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ASUHAN KEPERAWATAN PADA AN.M DENGAN KEJANG DEMAM DIRUANG ANGGREK RSUD KOTA TANJUNG PINANG
KARYA TULIS ILMIAH Untuk memenuhi salah satu syarat ujian Guna memperoleh gelar Ahli Madya Keperawatan
Oleh : FEBI SARWINDA
KEMENTRIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK KESEHATAN TANJUNG PINANG PROGRAM STUDI KEPERAWATAN TAHUN 2016
HALAMAN JUDUL
i
LEMBAR PERSETUJUAN
ii
KATA PENGANTAR
iii
DAFTAR ISI
HALAMAN JUDUL ............................................................................................................................... i LEMBAR PERSETUJUAN ................................................................................................................... ii KATA PENGANTAR ........................................................................................................................... iii DAFTAR ISI.......................................................................................................................................... iv DAFTAR TABEL.................................................................................................................................. vi DAFTAR LAMPIRAN ......................................................................................................................... vii DAFTAR BAGAN .............................................................................................................................. viii DAFTAR SINGKATAN ....................................................................................................................... ix BAB I PENDAHULUAN ....................................................................................................................... 1 1.1
Pendahuluan ............................................................................................................................ 1
1.2
Rumusan Masalah ................................................................................................................... 3
1.3
Tujuan Penelitian .................................................................................................................... 3
1.3.1
Tujuan Umum ................................................................................................................. 3
1.3.2
Tujuan Khusus ................................................................................................................ 3
Metode Penulisan .................................................................................................................... 4
1.4 1.4.1
Metode Penulisan ............................................................................................................ 4
1.4.2
Lokasi Penelitian ............................................................................................................ 4
1.4.3
Teknik Pengumpulan Data .............................................................................................. 4
1.4.4
Sumber Data.................................................................................................................... 4
1.3.5 Pengolahan Data .................................................................................................................... 5 1.5
Sistematika Penulisan ............................................................................................................. 5
BAB II TINJAUAN KEPUSTAKAAN ................................................................................................. 6 2.1
Definisi.................................................................................................................................... 7
2.2
Anatomi Fisiologi ................................................................................................................... 7
2.3
Etiologi.................................................................................................................................. 13
2.3
Klasifikasi ............................................................................................................................. 13
2.5
Patofisiologi .......................................................................................................................... 14
2.6
Web of Caution ..................................................................................................................... 16
2.7
Manifestasi Klinik ................................................................................................................. 17
2.8
Komplikasi ............................................................................................................................ 17 iv
2.9
Penatalaksanaan .................................................................................................................... 17
2.10
Pemeriksaan Penunjang ........................................................................................................ 19
2.11
Prognosis ............................................................................................................................... 19
2.12
Tumbuh Kembang ................................................................................................................ 20
2.13
Konsep Dasar Asuhan Keperawatan Teoritis ....................................................................... 47
A.
Pengkajian ............................................................................................................................. 47
B.
Pemeriksaan Fisik ................................................................................................................. 49
C.
Diagnosa Keperawatan ......................................................................................................... 51
D.
Rencana Tindakan Keperawatan ........................................................................................... 51
E.
Implementasi ......................................................................................................................... 54
F.
