan
nilai laboratorium normal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klien mengrti dan
mengikuti anjuran diet<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tidak ada mual /
muntah.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji sejauh mana ketidakadekuatan nutrisi pasien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Timbang berat badan sesuai indikasi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Anjurkan makan sedikit tapi sering<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Tawarkan minum saat makan bila toleran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">kOlaborasi dengan ahli gizi pemberian makanan yang
bervariasi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 223.65pt;" valign="top" width="298">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : menganalisa penyebab melaksanakan intervensi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : mengawasi kefektifan secara diet<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : tidak memberi rasa bosan dan pemasukan nutrisi dapat di tingkatkan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : dapat mengurangi mual dan menghilangkan gas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : Menstimulasi nafsu makan dan mempertahankan intake nutrisi yang
adekuat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr style="height: 72.15pt; mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 72.15pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.4pt;" valign="top" width="55">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">6.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 72.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Konstipasi berhubungan
dengan penurunan frekuensi defekasi yang normal pada seseorang di sertai
dengan kesulitan keluarnya feses yang tidak lengkap atau keluarnya feses yang
keras dan kering<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 72.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan : pola eliminasi
dalam rentang yang di harapkan : feses lembut dan berbentuk.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Criteria hasil<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">klien akan
menunjukkan pengetahuan akan program defekasi yang di butuhkan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">melaporkan
keluarnya feses dengan berkurangnya nyeri dan mengejan <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 72.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">kaji warna dan konsistensi feses, frekuensi, keluarnya
flatus, bising usus dan nyeri tekan abdomen<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">pantau tanda gejala rupture usus.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji faktor penyebab konstipasi<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 72.15pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 223.65pt;" valign="top" width="298">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : penting untuk menilai keefektifan intervensi, dan memudahkan rencana
selanjutnya.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : keadaan ini dapat menjadi penyebab kelemahan otot abdomen dan
penurunan peristaltik usus, yang dapat menebabkan konstipasi.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : mengetahui dengan jelas faktor penyebab memudahkan pilihan intervensi
yang tepat<o:p></o:p></span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 41.4pt;" valign="top" width="55">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">7.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ansietas berhubungan
dengan perasaan ketidaknyamanan yang tidak mudah atau dread yang di sertai
dengan respons autonomis<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan : ansietas
berkurang atau terkontrol.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Criteria hasil :<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">klien mampu
merencanakan stategi koping untuk situasi yang membuat stress.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klien mampu mempertahankan
penampilan peran<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klien melaporkan
tidak ada gangguan persepsi sensori<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l7 level1 lfo22; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Klien melaporkan
tidak ada manisfestasi kecemasan secara fisik.<o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 228.85pt;" valign="top" width="305">
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji dan dokumentasikan tingkat kecemasan pasien.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Kaji mekanisme koping yang di gunakan pasien untuk
mengatasi ansietas di masa lalu<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 25.0pt; mso-list: l7 level1 lfo22; tab-stops: list 25.0pt; text-indent: -25.0pt;">
<!--[if !supportLists]--><span lang="IN" style="font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Lakukan pendekatan dan berikan motivasi kepada pasien
untuk mengungkapkan pikiran dan perasaan. <o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 223.65pt;" valign="top" width="298">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : memudahkan intervensi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : mempertahankan mekanisme koping adaftif, meningkatkan kemampuan
mengontrol ansietas<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">R : pendekatan dan motivasi membantu pasien untuk mengeksternalisasikan<o:p></o:p></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
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<br /></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">BAB III<o:p></o:p></span></b></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">LEMBAR KERJA/PEDOMAN PRAKTEK </span></b><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; line-height: 150%; mso-ansi-language: IN;"><o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mata kuliah : Keperawatan Medikal Bedah I
<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Semester : III<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tahun akademik : 201</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">1</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">/201</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">2<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pokok bahasan :
Gangguan system pencernaan<o:p></o:p></span></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sub pokok bahasan : Perawatan kolostomi <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">I.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pengertian<o:p></o:p></span></b></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Colostomi adalah
suatu operasi untuk membentuk suatu hubungan buatan antara colon dengan
permukaan kulit pada dinding perut. Hubungan ini tidak bersifat sementara atau
menetap selamanya. (Ilmu Bedah, Thiodorer Schrock, MD, 1983). <o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sebuah lubang buatan
yang dibuat oleh dokter ahli bedah pada dinding abdomen untuk mengeluarkan
feses (M. Bowhuzen, 1991).<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pembuatan lubang
sementara atau permanent dari usus besar melalui dinding perut untuk
mengeluarkan feses (Randy, 1987)<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">II.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan<o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-size: 10.0pt; line-height: 150%;">-<span style="font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Untuk menghindari
infeksi sekunder<o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ajarkan klien tentang
personal hygiene dan stoma<o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kebersihan dan
sekitarnya terjaga dengan baik <o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Menghilangkan
tanda-tanda gangguan integritas kulit<o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mencegah iritasi
kulit sekitar stoma <o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mempertahankan
kenyamanan pasien dan lingkunganya.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">III.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tindakan
keperawatan <o:p></o:p></span></b></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lakukan teknik
perawatan baik (bersih)<o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lakukan tindakan
aseptic pada stoma <o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ajarkan klien
personal hygiene dan perawatan stoma <o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">IV.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Indikasi
<o:p></o:p></span></b></div>
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unsure yang ganas<o:p></o:p></span></li>
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</ul>
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<!--[if !supportLists]--><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">V.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kontra
indikasi <o:p></o:p></span></b></div>
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<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tidak boleh terjadi
penyempitan dari celahnya yang akan mengganggu pasase normal feses.<o:p></o:p></span></div>
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</span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Diperlukan colostomy
dengan teknik benar serta perawatan pasca bedah yang baik.<o:p></o:p></span></div>
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<!--[if !supportLists]--><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">VI.<span style="font-family: 'Times New Roman'; font-size: 7pt; font-weight: normal; line-height: normal;">
</span></span></b><!--[endif]--><span dir="LTR"></span><b><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Masalah diagnosa keperawatan</span></b><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
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<span lang="IN">Diagnosa keperawatan berdasarkan analisa data menurut <i>Marilynn E.
Doenges </i>(1999), <i>Brunner and Suddarth </i>(2001), <i>dan Lynda Juall
Carpenito </i>(1997). </span></div>
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<span lang="IN">1. Ansietas /
ketakutan berhubungan dengan krisis situasi (kanker) </span></div>
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<span lang="IN"> 2. Nyeri
(akut) berhubungan dengan trauma jaringan dan reflek spasme otot sekunder
akibat kanker usus besar.</span></div>
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<span lang="IN"> 3. Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan status hipometabolik
berkenaan dengan kanker. </span></div>
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<span lang="IN"> 4. Risiko tinggi
terhadap kekurangan volume cairan berhubungan dengan kurang masukan cairan </span></div>
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<span lang="IN"> 5. Keletihan
berhubungan dengan perubahan kimia tubuh: efek samping obat- obatan,
kemoterapi. </span></div>
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<span lang="IN">6. Risiko
tinggi terhadap kerusakan kulit / jaringan berhubungan dengan insisis bedah,
pembentukan stoma dan kontaminasi. </span></div>
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<span lang="IN"> 7. Risiko tinggi
terhadap konstipasi / diare berhubungan dengan karsinoma kolon. </span></div>
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<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">FORMAT PENILAIAN KETERAMPILAN
KEPERAWATAN MEDIKAL BEDAH PERAWATAN KOLOSTOMY <o:p></o:p></span></b></div>
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<span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nama Mahasiswa : Tanggal
ujian :<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">1.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Beri
tanda √ pada tindakan yang dilaksanakan oleh mahasiswa.<o:p></o:p></span></div>
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<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">2.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penilaian
berkisar dari 0 – 100<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l18 level2 lfo1; tab-stops: list 18.0pt; text-indent: -72.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">3.<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Skor
aktif : jumlah nilai dibagi poin yang dikerjakan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; width: 583px;">
<tbody>
<tr style="height: 42.5pt; mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; height: 42.5pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" width="34">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">No<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 42.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.9pt;" width="261">
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Aspek
yang dinilai<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 42.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.7pt;" width="109">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dikerjakan dengan baik<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 42.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.3pt;" valign="top" width="95">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dikerjakan tidak dg baik<o:p></o:p></span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; height: 42.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tidak dikerjakan <o:p></o:p></span></b></div>
</td>
</tr>
<tr style="height: 305.05pt; mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 305.05pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">1<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 305.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.9pt;" valign="top" width="261">