Evaluasi ................................................................................................................................. 55
BAB III TINJAUAN KASUS............................................................................................................... 57 3.1
Pengkajian ............................................................................................................................. 57
3.2
Diagnosa Keperawatan ......................................................................................................... 68
3.3
Intervensi Keperawatan......................................................................................................... 68
3.4
Implementasi Keperawatan ................................................................................................... 70
3.5
Evaluasi Keperawatan ........................................................................................................... 81
BAB IV PEMBAHASAN..................................................................................................................... 84 4.1
Pengkajian ............................................................................................................................. 84
4.2 Diagnosa Keperawatan ............................................................................................................... 85 4.3
Intervensi Keperawatan......................................................................................................... 87
4.4
Implementasi Keperawtan..................................................................................................... 88
BAB V PENUTUP ............................................................................................................................... 90 5.2
Saran ..................................................................................................................................... 91
DAFTAR PUSTAKAN ........................................................................................................................ 92
v
DAFTAR TABEL
vi
DAFTAR LAMPIRAN
vii
DAFTAR BAGAN
viii
DAFTAR SINGKATAN
ix
BAB I PENDAHULUAN
1.1
Pendahuluan
2
1.2
Rumusan Masalah
1.3
Tujuan Penelitian 1.3.1 Tujuan Umum 1.3.2 Tujuan Khusus
3
1.4
Metode Penulisan 1.4.1 Metode Penulisan
1.4.2 Lokasi Penelitian
1.4.3 Teknik Pengumpulan Data
1.4.4 Sumber Data
4
1.3.5 Pengolahan Data
1.5
Sistematika Penulisan
5
BAB II TINJAUAN KEPUSTAKAAN
6
2.1
Definisi
2.2
Anatomi Fisiologi
7
8
9
10
11
12
2.3
Etiologi
2.3
Klasifikasi
13
2.5
Patofisiologi
14
15
2.6
Web of Caution
16
2.7
Manifestasi Klinik
2.8
Komplikasi
2.9
Penatalaksanaan
17
18
2.10 Pemeriksaan Penunjang
2.11 Prognosis
19
2.12 Tumbuh Kembang
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
2.13 Konsep Dasar Asuhan Keperawatan Teoritis
A. Pengkajian
47
48
B. Pemeriksaan Fisik
49
50
C. Diagnosa Keperawatan
D. Rencana Tindakan Keperawatan
51
52
53
E. Implementasi
54
F. Evaluasi
55
56
BAB III TINJAUAN KASUS
3.1
Pengkajian
57
58
59
60
61
62
63
64
65
66
67
3.2
Diagnosa Keperawatan
3.3
Intervensi Keperawatan
68
69
3.4
Implementasi Keperawatan
70
71
72
73
74
75
76
77
78
79
80
3.5
Evaluasi Keperawatan
81
82
83
BAB IV PEMBAHASAN 4.1
Pengkajian
84
4.2 Diagnosa Keperawatan
85
86
4.3
Intervensi Keperawatan
87
4.4
Implementasi Keperawtan
88
89
BAB V PENUTUP
5.1
Kesimpulan
90
5.2
Saran
91
DAFTAR PUSTAKAN Ahem,R. Nancy. Wilkinson. M. Keperawatan, jilid 9, Jakarta:ECG
Judith.
2015.Buku
Dinarti, dkk.2009,Dokumentasi Keperawatan,Jakart:TIM Ngastiyah.2005.Perawatan anak Sakit.jakarta:EGC
92
Saku
Diagnosis
KARYA TULIS ILMIAH Untuk memenuhi salah satu syarat ujian Guna memperoleh gelar Ahli Madya Keperawatan
Oleh : FEBI SARWINDA
KEMENTRIAN KESEHATAN REPUBLIK INDONESIA POLITEKNIK KESEHATAN TANJUNG PINANG PROGRAM STUDI KEPERAWATAN TAHUN 2016
HALAMAN JUDUL
i
LEMBAR PERSETUJUAN
ii
KATA PENGANTAR
iii
DAFTAR ISI
HALAMAN JUDUL ............................................................................................................................... i LEMBAR PERSETUJUAN ................................................................................................................... ii KATA PENGANTAR ........................................................................................................................... iii DAFTAR ISI.......................................................................................................................................... iv DAFTAR TABEL.................................................................................................................................. vi DAFTAR LAMPIRAN ......................................................................................................................... vii DAFTAR BAGAN .............................................................................................................................. viii DAFTAR SINGKATAN ....................................................................................................................... ix BAB I PENDAHULUAN ....................................................................................................................... 1 1.1
Pendahuluan ............................................................................................................................ 1
1.2
Rumusan Masalah ................................................................................................................... 3
1.3
Tujuan Penelitian .................................................................................................................... 3
1.3.1
Tujuan Umum ................................................................................................................. 3
1.3.2
Tujuan Khusus ................................................................................................................ 3
Metode Penulisan .................................................................................................................... 4
1.4 1.4.1
Metode Penulisan ............................................................................................................ 4
1.4.2
Lokasi Penelitian ............................................................................................................ 4
1.4.3
Teknik Pengumpulan Data .............................................................................................. 4
1.4.4
Sumber Data.................................................................................................................... 4
1.3.5 Pengolahan Data .................................................................................................................... 5 1.5
Sistematika Penulisan ............................................................................................................. 5
BAB II TINJAUAN KEPUSTAKAAN ................................................................................................. 6 2.1
Definisi.................................................................................................................................... 7
2.2
Anatomi Fisiologi ................................................................................................................... 7
2.3
Etiologi.................................................................................................................................. 13
2.3
Klasifikasi ............................................................................................................................. 13
2.5
Patofisiologi .......................................................................................................................... 14
2.6
Web of Caution ..................................................................................................................... 16
2.7
Manifestasi Klinik ................................................................................................................. 17
2.8
Komplikasi ............................................................................................................................ 17 iv
2.9
Penatalaksanaan .................................................................................................................... 17
2.10
Pemeriksaan Penunjang ........................................................................................................ 19
2.11
Prognosis ............................................................................................................................... 19
2.12
Tumbuh Kembang ................................................................................................................ 20
2.13
Konsep Dasar Asuhan Keperawatan Teoritis ....................................................................... 47
A.
Pengkajian ............................................................................................................................. 47
B.
Pemeriksaan Fisik ................................................................................................................. 49
C.
Diagnosa Keperawatan ......................................................................................................... 51
D.
Rencana Tindakan Keperawatan ........................................................................................... 51
E.
Implementasi ......................................................................................................................... 54
F.
Evaluasi ................................................................................................................................. 55
BAB III TINJAUAN KASUS............................................................................................................... 57 3.1
Pengkajian ............................................................................................................................. 57
3.2
Diagnosa Keperawatan ......................................................................................................... 68
3.3
Intervensi Keperawatan......................................................................................................... 68
3.4
Implementasi Keperawatan ................................................................................................... 70
3.5
Evaluasi Keperawatan ........................................................................................................... 81
BAB IV PEMBAHASAN..................................................................................................................... 84 4.1
Pengkajian ............................................................................................................................. 84
4.2 Diagnosa Keperawatan ............................................................................................................... 85 4.3
Intervensi Keperawatan......................................................................................................... 87
4.4
Implementasi Keperawtan..................................................................................................... 88
BAB V PENUTUP ............................................................................................................................... 90 5.2
Saran ..................................................................................................................................... 91
DAFTAR PUSTAKAN ........................................................................................................................ 92
v
DAFTAR TABEL
vi
DAFTAR LAMPIRAN
vii
DAFTAR BAGAN
viii
DAFTAR SINGKATAN
ix
BAB I PENDAHULUAN
1.1
Pendahuluan
2
1.2
Rumusan Masalah
1.3
Tujuan Penelitian 1.3.1 Tujuan Umum 1.3.2 Tujuan Khusus
3
1.4
Metode Penulisan 1.4.1 Metode Penulisan
1.4.2 Lokasi Penelitian
1.4.3 Teknik Pengumpulan Data
1.4.4 Sumber Data
4
1.3.5 Pengolahan Data
1.5
Sistematika Penulisan
5
BAB II TINJAUAN KEPUSTAKAAN
6
2.1
Definisi
2.2
Anatomi Fisiologi
7
8
9
10
11
12
2.3
Etiologi
2.3
Klasifikasi
13
2.5
Patofisiologi
14
15
2.6
Web of Caution
16
2.7
Manifestasi Klinik
2.8
Komplikasi
2.9
Penatalaksanaan
17
18
2.10 Pemeriksaan Penunjang
2.11 Prognosis
19
2.12 Tumbuh Kembang
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
2.13 Konsep Dasar Asuhan Keperawatan Teoritis
A. Pengkajian
47
48
B. Pemeriksaan Fisik
49
50
C. Diagnosa Keperawatan
D. Rencana Tindakan Keperawatan
51
52
53
E. Implementasi
54
F. Evaluasi
55
56
BAB III TINJAUAN KASUS
3.1
Pengkajian
57
58
59
60
61
62
63
64
65
66
67
3.2
Diagnosa Keperawatan
3.3
Intervensi Keperawatan
68
69
3.4
Implementasi Keperawatan
70
71
72
73
74
75
76
77
78
79
80
3.5
Evaluasi Keperawatan
81
82
83
BAB IV PEMBAHASAN 4.1
Pengkajian
84
4.2 Diagnosa Keperawatan
85
86
4.3
Intervensi Keperawatan
87
4.4
Implementasi Keperawtan
88
89
BAB V PENUTUP
5.1
Kesimpulan
90
5.2
Saran
91
DAFTAR PUSTAKAN Ahem,R. Nancy. Wilkinson. M. Keperawatan, jilid 9, Jakarta:ECG
Judith.
2015.Buku
Dinarti, dkk.2009,Dokumentasi Keperawatan,Jakart:TIM Ngastiyah.2005.Perawatan anak Sakit.jakarta:EGC
92
Saku
Diagnosis
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