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">FASE
PRE INTERAKSI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l1 level1 lfo20; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Membaca buku RM pasien<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l1 level1 lfo20; text-indent: -14.2pt;">
<!--[if !supportLists]--><span lang="IN" style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Persiapan alat;<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">a)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sarung tangan (handscoon)<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">b)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Handuk mandi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">c)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Air hangat<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">d)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sabun mandi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">e)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tisu <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">f)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kantong kolostomi <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">g)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bengkok <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">h)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kasa <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">i)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Vaselin <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">j)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Plastic untuk guide size (mengukur stoma) <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">k)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Gunting <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo18; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;">l)<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Plester <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l16 level1 lfo19; text-indent: -17.05pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;">
</span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Mengecek alat yang telah di siapkan</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 305.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.7pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 305.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.3pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 305.05pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">2.<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.9pt;" valign="top" width="261">
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">FASE
INTERAKSI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l16 level1 lfo19; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Mengetuk pintu</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l16 level1 lfo19; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Memberi salam</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l16 level1 lfo19; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Berdiri sejenak</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l16 level1 lfo19; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Symbol; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;">·<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Mendekat ke arah
pasien</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l0 level1 lfo4; tab-stops: list 17.05pt; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perkenalkan diri perawat kepada pasien</span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"> dan keluarga pasien</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l0 level1 lfo4; tab-stops: list 17.05pt; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Mempersilakan keluarga
pasien menunggu di luar kecuali jika di perlukan untuk belajar merawat
kolostomi pasien</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.05pt; mso-list: l0 level1 lfo4; tab-stops: list 17.05pt; text-indent: -14.2pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien diberitahu tentang tindakan </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;"> </span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">yang
akan dilakukan.<b><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien menyatakan mengerti dan jelas tentang tindakan
yang akan dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.5pt; mso-list: l0 level1 lfo4; tab-stops: list 17.05pt; text-indent: -10.5pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Persiapan pasien</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.7pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.3pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">3.<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.9pt;" valign="top" width="261">
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5pt;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Fase kerja <o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dekatkan alat-alat ke </span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">pasien</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasang selimut mandi<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dekatkan bengkok kedekat </span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">pasien.</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"> <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasang sarung tangan<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 10.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -9.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Buka kantong lama <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bersihkan stoma dan kulit sekitar stoma dengan sabun
atau air hangat.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Keringkan kulit sekitar stoma dengan tisu atau kasa.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lindungi stoma dengan tisu atau kasa agar feses yang
keluar lagi tidak mengotori kulit yang sudah dibersihkan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ukur stoma dengan guide size untuk memilih kantong
stoma yang sesuai.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasang kantong stoma<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pastikan kantong stoma merekat dengan baik dan tidak bocor.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Buka sarung tangan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bereskan alat-alat <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Cuci tangan <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.7pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.3pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">4.<o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.9pt;" valign="top" width="261">
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5pt;">
<b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">FASE TERMINASI<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mengakhiri tahap-tahap kerja yang dilakukan.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Merapikan alat</span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Memberi salam<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 19.5pt; mso-list: l12 level1 lfo5; tab-stops: list 19.5pt; text-indent: -18.0pt;">
<!--[if !supportLists]--><span style="font-family: Wingdings; font-size: 10.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;">§<span style="font-family: 'Times New Roman'; font-size: 7pt; line-height: normal;"> </span></span><!--[endif]--><span dir="LTR"></span><span lang="IN" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: IN;">Membuat laporan /
pendokumentasian</span><b><span style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><o:p></o:p></span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.7pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.3pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 25.5pt;" valign="top" width="34">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.9pt;" valign="top" width="261">
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.5pt; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 81.7pt;" valign="top" width="109">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 71.3pt;" valign="top" width="95">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 63.0pt;" valign="top" width="84">
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
</td>
</tr>
</tbody></table>
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<br /></div>Anonymoushttp://www.blogger.com/profile/04271175526081147094noreply@blogger.com3tag:blogger.com,1999:blog-7678160365968402413.post-62180227883134683312012-06-20T21:07:00.000-07:002012-06-20T21:13:12.215-07:00HYPOTENSION <span class="hps" style="background-color: white; text-align: center;"><b><span lang="IN" style="font-size: 18pt;">ENGLISH</span></b></span><span class="shorttext" style="background-color: white; text-align: center;"><b><span lang="IN" style="font-size: 18pt;"> </span></b></span><span class="hps" style="background-color: white; text-align: center;"><b><span lang="IN" style="font-size: 18pt;">TASK</span></b></span><br />
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<span class="hpsatn"><b><span lang="IN" style="font-size: 14pt;">"</span></b></span><b><span lang="IN" style="font-size: 10pt;"> </span></b><b><span lang="IN" style="font-size: 14pt;">HYPOTENSION<span class="shorttext">"<o:p></o:p></span></span></b></div>
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<b><span lang="IN">COMPILED <o:p></o:p></span></b></div>
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<b><span lang="IN">BY :<o:p></o:p></span></b></div>
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<b><span lang="IN">NAME : NUR AZMI <o:p></o:p></span></b></div>
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<b><span lang="IN">NIM :
PO.71.20.2.10.069<o:p></o:p></span></b></div>
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<b><span lang="IN">LEVEL : II.B<o:p></o:p></span></b></div>
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<b><span lang="IN">LECTURER : BETTY
SUSANTI. HS, S.Pd.<o:p></o:p></span></b></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;">MINISTRY OF HEALTH REPUBLIC
OF INDONESIA<br />
POLYTECHNIC OF HEALTH PALEMBANG<br />
BATURAJA NURSING PROGRAM STUDY<br />
<span style="background-color: #e6ecf9;">YEAR 2011<o:p></o:p></span></span></b></div>
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<b><span lang="IN" style="font-size: 14pt; line-height: 150%;"><span style="background-color: #e6ecf9;"><br /></span></span></b></div>
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<span class="hps"><b><span lang="IN">FOREWORD</span></b></span><b><span lang="IN"><br />
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<o:p></o:p></span></b></div>
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<span class="hps"><span lang="IN">Praise</span></span><span lang="IN"> <span class="hps">the authors</span> <span class="hps">say</span> <span class="hps">thanks to</span> <span class="hps">Allah SWT</span> <span class="hps">because</span>
<span class="hps">of His</span> <span class="hps">mercy and grace</span> <span class="hps">I can</span> <span class="hps">finish</span> <span class="hps">the task</span>
HYPOTENSI</span><b><span lang="IN" style="font-size: 14pt; line-height: 150%;"> </span></b><span class="hps"><span lang="IN">ENGLISH</span></span><span lang="IN"> <span class="hps">about</span>
<span class="hps">this</span> <span class="hps">in time.<o:p></o:p></span></span></div>
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<span class="hps"><span lang="IN">On this occasion,</span></span><span lang="IN"> <span class="hps">the author</span> <span class="hps">would like to thank</span>
<span class="hps">Mrs.</span> <span class="hps">Betty</span> <span class="hps">Susanti</span>
<span class="hps">supervisor</span> <span class="hps">HS</span>, <span class="hps">S.</span>
<span class="hps">Pd</span> <span class="hps">and friends</span> <span class="hps">who</span>
<span class="hps">have helped</span> <span class="hps">in making</span> <span class="hps">this task</span>.</span></div>
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<span class="hps"><span lang="IN">May Allah</span></span><span lang="IN"> <span class="hps">always</span> <span class="hps">have mercy</span> <span class="hps">on</span>
<span class="hps">us</span> <span class="hps">all and</span> <span class="hps">hopefully</span>
<span class="hps">this</span> <span class="hps">work</span> <span class="hps">can</span>
<span class="hps">provide benefits</span> <span class="hps">and</span> <span class="hps">add to</span> <span class="hps">our</span> <span class="hps">knowledge</span>
<span class="hps">and insights</span>.</span></div>
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<span lang="IN"><br />
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<br />
<span class="hps">Baturaja</span>, <span class="hps">November 2011</span><br />
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<span class="hps">author<o:p></o:p></span></span></div>
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<span class="hps"><b><span lang="IN">TABLE OF</span></b></span><b><span lang="IN"> <span class="hps">CONTENTS</span><br />
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<span class="hps">TITLE</span> <span class="hps">PAGE....................................</span><span class="hps">.</span>
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<span class="hps">...</span> <span class="hps">...</span> <span class="hps">...</span>
<span class="hps">...</span> <span class="hps">...</span> <span class="hps">...</span>
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<span class="hps">...</span> <span class="hps">...</span> <span class="hps">...</span>.............
<span class="hps">i</span><br />
<span class="hps">FOREWORD</span> <span class="hps">... ... ... ... ... ... ... ...
... ... ......................................... ... ... ... ... ... ... ...
... ... .</span> <span class="hps">ii</span><br />
<span class="hps">TABLE OF</span> <span class="hps">CONTENTS</span><span class="hps">.................................</span><span class="hps">................................................................</span>
<span class="hps">iii<o:p></o:p></span></span></div>
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<span class="hps"><span lang="IN">I.<span style="font-size: 7pt; line-height: normal;">
</span></span></span><span dir="LTR"></span><span class="hps"><span lang="IN">Background .............................................................................................................
1<o:p></o:p></span></span></div>
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<span lang="IN">II.<span style="font-size: 7pt; line-height: normal;">
</span></span><span dir="LTR"></span><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Types of Hypotension................................................................................................
1</span></div>
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<span class="hps"><span lang="IN">III.<span style="font-size: 7pt; line-height: normal;">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Signs and Symptoms of Low Blood Pressure...............................................................
2</span><span class="hps"><span lang="IN"><o:p></o:p></span></span></div>
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<span class="hps"><span lang="IN">IV.<span style="font-size: 7pt; line-height: normal;">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Causes of Low Blood Diseases...................................................................................
2</span><span class="hps"><span lang="IN"><o:p></o:p></span></span></div>
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<span class="hps"><span lang="IN">V.<span style="font-size: 7pt; line-height: normal;">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Handling and Treatment of Low Blood.........................................................................
3</span><span class="hps"><span lang="IN"><o:p></o:p></span></span></div>
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<span class="hps"><span lang="IN">VI.<span style="font-size: 7pt; line-height: normal;">
</span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">Some
Tips for Patients with Hypotension....................................................................
5</span><span class="hps"><span lang="IN"><o:p></o:p></span></span></div>
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<b><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">HYPOTENSION<o:p></o:p></span></b></div>
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<span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br />
<b>I. Background <br />
</b> Low
blood disease or hypotension (hypotension) is a condition where a person's
blood pressure falls below the normal rate, which reached a low value of 90/60
mmHg. Has been described in previous articles (high blood disease) that the
value of a person's normal blood pressure with height, weight, activity level
and health in general normal is 120/80 mmHg.<br />
<br />
However,
some people may have a value of blood pressure (tension) around 110/90 mmHg or
100/80 mmHg but they do not / have not or rarely reveal few complaints means,
so that it is perceived in ordinary daily activities. If the condition
continues, supported by several factors that allow triggering a significant
decrease in blood pressure such as sweat and urinate a lot but less drinking,
less sleep or lack of rest (fatigue with excessive activity) as well as
excessive menstrual bleeding (abnormal) then blood pressure will achieve a low
threshold (hypotension) 90/60 mmHg.<br />
<br />
<b>II. Types of Hypotension<br />
</b> There
are three main types of hypotension:<br />
• orthostatic hypotension. Orthostatic
hypotension is caused by sudden changes in body position, usually when switching from lying to
standing, and usually only lasts a few seconds or minutes. This type of
hypotension can also occur after eating and often affects the elderly, people
with high blood pressure and people with Parkinson's disease.<br />
• neural mediated hypotension (NMH in
the English abbreviation). NMH most often affects young adults and children and
occurs when a person has been standing for a long time.<br />
• Acute hypotension caused by sudden
blood loss (shock)<br />
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<b><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">III. Signs and Symptoms of Low Blood
Pressure<br />
</span></b><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> A person who is experiencing
low blood pressure generally will complain of frequent headaches circumstances,
often yawn, kebungungan, vision sometimes felt less obvious (the firefly)
especially after a long sit and walk, a cold sweat, feel tired powerless, even
experienced recurrent fainting.<br />
<br />
On examination the general rate / weak palpable pulse, the patient looked pale,
this is due to the blood supply that is not the maximum whole body tissues.<br />
<br />
<b>IV. Causes of Low Blood Diseases<br />
</b> There
are several factors that cause why the decrease in blood pressure, this can be
categorized as follows:<br />
• Dehydration.<br />
• Side effects of drugs such as alcohol, anxiolytic, some antidepressants,
diuretics, drugs for high blood pressure and coronary heart disease, analgesic.<br />
• Heart problems such as changes in heart rhythm (arrhythmia), heart attack,
heart failure, the lack of pumping blood from the heart.<br />
• emotional shock, such as shock caused by severe infection, stroke,
anaphylaxis (life-threatening allergic reactions and severe trauma.<br />
• Diabetes advanced.<br />
• Volume (number) of blood is reduced. This can be caused by severe bleeding
(torn wounds, menstruation excessive / abnormal), which was quickly resolved
diarrhea, excessive sweating, urination or excessive urination.<br />
• The capacity of the blood vessels. Dilation of blood vessels (dilation)
causes decreased blood pressure, this is usually as a result of septic shock,
exposure by heat, diarrhea, drug-drug vasodilators (nitrates, calcium
inhibitors, ACE inhibitors).<br />
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<b><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">V. Handling and Treatment of Low Blood<br />
</span></b><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"> There are several things you
can do to improve the condition of lace blood pressure (hypotension),
including:<br />
-Drinking water in considerable amounts of 8 to 10 glasses per day, an
occasional cup of coffee in order to spur increased heartbeat so that the blood
pressure will increase<br />
- Consuming foods that contain adequate levels of salt<br />
- Exercise regularly such as walking in the morning for 30 minutes, at least 3
times a week can help reduce the onset of symptoms<br />
- In women who are encouraged to wear elastic stockings<br />
- Provision of drugs (increased blood) occurs only when the symptoms of
hypotension that felt really disrupt daily activities, other than that the
doctor would only provide vitamins (suport / placebo) as well as some
suggestions that can be done for patients.<br />
<br />
In addition to chemical drugs, following some lifestyle changes and natural
steps that you can try to help cope with hypotension:<br />
<br />
a. Expand the salt.<br />
b. Increase your water intake, reduce alcohol.<br />
c. Follow a healthy diet.<br />
d. Change the position of the body slowly.<br />
e. Eat smaller meals and consumption of low-carbohydrate diet.<br />
f. Wear stockings that can suppress<br />
<br />
About the image that most people think that eating meat goat for patients with
hypotension can increase blood pressure monitor is actually not clear, however
justified if it will increase the content of hemoglobin (Hb) in blood. Once
again it must be understood that the low blood pressure that is not optimal
blood supply to all parts of the body. Hemoglobin (Hb) is low means that the
binder content of Hb as oxygen in the blood has low levels of the patient
consequences could pallor (anemia), dizziness (in transport oxygen / blood
supply to the brain is less), feel tired and so on.<br />
<br />
In the case of hypotension that is really required the administration of drugs,
usually there are several types of commonly used medications such as
fludrocortisone, midodrine, pyridostigmine, nonsteroidal anti-inflammatory
drugs (NSAIDs), caffeine and erythropoietin.<br />
<br />
Traditional herbs that can be used to treat and prevent low blood;<br />
<br />
Ingredients:<br />
- Kunir / turmeric<br />
- Kampung Chicken Egg Yolk<br />
- Honey<br />
- Wine (if any)<br />
<br />
Ways of making:<br />
Grated turmeric and add a little water, then wring it out. Whisk the eggs and
mix with lemon turmeric earlier. Lastly, add a little honey and wine (if any).<br />
<br />
Drink this mixture two times a day regularly.<br />
<br />
The key to all traditional medicine is the discipline and orderly. So to cure
low blood was needed discipline and strong will.<br />
<br />
Hopefully the last traditional medicine healer low blood could be useful!<br />
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<b><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;">VI.
Some Tips for Patients with Hypotension</span></b><span lang="IN" style="font-family: 'Times New Roman', serif; font-size: 12pt; line-height: 150%;"><br />
• Many women with hypotension who has a very low level of iron due to
menstruation very much. Ask the advice of specialists when the need to
supplement blood booster.<br />
• fall is very dangerous for the elderly because it can make the injury
fractures and other complications. Always accompany your parents who suffer
from severe hypotension.<br />
• If you feel the symptoms of decreased blood pressure, you should immediately
sit or lie down and lift your legs above heart height.<br />
• If low blood pressure causes people to faint, immediately look for medical
care. If the person is not breathing, immediately do rescue breathing
assistance.<o:p></o:p></span></div>Anonymoushttp://www.blogger.com/profile/04271175526081147094noreply@blogger.com1